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Title: | Introducing endovenous laser therapy ablation to a national health service vascular surgical unit e the aberdeen experience |
Authors: | MacKenzie, Rhoda K. Cassar, Kevin Brittenden, Julie Bachoo, Paul |
Keywords: | Varicose veins Evidence-based medicine -- Data processing Blood-vessels Leg -- Blood-vessels -- Diseases |
Issue Date: | 2009 |
Publisher: | Elsevier Ltd |
Citation: | Mackenzie, R. K., Cassar, K., Brittenden, J., & Bachoo, P. (2009). Introducing endovenous laser therapy ablation to a National Health Service vascular surgical unit–the Aberdeen experience. European Journal of Vascular and Endovascular Surgery, 38(2), 208-212. |
Abstract: | Objectives: To report early clinical outcomes and learning experience following the introduction of endovenous laser ablation (EVLA) to an NHS vascular unit. Design: Prospective observational study. Results: Between February 2006 and January 2008, 631 consecutive patients underwent EVLA to 704 refluxing truncal veins e 579 GSV, 119 SSV and 6 straight segments of anterior accessory GSV. 275/631 (44%) patients had local anaesthesia (LA) plus sedation, 237 (38%) had LA only and 119 (18%) had general anaesthesia. All were treated using the 810 nm diode laser. Adjuvant procedures on-table included foam sclerotherapy 129/704 (18%), multiple stab avulsions 53/ 704 (8%) and 3 limbs had both. Three-month follow-up with duplex examination is complete in 635/704 limbs (90%). Complete occlusion was noted in 610 veins (96%), 14 (2.2%) were partially occluded and 11 (1.7%) showed no occlusion. 193 (30%) of the 635 limbs seen at follow-up required further treatment for residual varicosities using foam sclerotherapy. There has been one non-fatal pulmonary embolus associated with EVLA and no other complications. Conclusions: EVLA is safe and technically effective. It has a defined learning curve requiring new operator skills which can be readily acquired. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/102578 |
Appears in Collections: | Scholarly Works - FacM&SSur |
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Introducing_Endovenous_Laser_Therapy_Ablation_to_a_National_Health_Service_Vascular_Surgical_Unit_The_Aberdeen_Experience(2009).pdf | 133.71 kB | Adobe PDF | View/Open |
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