Endovenous laser treatment of the incompetent greater saphenous vein
Endovenous laser treatment of the incompetent greater saphenous vein
复制标题
DOI：
10.1016/s1051-0443(07)61674-1
复制
发表时间：
2001-10-01
影响因子：
2.9
通讯作者：
Forrestal, MD
中科院分区：
文献类型：
--
作者：
Min, RJ;Zimmet, SE;Forrestal, MD
目的：评价经皮腔内激光治疗大隐静脉(GSV)的安全性和初步疗效。材料和方法：对84例隐股交界处(SFJ)返流进入GSV的患者的90个GSV进行激光治疗，并进行前瞻性、非随机、连续的多中心研究。分别在治疗后1周、1、3、6、9个月对患者进行疗效和并发症评估。结果：90例GSV中87例(97%)在首次接受腔内激光治疗后1周闭合。其余3例经再次治疗后闭合。根据连续双功超声检查，90个GSV中89个(99%)关闭时间长达9个月。超声检查显示，EVLT术后6个月(61例)GSV直径缩小73%，9个月(26例)GSV直径缩小81%。1例患者出现一过性局部皮肤感觉异常。没有其他小的或大的并发症。结论：无功能的GSV的EVLT似乎是一种极其安全的技术，可以产生令人印象深刻的短期结果。长期随访有待进一步观察。
PURPOSE: To assess the safety and preliminary efficacy of endovenous laser treatment (EVLT), a novel percutaneous technique for occlusion of the incompetent greater saphenous vein (GSV).MATERIALS AND METHODS: Ninety GSVs in 84 patients with reflux at the saphenofemoral junction (SFJ) into the GSV were treated endovenously with pulses of laser energy and evaluated in a prospective, nonrandomized, consecutive enrollment multicenter study. Patients were evaluated at I week and at 1, 3, 6, and 9 months to determine efficacy and complications.RESULTS: Eighty-seven of 90 GSVs (97%) were closed I week after initial treatment with endovenous laser. The remaining three GSVs were closed after repeat treatment. Eighty-nine of 90 GSVs (99%) remained closed for as long as 9 months according to serial duplex ultrasonography. Sonographic evaluation demonstrated 73% reduction in GSV diameter at 6 months (61 patients) and 81% reduction in GSV diameter at 9 months (26 patients) after EVLT. One patient developed a transient localized skin paresthesia. There have been no other minor or major complications.CONCLUSIONS: EVLT of the incompetent GSV appears to be an extremely safe technique that yields impressive short-term results. Long-term follow-up is awaited.