کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2915384 1575549 2006 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Combined Endovenous Laser Therapy and Ambulatory Phlebectomy: Refinement of a New Technique
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Combined Endovenous Laser Therapy and Ambulatory Phlebectomy: Refinement of a New Technique
چکیده انگلیسی

ObjectiveSclerotherapy (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.Method67 patients (70 limbs) with great saphenous varicosities underwent EVLTAP. 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.Results49 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).ConclusionEVLTAP produces excellent results, is feasible and acceptable, and obviates need for subsequent procedures in the short-term.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Vascular and Endovascular Surgery - Volume 32, Issue 6, December 2006, Pages 725–729
نویسندگان
, , , , , , ,