title: Less invasive ultrasonography-guided high ligation of great saphenous vein in endovenous laser ablation.
abstract: endovenous heat-induced thrombosis (EHIT) and great saphenous vein (GSV) recanalization. To eliminate these complications, we developed ultrasonographyguided high ligation (UGHL) using a puncture-sized incision as an adjunct treatment to EVLA. UGHL combined with EVLA was used in 20 patients. The GSV was encircled with 2-0 silk thread at 2 cm distal to the saphenofemoral junction through two incisions of 2-3 mm by using a Deschamps aneurysm needle under ultrasonographic guidance. UGHL was technically feasible in all cases, and no case presented with complications. UGHL may be used in addition to EVLA.
authors.affiliation: Department of Surgery II, Kochi Medical School, Kochi, Japan.
authors.forename: Yasunaga
authors.initials: Y
authors.lastname: Okazaki
authors.forename: Kazumasa
authors.initials: K
authors.lastname: Orihashi
keywords: endovascular laser ablation; endovenous heat-induced thrombosis; high ligation