Laser Saphenous Ablations in More Than 1,000 Limbs With Long-Term Duplex Examination Follow-Up

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Laser Saphenous Ablations in More Than
1,000 Limbs With Long-Term Duplex
Examination Follow-Up


Introduction

The standard treatment performed previously for varicose veins caused by incompetence of the great saphenous vein (GSV) or small saphenous vein (SSV) was high ligation and stripping. The past decade has contributed toward several advances in the treatment of venous disease, including but not limited to endovenous radiofrequency or laser ablation, and ultrasound-guided foam sclerotherapy.1-4 Modern treatments aim to use less invasive and less painful procedures that can be performed in ambulatory settings. They are associated with quicker recovery and fewer complications, with effi- cacy similar to the traditional surgical treatments. Endovenous laser ablation (EVLA) has been performed using different laser wavelengths (810, 940, 980, 1064, 1320, 1470 nm) and has been associated with an excellent safety and efficacy profile.1-8 The Presented at the 20th Annual Winter Meeting of the Peripheral Vascular Surgery Society, Vail, CO, January 29-31, 2010. 1 Centro Multidisciplinare Day Surgery, Azienda OspedalieraUniversita, Padova, Italy.  2 New York University, Division of Vascular Surgery New York, NY. Correspondence to: Todd L. Berland, MD, Division of Vascular Surgery NYU Langone Medical Center, 530 First Avenue, 6th Floor, HCC, NY 10016, USA, E-mail: Todd.Berland@nyumc.org Ann Vasc Surg 2011; 25: 71-78 DOI: 10.1016/j.avsg.2010.09.005  Annals of Vascular Surgery Inc. 71 ELVeS (EndoLaser Venous System, Biolitec, Bonn, Germany) and VenaCure EVLT (Angiodynamics, Albany, NY) procedure kits offer materials that can be used as part of a standardized procedure.9 The purpose of this multi-center, international study was to review the duplex examination results after one or more years following EVLA of the GSV or SSV.

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