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Órgano Oficial de la Sociedad Mexicana de Angiología y Cirugía Vascular

2014, Number 1

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Rev Mex Angiol 2014; 42 (1)

Tratamiento endovenoso de la enfermedad venosa crónica con láser 980nm y 1470nm. Resultados a seis años

Vásquez-Hernández M, Juárez-Becerra J, Estrada-Guerrero JG, López-García FR, González-Medellín LR, De los Santos-Mireles D

Language: Spanish
References: 23
Page: 21-27
PDF size: 271.03 Kb.


ABSTRACT

Introduction. The intravenous laser ablation or escisión is a frquently use treatment for the varicose veins of the lower extremities, is of minimum invasión, effective, ando f minor complications.
Material and methods. We performed a transversal study from 2006 to 2012, evaluating patients with chronic venous disease using the CEAP classificaction, incluiding the laser intravenous treatment (EVLT) with a wave length 980nm and 1470nm with radial and bare fibers. Excluiding patients with previous stripping or safenectomy. Follow-up was done with ultrasound every three months.
Results. They were 558 patients with chronic venous disease (462 female and 96 male) range of age 28 and 72 years, 55.3 average, excluding 54 patients with pevious safenectomy. From March 2006 to October 2009 we utilized a length of wave 980nm and 12 watts with bare fiber in 216 patients (173 female and 43 male) and 252 extremities (36 both sides). From August 2009 to December of 2012 we utilized length of wave 1470nm and 5 watts average with radial fiber in 288 patients (242 female and 46 male) in 335 extremities (47 both sides). Classification of CEAP 2 for 980nm were 17 and 1470nm 26, CEAP 3 (108 and 134), CEAP 4 (94 and 117), CEAP 5 (20 and 34), CEAP 6 (13 and 24) respectly. Complications to 30 days for EVLT of 980nm were 95 (37.6%), fibrotic cord 39, pain minor to mild 20, paresthesis 15, equimosis 13, phlebitis 4, hematoma 3, thrombosis 1, burn 1, for 1470nm were 36 patients (10.7%) 6, 19, 5, 3, 3, 0, 0, respectly.
Conclusion. The intravenous laser treatment of the chronic venous disease is a reliable method, the patients treated with length of wave 1470nm with radial fiber showing less incidence of complications.


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