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Endovenous laser ablation in the treatment of small saphenous varicose veins: does site of access influence early outcomes?

Samuel, Nehemiah; Wallace, T.; Carradice, D.; Shahin, Y.; Mazari, F. A. K.; Chetter, I. C.

Authors

Nehemiah Samuel

T. Wallace

Y. Shahin

F. A. K. Mazari



Abstract

Objective: The study was performed to evaluate the clinical and technical efficacy of endovenous laser ablation (EVLA) of small saphenous varicosities, particularly in relation to the site of endovenous access. Methods: Totally 59 patients with unilateral saphenopopliteal junction incompetence and small saphenous vein reflux underwent EVLA (810 nm, 14 W diode laser) with ambulatory phlebectomies. Small saphenous vein access was gained at the lowest site of truncal reflux. Patients were divided into 2 groups: access gained above mid-calf (AMC, n = 33) and below mid-calf (BMC, n = 26) levels. Outcomes included Venous Clinical Severity Scores (VCSS), Aberdeen Varicose Vein Questionnaire (AVVQ), patient satisfaction, complications, and recurrence rates. Results: Both groups demonstrated significant improvement in VCSS, AVVQ, generic quality of life Short Form 36, and EuroQol scores (P < .05) up to 1 year. No differences were seen between AMC and BMC groups for complications (phlebitis: 2 [6%] and 1 [3.8%], P > .05; paresthesia: 2 [6%] and 5 [19%], P = .223) and recurrence (3 [9%] and 1 [3.8%], P = .623), respectively. Conclusions: The site of access in our study does not appear to influence complications specifically neural injury or recurrence rates.

Citation

Samuel, N., Wallace, T., Carradice, D., Shahin, Y., Mazari, F. A. K., & Chetter, I. C. (2012). Endovenous laser ablation in the treatment of small saphenous varicose veins: does site of access influence early outcomes?. Vascular and endovascular surgery, 46(4), 310-314. https://doi.org/10.1177/1538574412443316

Journal Article Type Article
Online Publication Date Apr 12, 2012
Publication Date 2012-05
Journal Vascular and Endovascular Surgery
Print ISSN 1538-5744
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 46
Issue 4
Pages 310-314
DOI https://doi.org/10.1177/1538574412443316
Keywords Surgery; Cardiology and Cardiovascular Medicine; General Medicine
Public URL https://hull-repository.worktribe.com/output/432592