11. The Role And Efficacy Of Laser Ablation In The Conduct Of Phlebectomy Of Incompetent Perforating Veins

Authors

  • M.S. Aliyev Azerbaijan State Institute of Medical Improvement named after A. Aliyeva, Baku, Azerbaijan

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Abstract

Materials and methods. 53 patients(men - 9, women - 44) with vari¬cose veins of the lower extremities were hospitalized on the basis of Kaspar clinic and private UNI clinic . The duration of varicose disease ranged from 1 to 47 years and averaged 21.2±10.9 years. Clinical examination was carried out according to the generally accepted method for these patients. The study included the results of examination and treatment of 53 patients in the period from 2016- 2019 with varicose veins of the lower extremities. The patients were divided into 2 groups. The main group included 31 patients who underwent endovasal laser ablation of the main saphenous veins. The control group consisted of 22 cases of varicose disease in which traditional phlebectomy was used..

Results. Successful transcutaneous access to the PV and placement of a laser light guide in it was carried out in 30 patients. One patient was recorded extravasation with the formation of hematoma during the puncture, in connection with which there was no repeated puncture of PV in the framework of this procedure. It should be noted that the failure in the implementation of EVLA was on the 3rd patient, which we cause with the initial stage of mastering the EVLA PV technique and the relatively small diameter and length of the PV. The procedure was well tolerated by all patients. The average diameter of the treated PV was 3.7 mm (3 to 4.8 mm), and the length was 3.6 cm (2.4 to 6.8 cm). Qualitative ablation of PV was observed in 41 patients, which was confirmed by duplex sonography. Repeated intervention was required in 1 patient after an unsuccessful attempt to puncture the PV.

Keywords

Laser ablation, varicosity

References

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Published

2019-10-01

Issue

No. 3 (2019)

Section

Статьи