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Endovenous laser treatment of the small saphenous vein

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Presentation on theme: "Endovenous laser treatment of the small saphenous vein"— Presentation transcript:

1 Endovenous laser treatment of the small saphenous vein
Dimitrios Kontothanassis, MD, Roberto Di Mitri, MD, Salvatore Ferrari Ruffino, MD, Eleonora Zambrini, MD, Giuseppe Camporese, MD, Jean Luc Gerard, MD, Nicos Labropoulos, PhD, DIC, RVT  Journal of Vascular Surgery  Volume 49, Issue 4, Pages e1 (April 2009) DOI: /j.jvs Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Cross-sectional picture by ultrasound imaging shows the sural nerve (inside red circle) adjacent to the small saphenous vein. Tumescent anesthesia is given by placing the needle tangentially in both sides of the vein to separate it from the nerve. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Infusion of tumescent anesthesia around the small saphenous vein (SSV). A, The SSV before tumescence has a diameter of 6.2 mm and the catheter inside the vein measures 2.7 mm. B, After the infusion of the cold tumescent fluid, the diameter of the SSV is 3.4 mm and encircles the catheter. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Long view of the small saphenous vein during laser ablation. As the catheter is being pulled back, steam bubbles are seen from the heating of the blood. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 The ultrasound image shows the small saphenous vein immediately after the procedure is occluded. The split screen function shows the small saphenous vein on the right side is not compressible after applying pressure with the transducer. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 At the 1-year follow-up, a trace of the small saphenous vein (arrowheads) is barely noticeable inside the canal. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

7 Fig 6 Survival curves for treatment failure and development of reflux in new sites. A, Recanalized segments with and without reflux. B, Reflux in treated areas. C, Reflux in new locations. D, Recanalization, reflux in treated areas and in new locations. Journal of Vascular Surgery  , e1DOI: ( /j.jvs ) Copyright © 2009 The Society for Vascular Surgery Terms and Conditions

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