title: Successful lysis in a stroke following endovenous laser ablation and extensive miniphlebectomy of varicose veins.
abstract: Stroke is a very rare but potential fatal complication of endovenous thermal treatment in patients with a right-to-left shunt. To our best knowledge, there are only two reports in the literature of stroke after endovenous thermal ablation of varicose veins, one after endovenous laser ablation and one after radiofrequency ablation and phlebectomy, both treated conservatively. This report describes a successful lysis in a patient with an ischemic stroke associated with bilateral endovenous heat-induced thrombosis class I after endovenous laser ablation of both great saphenous vein and extensive miniphlebectomy in a patient with an unknown patent foramen ovale.
authors.affiliation: Department of Angiology, University Hospital Basel, Basel, Switzerland.
authors.forename: Luca
authors.initials: L
authors.lastname: Spinedi
authors.affiliation: Department of Angiology, University Hospital Basel, Basel, Switzerland.
authors.forename: Daniel
authors.initials: D
authors.lastname: Staub
authors.affiliation: Department of Angiology, University Hospital Basel, Basel, Switzerland Gefaesspraxis am See, Hirslanden Clinic St. Anna, Lucerne, Switzerland heiko.uthoff@usb.ch.
authors.forename: Heiko
authors.initials: H
authors.lastname: Uthoff
mesh_terms: D016342:Angioplasty, Laser / Q000009:adverse effects*; D002545:Brain Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D057510:Endovascular Procedures / Q000009:adverse effects*; D005260:Female; D054092:Foramen Ovale, Patent / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000628:therapy; D012501:Saphenous Vein / Q000601:surgery*; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D015912:Thrombolytic Therapy
keywords: Endovenous laser treatment; endovenous thermal ablation; thrombolysis