Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2012 , Vol 21 , Issue 3
Endovenöz Ablasyon Uyguladığımız 120 Hastamızın Derin Ven Trombozu ve Klinik İyileşme Açısından Erken-Orta Dönem Sonuçları
Özerdem ÖZÇALIŞKAN, Yavuz ARSLANOĞLU, Hayati DENİZ, Gökhan GÖKASLAN, Gökalp GÜZEL, Alptekin YASIM, Haşim ÜSTÜNSOY
1Kalp Damar Cerrahisi AD, Gaziantep Üniversitesi Tıp Fakültesi, Gaziantep DOI : 10.9739/uvcd.2011-27908 Objective: Endovenous ablation techniques which are developed in last decade have been used frequently for great saphenous vein (GSV) insufficiency treatment. We aimed to present early and mid term results of our first 120 patients. Material and Methods: We performed endovenous ablation to 120 patients in our clinic between January 2009-November 2011. Laser (EVLA) and radiofrequency (RFA) were used as energy source in 92 and 28 patients, respectively. Mean GSV diameter on the insertion site was 4.8 mm (3.3 mm-8.7 mm). Fibrinogen and D-dimer parameters were analyzed in all patients preop- eratively and on their 1st week and 1st month controls. All patients were examined by colored Doppler ultrasonography on their 1st week, 1st-6th month, and 1st year controls. Results: All GSVs were obliterated in 1st week, 1st-6th month controls except one patient. This patient, who had undergone EVLA, was treated with conventional surgery. Fibrinogen and D-dimer levels were in normal ranges in all cases. Any deep venous thrombosis was not seen. Recanalization was determined in 3 EVLA patients in their 1st year con- trol. Varicose veins were observed due to neovascularization in 1 of 11 patients who were being followed up for 2 years. Conclusion: Endovenous ablation techniques which markedly developed in last decade are the comfortable interventions for the patients. These techniques should be considered instead of con- ventional surgery in proper cases. Regarding early and mid term result of our study with this technique; in terms of DVT occurrence and therapy comfort, results are promising. However these data should be sup- ported with our long term results. Keywords : Varicose veins; laser therapy; catheter ablation
Viewed : 1531
Downloaded : 890