EVALUATION OF FLUSH ENDOVENOUS LASER ABLATION OF THE GREAT SAPHENOUS VEIN UP TO THE SAPHENOFEMORAL JUNCTION

Abstract

Background: Varicose vein disease is one of the most common health problems faced by vascular surgeons
worldwide affecting up to 23% of adult population. The majority of patients with primary varicose veins have great
saphenous vein (GSV) insufficiency.Objective:To determine the feasibility and safety of flush Endovenous laser
ablation (EVLA) of the patients with Great saphenous vein (GSV) up to the saphenofemoral junction.Patients and
Methods:A prospective study was conducted in Vascular Surgery Department, Faculty of Medicine, at Zagazig
University at period from January 2021 to June 2021 including 18 cases. All patients were subjected to detailed
history taking, Clinical examination, the clinical severity of venous disease was established using CEAP [Clinical,
etiological, anatomical & pathological] and VCSS, the effect of disease specific quality of life was determined using
the CIVIQ, Laboratory Investigations and duplex ultrasonography performed for all patients.Results:The operative
time, it ranged from 20 minutes to 40 minutes, with a mean of 30 minutes. Regarding hospital stay, all patients were
discharged at the same day of the intervention. Return to normal activity ranged from 7 to 9 days, with a mean of
7.33 +/- 1.46. as regard complications; only Ecchymosis in 2 limbs (7%), Temporary numbness at leg in 3 limbs
(11%) and Incomplete occlusion in one patient (4 %).Conclusions: That using of high wavelength (1470nm) with
modified fiber tip with tumescent solution have a crucial role in achieving best results and minimizing the adverse
effects. This allow a homogenous destruction of the vein wall exclusively