Garcidueñas-Briceño CM

Language: Spanish
References: 7
Page: 135-138
PDF size: 163.85 Kb.

ABSTRACT

Introduction. Endovenous laser ablation is a relatively new modality of treatment as an alternative to crossectomy and saphenous vein stripping, with a low incidence of complications. Endovenous heatinduced thrombosis (EIHT) is a common complication that hasn’t been paid too much attention in the medical literature.
Objective. To report the incidence of EIHT in a cohort of patients undergone to laser ablation of greater saphenous vein.
Materials and methods. Descriptive study of 30 cases undergoing endovenous laser ablation of saphenous vein, using a standard protocol. We performed preoperative and postoperative ultrasound assessment in search of EIHT.
Results. 36 procedures were performed in 30 patients; 28 women, eighteen left limbs, 8 rights and 6 bilateral. Eleven EIHT were detected during ultrasound scanning at 3 and 7 days. Most of it were class 1 (nine) and only two cases were class 2. None presents pulmonary embolism.
Conclusions. When search intentionally, EHIT class 1 is very common, and can be considered a benign complication.

REFERENCES

1. Berland TL, Oldenburg WA, et al. Thrombus extension into the common femoral vein following endovenous ablation of the great saphenous vein for the treatment of venous insufficiency. J Vascular Ultrasound 2006; 30(3): 129-31.

2. Hingorani AP, Ascher E, Markevich N, Schutzer RW, Kallakuri S, Hou A, Nahata S, et al. Deep venous thrombosis after radiofrequency ablation of greater saphenous vein: a word of caution. J Vasc Surg 2004; 40(3): 500-4.

3. Min RJ, Khilnani N, Zimmet SE. Endovenous laser treatment of saphenous vein reflux: long-term results. J Vasc Interv Radiol 2003; 14(8): 991-6.

4. Sadek M, Kabnick L, Berland T, Chasin C, Rudarakanchana N, Rockman C, et al. Vein Thrombosis induced by laser or radiofrequency: the winner is…. En: Controversies & updates in Vascular Surgery. Paris, Francia. Enero 2011.

5. Marsh P, Price BA, Holdstock J, Harrison C, Whiteley MS. Deep vein thrombosis (DVT) after venous thermoablation techniques: rates of endovenous heat-induced thrombosis (EHIT) and classical DVT after radiofrequency and endovenous laser ablation in a single centre. Eur J Vasc Endovasc Surg 2010; 40(4): 521-7.

6. Puggioni A, Kalra M, Carmo M, Mozes G, Gloviczki P. Endovenous laser therapy and radiofrequency ablation of the great saphenous vein: analysis of early efficacy and complications. J Vasc Surg 2005; 42(3): 488-93.

7. Lin JC, Peterson EL, Rivera ML, Smith JJ, Weaver MR. Vein mapping prior to endovenous catheter ablation of the great saphenous vein predicts risk of endovenous heat-induced thrombosis. Vasc Endovascular Surg 2012; 46(5): 378-83.