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01-03-2014 | Original Article

The state of the art of endothermal ablation

Authors: Renate R. van den Bos, Thomas M. Proebstle

Published in: Lasers in Medical Science | Issue 2/2014

Abstract

Complaints relating to reflux in the venous system can be addressed by conservative, surgical, or interventional treatment options. The aim of the treatment is to prevent complications and progression of venous disease and to improve patients' quality of life. Endovenous thermal ablation therapies have become the most frequently used type of therapy for saphenous varicose veins. The available endovenous thermal techniques are endovenous laser ablation, radiofrequency ablation, and endovenous steam ablation. In this review, the procedures, indications, and treatment parameters of the three endovenous thermal ablation treatments are discussed as well as their advantages and disadvantages.

Decousus H, Prandoni P, Mismetti P et al (2010) Fondaparinux for the treatment of superficial-vein thrombosis in the legs. N Engl J Med 363:1222–32PubMedCrossRef

Rutherford RB, Padberg FT Jr, Comerota AJ, Kistner RL, Meissner MH, Moneta GL (2000) Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg 31:1307–12PubMedCrossRef

Eklof B, Rutherford RB, Bergan JJ et al (2004) Revision of the CEAP classification for chronic venous disorders: consensus statement. J Vasc Surg 40:1248–52PubMedCrossRef

Keller W (1905) A new method of extirpating the internal saphenous and similar veins in varicose conditions: a preliminary report. N Y Med J 82:385–6

Babcock w (1907) A new operation for the extirpation of varicose vein of the leg. N Y Med J 86:153–6

van den Bos R, Arends L, Kockaert M, Neumann M, Nijsten T (2009) Endovenous therapies of lower extremity varicosities: a meta-analysis. J Vasc Surg 49:230–9PubMedCrossRef

Goldman MP (2000) Closure of the greater saphenous vein with endoluminal radiofrequency thermal heating of the vein wall in combination with ambulatory phlebectomy: preliminary 6-month follow-up. Dermatol Surg 26:452–6PubMedCrossRef

Proebstle TM, Moehler T, Herdemann S (2006) Reduced recanalization rates of the great saphenous vein after endovenous laser treatment with increased energy dosing: definition of a threshold for the endovenous fluence equivalent. J Vasc Surg 44:834–9PubMedCrossRef

Navarro L, Min RJ, Bone C (2001) Endovenous laser: a new minimally invasive method of treatment for varicose veins–preliminary observations using an 810 nm diode laser. Dermatol Surg 27:117–22PubMedCrossRef

10.

Min RJ, Zimmet SE, Isaacs MN, Forrestal MD (2001) Endovenous laser treatment of the incompetent greater saphenous vein. J Vasc Interv Radiol 12:1167–71PubMedCrossRef

11.

Mundy L, Merlin TL, Fitridge RA, Hiller JE (2005) Systematic review of endovenous laser treatment for varicose veins. Br J Surg 92:1189–94PubMedCrossRef

12.

Pannier F, Rabe E (2006) Endovenous laser therapy and radiofrequency ablation of saphenous varicose veins. J Cardiovasc Surg (Torino) 47:3–8

13.

Min RJ, Khilnani N, Zimmet SE (2003) Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 14:991–6PubMedCrossRef

14.

Agus GB, Mancini S, Magi G, IEWG (2006) The first 1000 cases of Italian Endovenous-laser Working Group (IEWG). Rationale, and long-term outcomes for the 1999–2003 period. Int Angiol 25:209–15PubMed

15.

Ravi R, Rodriguez-Lopez JA, Trayler EA, Barrett DA, Ramaiah V, Diethrich EB (2006) Endovenous ablation of incompetent saphenous veins: a large single-center experience. J Endovasc Ther 13:244–8PubMedCrossRef

16.

Sadick NS, Wasser S (2007) Combined endovascular laser plus ambulatory phlebectomy for the treatment of superficial venous incompetence: a 4-year perspective. J Cosmet Laser Ther 9:9–13PubMedCrossRef

17.

Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B (2011) Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg 98:1079–87PubMedCrossRef

18.

Proebstle TM, Krummenauer F, Gul D, Knop J (2004) Nonocclusion and early reopening of the great saphenous vein after endovenous laser treatment is fluence dependent. Dermatol Surg 30:174–8PubMedCrossRef

19.

Doganci S, Demirkilic U (2010) Comparison of 980 nm laser and bare-tip fibre with 1470 nm laser and radial fibre in the treatment of great saphenous vein varicosities: a prospective randomised clinical trial. Eur J Vasc Endovasc Surg 40:254–9PubMedCrossRef

20.

Pannier F, Rabe E, Rits J, Kadiss A, Maurins U (2011) Endovenous laser ablation of great saphenous veins using a 1470 nm diode laser and the radial fibre–follow-up after six months. Phlebology 26:35–9PubMedCrossRef

21.

Prince EA, Soares GM, Silva M et al (2011) Impact of laser fiber design on outcome of endovenous ablation of lower-extremity varicose veins: results from a single practice. Cardiovasc Intervent Radiol 34:536–41PubMedCrossRef

22.

Vuylsteke M, Van Dorpe J, Roelens J, De Bo T, Mordon S, Fourneau I (2010) Intraluminal fibre-tip centring can improve endovenous laser ablation: a histological study. Eur J Vasc Endovasc Surg 40:110–6PubMedCrossRef

23.

Schmedt CG, Sroka R, Steckmeier S et al (2006) Investigation on radiofrequency and laser (980 nm) effects after endoluminal treatment of saphenous vein insufficiency in an ex-vivo model. Eur J Vasc Endovasc Surg 32:318–25PubMedCrossRef

24.

Weiss RA, Weiss MA (2002) Controlled radiofrequency endovenous occlusion using a unique radiofrequency catheter under duplex guidance to eliminate saphenous varicose vein reflux: a 2-year follow-up. Dermatol Surg 28:38–42PubMedCrossRef

25.

Zikorus AW, Mirizzi MS (2004) Evaluation of setpoint temperature and pullback speed on vein adventitial temperature during endovenous radiofrequency energy delivery in an in-vitro model. Vasc Endovascular Surg 38:167–74PubMedCrossRef

26.

VNUS website. http://www.vnus.com.

27.

Proebstle TM, Vago B, Alm J, Gockeritz O, Lebard C, Pichot O (2008) Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg 47:151–6PubMedCrossRef

28.

Proebstle TM, Alm J, Gockeritz O et al (2011) Three-year European follow-up of endovenous radiofrequency-powered segmental thermal ablation of the great saphenous vein with or without treatment of calf varicosities. J Vasc Surg 54:146–52PubMedCrossRef

29.

Tesmann JP, Thierbach H, Dietrich A, Grimme H, Vogt T, Rass K (2011) Radiofrequency induced thermotherapy (RFITT) of varicose veins compared to endovenous laser treatment (EVLT): a non-randomized prospective study concentrating on occlusion rates, side-effects and clinical outcome. Eur J Dermatol 21:945–51PubMed

30.

Goode SD, Chowdhury A, Crockett M et al (2010) Laser and radiofrequency ablation study (LARA study): a randomised study comparing radiofrequency ablation and endovenous laser ablation (810 nm). Eur J Vasc Endovasc Surg 40:246–53PubMedCrossRef

31.

Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P (2005) Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: analysis of early efficacy and complications. J Vasc Surg 42:488–93PubMedCrossRef

32.

Allegra C, Antignani PL, Carlizza A (2007) Recurrent varicose veins following surgical treatment: our experience with five years follow-up. Eur J Vasc Endovasc Surg 33:751–6PubMedCrossRef

33.

Shepherd AC, Gohel MS, Brown LC, Metcalfe MJ, Hamish M, Davies AH (2010) Randomized clinical trial of VNUS ClosureFAST radiofrequency ablation versus laser for varicose veins. Br J Surg 97:810–8PubMedCrossRef

34.

van den Bos RR, Milleret R, Neumann M, Nijsten T (2010) Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins. J Vasc Surg 53:181–6

35.

Milleret R, Mehier H, Llopinet A, Camelot G (2008) Oblitération veineuse par vapeur à haute température. Phlebologie 61:223–6

36.

Mordon SR, Wassmer B, Zemmouri J (2006) Mathematical modeling of endovenous laser treatment (ELT). Biomed Eng Online 5:26PubMedCentralPubMedCrossRef

37.

van Ruijven PW, van den Bos RR, Alazard LM, van der Geld CW, Nijsten T (2011) Temperature measurements for dose-finding in steam ablation. J Vasc Surg 53:1454–6PubMedCrossRef

38.

Veni RF Plus™. http://www.venitimedical.com.

39.

Proebstle TM, Herdemann S (2007) Early results and feasibility of incompetent perforator vein ablation by endovenous laser treatment. Dermatol Surg 33:162–8PubMedCrossRef

Title: The state of the art of endothermal ablation
Authors: Renate R. van den Bos
Thomas M. Proebstle
Publication date: 01-03-2014
Publisher: Springer London
Published in: Lasers in Medical Science / Issue 2/2014
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-013-1448-5

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The state of the art of endothermal ablation

Abstract

Keynote webinar | Spotlight on medication adherence

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Abstract

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