Journal of Vascular Surgery
Volume 53, Issue 1 , Pages 181-186 , January 2011

Proof-of-principle study of steam ablation as novel thermal therapy for saphenous varicose veins

  • Renate R. van den Bos, MD

      Affiliations

    • Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands
    • ,
  • Rene Milleret, MD

      Affiliations

    • S.E.L.A.R.L. Vein Center, Montpellier, France
    • ,
  • Martino Neumann, MD, PhD

      Affiliations

    • Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands
    • ,
  • Tamar Nijsten, MD, PhD

      Affiliations

    • Department of Dermatology, Erasmus MC, Rotterdam, The Netherlands
    • Corresponding Author InformationCorrespondence: Tamar Nijsten, MD, PhD, Dermatology, Erasmus MC, Burg s'Jacobsplein 51, 3000 CA Rotterdam, The Netherlands

Received 15 January 2010 ,Accepted 27 June 2010.

References 

  1. Stirling M, Shortell CK. Endovascular treatment of varicose veins. Semin Vasc Surg. 2006;19:109–115
  2. van den Bos R, Arends L, Kockaert M, Neumann M, Nijsten T. Endovenous therapies of lower extremity varicosities: a meta-analysis. J Vasc Surg. 2009;49:230–239
  3. Proebstle TM, Lehr HA, Kargl A, Espinola-Klein C, Rother W, Bethge S, et al. Endovenous treatment of the greater saphenous vein with a 940-nm diode laser: thrombotic occlusion after endoluminal thermal damage by laser-generated steam bubbles. J Vasc Surg. 2002;35:729–736
  4. Amzayyb M, van den Bos RR, Kodach VM, de Bruin DM, Nijsten T, Neumann HA, et al. Carbonized blood deposited on fibres during 810, 940 and 1,470 nm endovenous laser ablation: thickness and absorption by optical coherence tomography. Lasers Med Sci. 2010;25:439–447
  5. EuroQol Group. http://www.euroqol.org/Accessed: Jan 15, 2010
  6. Klem TM, Sybrandy JE, Wittens CH, Essink Bot ML. Reliability and validity of the Dutch translated Aberdeen Varicose Vein Questionnaire. Eur J Vasc Endovasc Surg. 2009;37:232–238
  7. Rutherford RB, Padberg FT, Comerota AJ, Kistner RL, Meissner MH, Moneta GL. Venous severity scoring: an adjunct to venous outcome assessment. J Vasc Surg. 2000;31:1307–1312
  8. Schmedt CG, Sroka R, Steckmeier S, Meissner OA, Babaryka G, Hunger K, et al. 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. 2006;32:318–325
  9. Proebstle TM, Vago B, Alm J, Gockeritz O, Lebard C, Pichot O. Treatment of the incompetent great saphenous vein by endovenous radiofrequency powered segmental thermal ablation: first clinical experience. J Vasc Surg. 2008;47:151–156
  10. Almeida JI, Kaufman J, Göckeritz O, Chopra P, Evans MT, Hoheim DF, et al. Radiofrequency endovenous ClosureFAST versus laser ablation for the treatment of great saphenous reflux: a multicenter, single-blinded, randomized study (RECOVERY study). J Vasc Interv Radiol. 2009;20:752–759
  11. Disselhoff BC, Rem AI, Verdaasdonk RM, Kinderen DJ, Moll FL. Endovenous laser ablation: an experimental study on the mechanism of action. Phlebology. 2008;23:69–76
  12. Kichari JR, Salomonsz R, Postema RR. [Chronic pain due to a retained guidewire following endovascular laser therapy for varicose veins]. Ned Tijdschr Geneeskd. 2008;152:1387–1390
  13. Van Den Bos RR, Neumann M, De Roos KP, Nijsten T. Endovenous laser ablation-induced complications: review of the literature and new cases. Dermatol Surg. 2009;35:1206–1214

 Competition of interest: none.

 The editors and reviewers of this article have no relevant financial relationships to disclose per the JVS policy that requires reviewers to decline review of any manuscript for which they may have a competition of interest.

PII: S0741-5214(10)01679-4

doi: 10.1016/j.jvs.2010.06.171

Journal of Vascular Surgery
Volume 53, Issue 1 , Pages 181-186 , January 2011

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