In:
The American Journal of Cosmetic Surgery, SAGE Publications, Vol. 26, No. 4 ( 2009-12), p. 236-240
Abstract:
To determine the long-term efficacy and safety of a 1320-nm intravascular laser to close the great saphenous vein (GSV). Methods: Sixty-four patients with incompetent GSV (0.5–1.44 cm in diameter) associated with distal varicose veins were treated using a 1320-nm intravascular laser at 5–6 W with an automatic pullback mechanism at 1 mm/s. Duplex ultrasound examinations were performed at baseline and patients were followed 1 to 5 years posttreatment. Participants: Of the 64 patients, 84% were women and the average age of the participants was 49 years. Results: The average baseline GSV measured 0.78 cm (range, 0.37–1.95 cm). The average length of follow-up was 25.3 months. A total of 12.5% (8/64) of patients received follow-up sclerotherapy for residual reticular and telangiectatic veins. Seventy-five percent (52/64) of patients had absent GSV after treatment. Twenty-five percent (12/64) of patients had open, patent GSV with no reflux. The failure rate for treatment was 7.8% (5/64). Treatment failures included open GSV with reflux, 2 patients who underwent repeat cool touch endovenous laser treatment, and 1 patient who had ultrasound-guided foam sclerotherapy treatment. Conclusions: The 1320-nm intravascular laser is safe and effective in treating an incompetent GSV up to 1.44 cm in diameter.
Type of Medium:
Online Resource
ISSN:
0748-8068
,
2374-7722
DOI:
10.1177/074880680902600404
Language:
English
Publisher:
SAGE Publications
Publication Date:
2009
detail.hit.zdb_id:
2879156-3
