فهرست نشریات علمی دسترسی آزاد ایران

Introduction & Objective: Varicose veins are a common disorder which apart from heaviness anddiscomfort may have more serious consequences. This has been done in past by surgery which has somelimitations and for this reason different methods to replace vein stripping have been tried. The aim of thisarticle is to evaluate the use of endovascular laser.Materials & Methods: This study was a clinical trail. Patients with varicose veins due to saphenousincompetence were treated with endovascular 980 nm diode laser as a treatment of venous reflux. Clinical andduplex assessment of all patients was performed prior to operation and 10-14 days after operation.Results: The numbers of 76 saphenous veins in 69 patients were treated by Endovenous laser, receivingon average 2487 joules in 103 pulses in 154 seconds. The preoperative diameter of the saphenofemoraljunction was 10.58 mm and this compares with post laser diameter at 10-14 days of 7.42 mm. This differenceis statistically significant (students t test; P<0.001). Post laser examination showed that of the 76 saphenousveins 73 were completely occluded up to the junction and in three veins only the upper 2-4 cm was patent butthe rest of the vein was occluded. 98% of patients were satisfied with the result of the treatment of thevaricose veins.Conclusions: This study demonstrates that endovascular 980 nm diode laser is 96% effective in ablatingincompetent saphenous vein with 98% satisfaction with the treatment. This method may help undecidedvaricose vein sufferers to seek effective treatment