Article Sidebar
Views pdf: 59
ASSESSMENT OF THE RESULTS IN PATIENTS WITH GREAT SAPHENOUS INSUFFICIENCY BY ENDOVASCULAR LASER AT CARDIOVASCULAR CENTER, PHU THO GENERAL HOSPITAL 2022 - 2023
Main Article Content
Abstract
Objective: To evaluate some changes of clinical features and Doppler ultrasound images after treatment in patients with chronic great saphenous insufficiency. Methods: a cross-sectional descriptive, prospective study on 55 patients (60 legs) with chronic great saphenous insufficiency, treated with endovascular laser at cardiovascular center, Phu Tho Provincial General Hospital from July 2022 to May 2023. Results: after treatment, the symptoms of leg heaviness, burning calves, itching, cramps, edema and pigmentation disorders were significantly reduced after 7 days and 1 month, p < 0.05. After 1 month, grade C3 decreased from 45% to 10%; C4 decreased from 18.3% to 8.3%; p < 0.05. The diameter of the great saphenous vein above the knee decreased from 7.7 ± 0.78 mm to 4.1 ± 0.85 mm after 7 days and 2.0 ± 0.49 mm after 1 month; the below knee segment decreased from 7.5 ± 0.8 mm to 3.9 ± 0.9 mm after 7 days and 1.77 ± 0.5 mm after 1 month; p < 0.05. 100% of patients no longer have reflux duration after 7 days and 1 month of treatment, p < 0.05. Conclusion: Treatment by intravascular laser in chronic great saphenous insufficiency decreased significantly clinical symptoms, venous diameter and reflux duration on Doppler ultrasound.
Article Details
Keywords
great saphenous vein failure, intravascular laser, results.
References
2. De Maeseneer M.G., et al., Editor's choice–European Society for Vascular Surgery (ESVS) 2022 clinical practice guidelines on the management of chronic venous disease of the lower limbs. European Journal of Vascular and Endovascular Surgery, 2022. 63(2): p. 184-267.
3. Rabe E., et al., European guidelines for sclerotherapy in chronic venous disorders. Phlebology, 2014. 29(6): p. 338-354.
4. Vũ Minh Phúc và cộng sự., Kinh nghiệm qua 689 chi bị suy tĩnh mạch nông chi dưới được điều trị bằng laser 1470nm. Tạp chí Y học Việt Nam, 2022. 510(1).
5. Yie K., Symptom improvement after cyanoacrylate glue adhesion and endovenous laser ablation in low-grade CEAP clinical classes. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2022. 10(2): p. 360-369. e2.
6. Nguyễn Văn Ngọc và cộng sự., Nghiên cứu đặc điểm hình ảnh siêu âm doppler trước và sau đốt laser nội mạch điều trị suy tĩnh mạch hiển lớn tại bệnh viện Bạch Mai. Tạp chí Điện quang & Y học hạt nhân Việt Nam, 2020(41): p. 79-85.
7. Pavei P., et al., Favorable long-term results of endovenous laser ablation of great and small saphenous vein incompetence with a 1470-nm laser and radial fiber. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 2021. 9(2): p. 352-360.
8. Nguyễn Thị Cẩm Vân và cộng sự., Đánh giá kết quả điều trị Laser nội tĩnh mạch trong bệnh lý suy giãn tĩnh mạch nông chi dưới tại Bệnh viện Trung ương Huế với Laser bán dẫn bước sóng 1470NM. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 2016. 12: p. 19-24..
9. Vũ Duy Linh, Điều trị suy tĩnh mạch nông chi dưới mạn tính bằng laser diode nội mạch bước sóng 1470 nm. 2021. Luận văn thạc sỹ y học. Đại học y Hà Nội.