title: Endovenous laser ablation as a treatment for postsurgical recurrent saphenous insufficiency.
abstract: The purpose of this study was to investigate the safety and efficacy of endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency occurring after saphenous vein ligation and stripping. A single-center retrospective review of patients who received endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency after ligation and stripping between November 2003 and October 2006 was performed. Fifty-six insufficient saphenous systems were identified in 38 patients. Follow-up consisted of a clinical examination in all patients as well as selective lower-extremity duplex ultrasound as clinically indicated. All 38 patients demonstrated complete closure of the insufficient saphenous vein by clinical examination and/or duplex ultrasound evaluation. Preoperative symptoms resolved after treatment in all 38 patients. No major complications were identified. Endovenous laser ablation of recurrent symptomatic saphenous venous insufficiency is a safe and effective treatment in patients who develop recurrent symptoms after saphenous vein ligation and stripping.
authors.affiliation: Department of Interventional Radiology, School of Medicine, Northwestern University, Chicago, IL, 60611, USA.
authors.forename: Praveen R
authors.initials: PR
authors.lastname: Anchala
authors.forename: Christopher
authors.initials: C
authors.lastname: Wickman
authors.forename: Richard
authors.initials: R
authors.lastname: Chen
authors.forename: Tonya
authors.initials: T
authors.lastname: Faundeen
authors.forename: William
authors.initials: W
authors.lastname: Pearce
authors.forename: Lisa
authors.initials: L
authors.lastname: Narducy
authors.forename: Scott A
authors.initials: SA
authors.lastname: Resnick
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D053685:Laser Therapy / Q000379:methods*; D008026:Ligation / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D015641:Radiography, Interventional; D012008:Recurrence; D012086:Reoperation; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*