TY - JOUR
T1 - Safety and effectiveness of endovenous laser ablation combined with ligation for severe Saphenous varicose veins in Japanese patients
AU - Izumi, Masafumi
AU - Ikeda, Yuichi
AU - Yamashita, Hiroharu
AU - Asaoka, Yoshinari
AU - Fujishiro, Mitsuhiro
AU - Shin, Masahiro
AU - Abo, Yoshihisa
N1 - Publisher Copyright:
© 2016, International Heart Journal Association. All rights reserved.
PY - 2016/1/19
Y1 - 2016/1/19
N2 - Endovenous laser ablation (EVLA), which is a relatively new therapeutic option for saphenous varicose veins of the legs, is less invasive than conventional stripping surgery with ligation. In this study, we evaluated the safety and effectiveness of EVLA combined with ligation for severe saphenous varicose veins that were graded as ≥ C4 by the CEAP classification. We treated 119 Japanese patients (141 limbs) between July 2005 and December 2007 utilizing a 1320-nm Nd:YAG laser. The obliteration rate of the treated veins was found to be 100% over the entire follow-up period (2.5 years). Consistent with this finding, all of the patients exhibited improved skin lesions (ie, skin pigmentation and ulceration). No major complications, including deep vein thrombosis (DVT) and nerve injury, were observed. A questionnaire survey with a reasonable response rate (66.4%) demonstrated that subjective symptoms and minor complications that were initially observed after EVLA, such as mild pain, numbness, indurations, and localized hot flashes, were remarkably improved by the end of the follow-up period. Furthermore, high levels of patient satisfaction were noted. Thus, EVLA combined with ligation constituted a safe and effective strategy for treating severe saphenous varicose veins in Japanese patients.
AB - Endovenous laser ablation (EVLA), which is a relatively new therapeutic option for saphenous varicose veins of the legs, is less invasive than conventional stripping surgery with ligation. In this study, we evaluated the safety and effectiveness of EVLA combined with ligation for severe saphenous varicose veins that were graded as ≥ C4 by the CEAP classification. We treated 119 Japanese patients (141 limbs) between July 2005 and December 2007 utilizing a 1320-nm Nd:YAG laser. The obliteration rate of the treated veins was found to be 100% over the entire follow-up period (2.5 years). Consistent with this finding, all of the patients exhibited improved skin lesions (ie, skin pigmentation and ulceration). No major complications, including deep vein thrombosis (DVT) and nerve injury, were observed. A questionnaire survey with a reasonable response rate (66.4%) demonstrated that subjective symptoms and minor complications that were initially observed after EVLA, such as mild pain, numbness, indurations, and localized hot flashes, were remarkably improved by the end of the follow-up period. Furthermore, high levels of patient satisfaction were noted. Thus, EVLA combined with ligation constituted a safe and effective strategy for treating severe saphenous varicose veins in Japanese patients.
KW - 1320-nm Nd:YAG laser
KW - High patient satisfaction
KW - Skin lesions
UR - http://www.scopus.com/inward/record.url?scp=84954525445&partnerID=8YFLogxK
U2 - 10.1536/ihj.15-282
DO - 10.1536/ihj.15-282
M3 - 記事
C2 - 26742879
AN - SCOPUS:84954525445
SN - 1349-2365
VL - 57
SP - 87
EP - 90
JO - International Heart Journal
JF - International Heart Journal
IS - 1
ER -