Tratamiento endovascular de la insuficiencia de los ejes safenos mediante láser diodo 980 NM

Abstract

Background: Great Saphenous Vein reflux is the main cause of superficial vein insufficiency. Endoluminal ablation of this vein is a minimally invasive treatment for varices. Aim: To evaluate the results of Great Saphenous Vein endoablation using Diode 980 nm laser. Material and Methods: A prospective study in 146 lower extremities of 90 patients aged 25 to 91 years (69 females), subjected to Great Saphenous Vein endoablation with Diode 980 nm laser, between 2005 and 2007. Immediate permeability of the treated Saphenous Vein was evaluated with Duplex ultrasound. Complications related to the procedure were also recorded. Results: Great Saphenous Vein occlusion after endoablation with Diode 980 nm laser was 99% at the end of first week and 97% at 3 months. Recorded complications were induration in relation to the treated Great Saphenous Vein in 5.4%, erythema in 5.4%, pain in 5.4% and ecchymosis in 9.4%. All these complications resolved. All patients reported and improvement of symptoms and were satisfied with the procedure. Conclusions: This Endovascular method for the treatment of Great Saphenous Vein reflux has a low incidence of complications, fast recovery and return to normal activities.