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Early Results of Endovenous Ablation with a 980-nm Diode Laser for an Incompetent Vein of Giacomini

  • Park, Sang-Woo (Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Lee, Song-Am (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Hwang, Jae-Joon (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Yun, Ik-Jin (Department of Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Kim, Jun-Seok (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Chang, Seong-Hwan (Department of Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Chee, Hyun-Keun (Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine) ;
  • Chang, Il-Soo (Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine)
  • 발행 : 2011.08.01

초록

Objective: We wanted to evaluate the effectiveness of endovenous ablation of the incompetent vein of Giacomini using a 980-nm diode laser. Materials and Methods: A total of 18 patients (18 limbs, 4%) had the incompetent vein of Giacomini. Retrograde reflux originating from the great saphenous vein was noted in sixteen limbs and paradoxical diastolic anterograde reflux from the saphenopopliteal junction was observed in two limbs. After tumescent anesthesia, laser ablation using a 980-nm wavelength laser fiber was performed under ultrasound and/or fluoroscopic guidance. Patients were evaluated clinically and with duplex ultrasound at one week and at one, three, six and twelve months after laser ablation for the technical and clinical success. Results: In the 18 limbs, the technical success rate was 100%. Continued closure of the vein of Giacomini was seen in 18 of 18 limbs after one month, in 12 of 12 limbs after three and six months and in six of six limbs after twelve months. No recanalization of the vein and no major complications occurred. Conclusion: Endovenous laser ablation with a 980-nm wavelength is an effective and safe procedure for treating an incompetent vein of Giacomini.

키워드

참고문헌

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피인용 문헌

  1. Endovenous laser ablation and sclerotherapy for incompetent vein of Giacomini vol.29, pp.8, 2014, https://doi.org/10.1177/0268355513496552
  2. Guidelines of the First International Consensus Conference on Endovenous Thermal Ablation for Varicose Vein Disease - ETAV Consensus Meeting 2012 vol.30, pp.4, 2011, https://doi.org/10.1177/0268355514524568
  3. Vena giacomini - so klein und unscheinbar? vol.50, pp.1, 2021, https://doi.org/10.1055/a-1304-0117