EIGHT-YEAR EXPERIENCE WITH ENDOVENOUS LASER ABLATION FOR LOWER-EXTREMITY SUPERFICIAL VENOUS INSUFFICIENCY
Main Article Content
Abstract
Objectives: To evaluate the clinical characteristics, interventional techniques, and treatment outcomes of lower-extremity superficial venous insufficiency using endovenous laser ablation (EVLA) with a 1,470nm wavelength. Methods: A prospective and retrospective, descriptive case series study was conducted on 1,182 patients (1,714 limbs) with superficial venous insufficiency of the lower extremities treated with EVLA at Military Hospital 103 from July 2016 to June 2025. Clinical characteristics, interventional techniques, and outcomes were analyzed. Results: The mean age was 52.17 ± 12.48 years, with a female-to-male ratio of 2.2:1. The C2 (53.9%) and C3 (28.6%) stages accounted for a high proportion. The technical success rate was 100%. The recurrence rate was 2.0%. The mean linear endovenous energy density (LEED) for the great saphenous vein was 70.6 ± 8.83 J/cm. Complications included endovenous heat-induced thrombosis (EHIT) (3.5%, primarily class I and II), bruising (19.9%), post-procedural pain (17.5%), sensory disturbance (2.2%), and deep vein thrombosis (0.2%). No cases of infection or pulmonary embolism were recorded. Conclusion: Treatment of superficial venous insufficiency of the lower limbs with the 1470nm EVLA is a safe and highly effective method.
Keywords
Superficial venous insufficiency, Endovenous laser ablation, 1, 470nm, CEAP, Chronic venous insufficiency
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References
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