RESULTS OF EVLT: RADIAL FIBER VERSUS BARE-TIP FIBER WITH CHEMICAL ASSISTANCE

Area of Science:

• Vascular Surgery
• Minimally Invasive Procedures
• Phlebology

Background:

• Chronic venous insufficiency (CVI) affects a significant portion of the population.
• Endovenous laser coagulation (EVLC) is a common treatment for CVI.
• Optimizing EVLC techniques is crucial for improving patient outcomes.

Purpose of the Study:

• To compare the effectiveness of different endovenous laser coagulation methods for the great saphenous vein.
• To identify the optimal treatment strategy for chronic venous insufficiency.
• To evaluate combined thermoablation and echosclerobliteration techniques.

Main Methods:

• Retrospective analysis of 318 clinical cases.
• Comparison of bare-tip fiber, radial fiber, and simultaneous thermoablation with echosclerobliteration for great saphenous vein occlusion.
• Assessment of vein occlusion rates and treatment effectiveness.

Main Results:

• Simultaneous thermoablation and echosclerobliteration demonstrated superior great saphenous vein occlusion compared to bare-tip thermoablation.
• Results from simultaneous thermoablation and echosclerobliteration were comparable to radial thermoablation.
• Combining methods for subcutaneous vein occlusion allowed for effective vein obliteration with lower energy settings in bare-tip EVLC.

Conclusions:

• Simultaneous thermoablation and echosclerobliteration is an effective method for treating great saphenous vein insufficiency.
• Lower-energy bare-tip EVLC can achieve comparable results to radial thermoablation when combined with other occlusion methods.
• Optimized combined approaches enhance EVLC effectiveness for CVI treatment.