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Combined endovenous laser therapy and ambulatory phlebectomy: refinement of a new technique

Mekako, A.; Hatfield, J.; Bryce, J.; Lee, D.; Heng, M.; McCollum, P.; Chetter, I.


A. Mekako

J. Hatfield

J. Bryce

D. Lee

M. Heng

P. McCollum


Objective. Sclerotherapy (IS) or ambulatory phlebectomy (AP) are required as subsequent interventions in majority of cases following endovenous laser therapy (EVLT). We assessed whether AP performed concomitantly with EVLT (EVLTAP), is effective, acceptable, and reduces subsequent requirement for interventions. Method. 67 patients (70 limbs) with great saphenous varicosities underwent EVLTAR Pain was assessed on days 1, 4 and 7 using a visual analogue scale (VAS) of 0 to 10. Clinical and ultrasound assessments were done at 1, 6 and 12 weeks (no ultrasound at 6 weeks). Residual varicosities underwent further AP or IS. Patients' satisfaction with the cosmetic outcome and overall treatment was assessed at 12 weeks using a VAS rating. Results. 49 patients (70%) completed follow-up. Median pain scores were 1.6 (IQR 0.2-4.8), 0.3 (0-1.4) and 0.2 (0-1.1) on days 1, 4 and 7 respectively. Ultrasound demonstrated 69 (99%) and 47 (96%) occluded long saphenous veins at 1 and 12 weeks respectively. Subsequent IS or AP was performed on 3 (4%) or 1 (1%) limbs respectively. Cosmetic satisfaction was 9.6 (IQR 8.9-10) and overall satisfaction 9.8 (IQR 9.3-10). Conclusion. EVLTAP produces excellent results, is feasible and acceptable, and obviates need for subsequent procedures in the short-term.


Mekako, A., Hatfield, J., Bryce, J., Lee, D., Heng, M., McCollum, P., & Chetter, I. (2006). Combined endovenous laser therapy and ambulatory phlebectomy: refinement of a new technique. European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery, 32(6), 725-729.

Journal Article Type Article
Acceptance Date Jun 4, 2006
Online Publication Date Jul 24, 2006
Publication Date 2006-12
Print ISSN 1078-5884
Electronic ISSN 1532-2165
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 32
Issue 6
Pages 725-729
Keywords Surgery; Cardiology and Cardiovascular Medicine
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