Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 2018 , Vol 27 , Issue 2
Recanalization rates after endovenous laser ablation in patients with saphenous vein reflux
Fulya Erbaş Karaca1, Ahmet Arnaz2
1Bursa Devlet Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Bursa, Türkiye
2Acıbadem Mehmet Ali Aydınlar Üniversitesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye
DOI : 10.9739/tjvs.2018.120 Objectives: This study aims to investigate the efficacy of endovenous laser ablation procedure in patients with varicose veins of great and small saphenous vein accompanied by long-term venous reflux and to identify mid-term recanalization rates.

Patients and methods: Between February 2010 and August 2011, endovenous laser ablation was performed in a total of 105 patients (50 males, 55 females; mean age 42 years; range, 18 to 68 years) with great or small saphenous vein reflux. Laser ablation with varicose vein excision was performed to 95 of the patients. The patients were evaluated by Doppler ultrasonography at three and six months postoperatively.

Results: The mean hospital stay was one day; however, 13 patients due to spinal anesthesia-related headache, low blood pressure, and fatigue stayed longer in the hospital. None of the patients experienced operative mortality. None of the patients had hematoma or hemorrhage, while local wound infection was detected in two patients. Postoperative Doppler ultrasonography revealed that the saphenous vein reflux was continued postoperatively in five patients (4.7%) (great saphenous vein in four patients and small saphenous vein in one patient).

Conclusion: Endovenous laser ablation with or without excision of the varicose veins in patients with saphenous vein insufficiency has high success rates and can be safely performed with a low mortality and morbidity risk. Although early-term results of this procedure is favorable, patients should be followed in the long-term. Keywords : Endovenous laser ablation; recanalization; saphenous vein reflux