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Date Published: 25/02/2022
Abstract Views: 248
Views PDF: 175
DOI: https://doi.org/10.51298/vmj.v510i1.1941
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Vol. 510 No. 1 (2022)
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Các bài báo
How to Cite
Minh Phúc, V. ., Văn Quân, H. ., Văn Sơn, . N. ., & Đức Hùng, T. . (2022). EXPERIENCE WITH 1470NM LASER ABLATION TREATMENT FOR 689 LIMBS WITH LOWER EXTREMITY SUPERFICIAL VENOUS INSUFFICIENCY. Vietnam Medical Journal, 510(1). https://doi.org/10.51298/vmj.v510i1.1941

EXPERIENCE WITH 1470NM LASER ABLATION TREATMENT FOR 689 LIMBS WITH LOWER EXTREMITY SUPERFICIAL VENOUS INSUFFICIENCY

Vũ Minh Phúc1, Hoàng Văn Quân1, Nguyễn Văn Sơn1, Trần Đức Hùng1,
1 Military Hospital 103

Main Article Content

Abstract

Objective: Investigating characteristics results of 1470nm laser ablation for patients with lower extremity superficial venous insufficiency in Cardiovascular Center, 103 Military Hospital from July, 2016 to August, 2020. Subjects and methods: This descriptive cross-sectional study was done in 489 patients (689 limbs) with superficial venous insufficiency who wert treated usinhg 1470nm laser ablation. Results: mean age 58,8 ± 11,6. 317 females (63,7%), 161 males (36,3%). CEAP classification: 53.8% C2 stage, 26.3% C3, 18.6% C4. Unilateral and bilateral was respectively at 65.3% and 34.7%. Rate of great and small saphenous vein lession were respectively 92.2% and 7.8%. Preoperative VCSS and CIVIQ 20 were respectively 4.6 ± 1.8 and 54.0 ± 7.8. Treated vesel length of great and small saphenous vein were respectively 41.5 ± 8.7 and 17.6 ± 2.1 cm with linear endovenous energy density (LEED) at 67.6 J/cm and 68.5 J/cm. After treatment, rate of C1 was at 72.3%, C2 and C3 stage rate decreased significantly. postoperative VCSS and CIVIQ 20 score were respectively 1.1 ± 0.7 and 27.8 ± 3.5 lower than before treatment. Success rate was at 99,3%. No major complications occurred, bruising (25%), induration (4,1%), paresthesia (1,7%) were observed. Conclusions: Endovenous laser ablation was effective and safe method treatment for lower extremity superficial venous insufficiency.

Article Details

Keywords

superficial venous insufficiency, Endovenous laser treatment

References

1. Nguyễn Trung Anh (2017). Nghiên cứu đặc điểm lâm sàng, cận lâm sàng, kết quả điều trị suy tĩnh mạch chi dưới mạn tính của phương pháp gây xơ bằng thuốc và laser nội tĩnh mạch. Luận án tiến sĩ Y học.
2. Phạm Mai Phương (2015). Nghiên cứu mối liên quan giữa một số thông số siêu âm doppler mạch với đặc điểm lâm sàng ở bệnh nhân suy tĩnh mạch chi dưới. Luận văn thạc sĩ Y học.
3. Darwood RJ, Gough MJ. Endovenous laser treatment for uncomplicated varicose veins. Phlebology. 2009;24(1):50-61.
4. Onida S, Davies HA. Predicted burden of venous disease. Phlebology. 2016; 31(1): 74-9.
5. Park JA, Park S. W, Chang I S, et al. The 1,470-nm bare-fiber diode laser ablation of the great saphenous vein and small saphenous vein at 1-year follow-up using 8–12 W and a mean linear endovenous energy density of 72 J/cm. J Vasc Interv Radiol. 2014; 25(11): 1795-800.
6. Robertson L, Evans C, Fowkes FGR. Epidemiology of chronic venous disease. Phlebology. 2008; 23(3): 103-11.
7. Rasmussen LH., Lawaetz M, Bjoern L, et al. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Sur. 2011; 98(8): 1079-87.
8. Wittens C, Davies AH, Baekgaard N, Broholm R, et al. Editor's choice–management of chronic venous disease: Clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Surg. 2015; 49(6): 678-737.