Initially Clinical Experiences in Treating 27 Case
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RESEARCH ARTICLES
Initially Clinical Experiences in Treating 27 Cases of Varicose Veins
with EVLT plus Trivex
Shiyan Ren1*, Erqiang Ye1, Liu Peng2, Xuejun Tian1
Abstract: We reported our preliminary experiences of the new surgical endoscope technique, Endovenous laser treatment (EVLT) plus Trans-illuminated Varicose Vein Extraction (Trivex), a system for the management of varicose veins to prospectively evaluate the safety, efficacy and clinical benefits of this new surgical device. Twenty-nine great saphenous veins (GSV) in 27 patients of clinical stages C2-6, EP, AS, P, PR with incompetent GSV proven by means of duplex scanning were treated with EVLT and Trivex. Since half a month after procedure, patients wore elastic stockings for 3 months to enhance the effect of procedure. Patients were followed up on months 0.5, 1, 3 and 6 to evaluate the efficacy and complications of the treatment. Patients had no relapse of the varicose vein and had few side effects such as numbness and blister due to the laser burn. So EVLT plus Trivex is a safe, minimally invasive approach for GSV, and the short-term results are satisfactory and impressive.
Key words: EVLT; Trivex; varicose veins; saphenous veins
About 25% female and 15% male suffered from lower extremity superficial venous insufficiency [1, 2] and chronic venous insufficiency, such as venous ulcers, is often solely caused by superficial venous disorders [3, 4]. Great saphenous vein (GSV) is the major vein of the superficial venous system. GSV reflux is often related to large superficial varices. Aim of treating GSV is to eliminate the source of reflux by ablating the incompetent veins. The traditional approach in treatment of varicose veins is high ligation and stripping, which has considerable side effects of surgery. Endovenous laser treatment (EVLT) is the new minimally invasive technique. We performed 27 patients with varicose veins using the EVLT plus trans-illuminated varicose vein extraction (Trivex), and reported our early initial experiences of this new technique.
MATERIALS AND METHODS
A total of 27 patients treated at China-Japan Friendship Hospital and the Second Hospital of Tsinghua University from April to December in 2004 were selected based on CEAP classification and ultrasound scan for this endovenous procedure. All patients were provided the informed consent for the procedure and awarded of the alternative treatment available risks involved, and other issues conforming to the standard of care for informed consent practices. All patients had reflux of over 5 seconds in the GSV.
Patients with varicose veins caused by incompetence of the saphenous-femoral junction (SFJ) with GSV reflux were demonstrated by duplex US imagine. Ultrasound scan was used to select the patients with GSV with maximal diameter of 10mm in supine position and without a tortuous. The GSV was markedly prior to the surgery on skin from the distal point at the ankle to the SFJ ......
RESEARCH ARTICLES
Initially Clinical Experiences in Treating 27 Cases of Varicose Veins
with EVLT plus Trivex
Shiyan Ren1*, Erqiang Ye1, Liu Peng2, Xuejun Tian1
Abstract: We reported our preliminary experiences of the new surgical endoscope technique, Endovenous laser treatment (EVLT) plus Trans-illuminated Varicose Vein Extraction (Trivex), a system for the management of varicose veins to prospectively evaluate the safety, efficacy and clinical benefits of this new surgical device. Twenty-nine great saphenous veins (GSV) in 27 patients of clinical stages C2-6, EP, AS, P, PR with incompetent GSV proven by means of duplex scanning were treated with EVLT and Trivex. Since half a month after procedure, patients wore elastic stockings for 3 months to enhance the effect of procedure. Patients were followed up on months 0.5, 1, 3 and 6 to evaluate the efficacy and complications of the treatment. Patients had no relapse of the varicose vein and had few side effects such as numbness and blister due to the laser burn. So EVLT plus Trivex is a safe, minimally invasive approach for GSV, and the short-term results are satisfactory and impressive.
Key words: EVLT; Trivex; varicose veins; saphenous veins
About 25% female and 15% male suffered from lower extremity superficial venous insufficiency [1, 2] and chronic venous insufficiency, such as venous ulcers, is often solely caused by superficial venous disorders [3, 4]. Great saphenous vein (GSV) is the major vein of the superficial venous system. GSV reflux is often related to large superficial varices. Aim of treating GSV is to eliminate the source of reflux by ablating the incompetent veins. The traditional approach in treatment of varicose veins is high ligation and stripping, which has considerable side effects of surgery. Endovenous laser treatment (EVLT) is the new minimally invasive technique. We performed 27 patients with varicose veins using the EVLT plus trans-illuminated varicose vein extraction (Trivex), and reported our early initial experiences of this new technique.
MATERIALS AND METHODS
A total of 27 patients treated at China-Japan Friendship Hospital and the Second Hospital of Tsinghua University from April to December in 2004 were selected based on CEAP classification and ultrasound scan for this endovenous procedure. All patients were provided the informed consent for the procedure and awarded of the alternative treatment available risks involved, and other issues conforming to the standard of care for informed consent practices. All patients had reflux of over 5 seconds in the GSV.
Patients with varicose veins caused by incompetence of the saphenous-femoral junction (SFJ) with GSV reflux were demonstrated by duplex US imagine. Ultrasound scan was used to select the patients with GSV with maximal diameter of 10mm in supine position and without a tortuous. The GSV was markedly prior to the surgery on skin from the distal point at the ankle to the SFJ ......
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