title: An update in varicose vein pathology after ten years of endovenous laser therapy (EVLT) with a 980 nm diode laser: clinical experience of a single center.
abstract: OBJECTIVE
  To show our experience in the surgical treatment of superficial vein insufficiency of the lower limbs.
  
  
  METHODS
  Since 2002 we have performed 659 procedures of endovascular laser therapy (EVLT) (group A) in the treatment of chronic venous insufficiency of the great saphenous vein using a 980 nm diode laser. A closely matched group of 100 patients (50 Group A, 50 Group B) with homogeneous clinical findings (CEAP classification) was controlled with a mean follow-up of 18 months in our more recent experience (3 years). Most patients operated on in this period were lost to follow-up.
  
  
  RESULTS
  The Final results showed that EVLT can be used only in a specific selected group of cases based on anatomy and hemodynamics and while 980 nm EVLT could not be selected as the best treatment for this pathology, it could be placed side by side with conventional therapy.
  
  
  CONCLUSIONS
  In our one year's more recent experience, we observed an increased number of patients treated with conventional therapy. The development of new laser tools (new wavelengths and continuous radial laser) and the improvement of clinical follow up may lead us to a more correct application of EVLT in the absence of randomized trials because of widespread clinical findings and poor pathological follow-up of this approach to superficial venous insufficiency.
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Pietro
authors: P
authors: Scarpelli
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Annamaria
authors: A
authors: Maggipinto
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Marco
authors: M
authors: Leopardi
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Evelina
authors: E
authors: Di Marco
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Angelo
authors: A
authors: Disabato
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Michelangelo
authors: M
authors: Boschetti
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Giorgio
authors: G
authors: Sbenaglia
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Carlo
authors: C
authors: Spartera
authors: Department of Vascular and Endovascular Surgery University of L'Aquila.
authors: Marco
authors: M
authors: Ventura
keywords: laser therapy; saphenous stripping; superficial venous insufficiency