Efficacy of endovascular laser coagulation with different radiation power in patients with varicose veins disease of lower limb

Yu.O. Syniachenko, G.E. Samoilenko, O.V. Syniachenko


Background. Endovascular laser coagulation (EVLT) is one of the modern methods of treatment of patients with varicose veins of the lower limbs, but requires its improvement. Objective: to perform a comparative assessment of the effectiveness of EVLT with different radiation power at certain varicose veins clinical course, to identify prognostic criteria. Materials and methods. The study included 263 patients (64 men and 199 women aged 29 to 72 years), who underwent low power EVLT (7–10 watts) in 57 % of cases and high (15 watts) — in 43 %. Results. Low-power EVLT of vessels in patients with varicose veins of the lower extremities was performed less frequently in cases of previous phlebothrombosis, hypertension, changes the surface viscosity of venous serum, smaller energy parame­ters on the length of striping and the area of the vascular intima, but in the group with the same observations according to the disease class severity, comorbidity and background of drug therapy the effectiveness of medical actions in two and four weeks after surgery in patients with a low-power laser ablation was higher, and the total vein occlusion was observed in 80 % more frequently, that was determined by pre-estuarine expansion of veins, roughness in its tube course, presence of comorbid second type diabetes and gonarthrosis, administration of rivaroxaban and low molecular weight heparins. Conclusions. The low-power EVLT in varicose vein of lower limbs is highly effective, but requires certain indications for its use.


varicose veins; laser; power radiation; efficiency


Amann-Vesti B, Meier T. New therapies for varicose veins. Praxis 2016;105(14):801-10. doi: 10.1024/1661-8157/a002401.

Golbasi I, Turkay C, Erbasan O, Kemaloğlu C, Sanli S, Turkay M, Bayezid Ö. Endovenous laser with miniphlebectomy for treatment of varicose veins and effect of different levels of laser energy on recanalization: A single center experience. Lasers Med. Sci 2015;30(1):103-8. doi: 10.1007/s10103-014-1626-0.

Jibiki M, Miyata T, Futatsugi S, Iso M, Sakanushi Y. Effect of the wide-spread use of endovenous laser ablation on the treatment of varicose veins in Japan: a large-scale, single institute study. Laser Ther 2016;25(3):171-7.

Meissner MH. What is effective care for varicose veins? Phlebology 2016;31(1):80-7. doi: 10.1177/0268355516632999.

Mendes-Pinto D, Bastianetto P, Cavalcanti Braga Lyra L, Kikuchi R, Kabnick L. Endovenous laser ablation of the great saphenous vein comparing 1920-nm and 1470-nm diode laser. Int Angiol 2016;35(6):599-604.

Osmanov RR. A middle-term results of endovenous laser ablation for varicose disease of the lower extremities. Klin Khir 2016:2:48-51.

Pavlović MD. Drug treatment of chronic venous diesease. Wien Med Wochenschr 2016;166(9-10):312-9. doi: 10.1007/s10354-016-0480-z.

Rabe E, Berboth G, Pannier F. Epidemiology of chronic venous diseases. Wien Med Wochenschr 2016;166(9-10):260-3. doi: 10.1007/s10354-016-0465-y.

Schuller-Petrovic S. Endovenous ablation of saphenous vein varicosis. Wien Med Wochenschr 2016;166(9-10):297-301. doi: 10.1007/s10354-016-0464-z.

Shaidakov EV, Grigoryan AG, Ilyukhin EA, Bulatov VL, Rosukhovskiy DA. Radiofrequency ablation or stripping of large-diameter incompetent great saphenous varicose veins with C2 or C3 disease. J Vasc Surg Venous Lymphat Disord 2016:4(1):45-50. doi: 10.1016/j.jvsv.2015.07.007.

Tezuka M, Kanaoka Y, Ohki T. Endovenous laser treatment for varicose veins. Nihon Geka Gakkai Zasshi 2015;116(3):155-60.

Uthoff H, Spinedi L, Lattmann T, Broz P, Staub D. Well-Tried and New Ones – update varicose vein treatment 2016. Praxis 2016;105(14):813-9. doi: 10.1024/1661-8157/a002405.


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