Comparing 1470-and 980-nm diode lasers for endovenous ablation treatments

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dc.contributor.authorAktas, Aykut Recep
dc.contributor.authorCelik, Orhan
dc.contributor.authorOzkan, Ugur
dc.contributor.authorCetin, Mustafa
dc.contributor.authorKoroglu, Mert
dc.contributor.authorYilmaz, Sevda
dc.contributor.authorOguzkurt, Levent
dc.date.accessioned2020-06-25T18:13:07Z
dc.date.available2020-06-25T18:13:07Z
dc.date.issued2015
dc.departmentKırıkkale Üniversitesi
dc.description.abstractThe purpose of this study was to compare the effectiveness of 1470- and 980-nm lasers with regard to power output, complications, recanalization rates, and treatment response. We prospectively evaluated the effectiveness of endovenous laser ablation (EVLA) in a total of 152 great and small saphenous veins from 96 patients. Lasers were randomly used based on the availability of the units. Patients were clinically evaluated for Clinical Etiologic Anatomic Pathophysiologic (CEAP) stage and examined with Doppler ultrasound. Treatment response was determined anatomically by occlusion of the vein and clinically by the change in the venous clinical severity score (VCSS). Seventy-eight of the saphenous veins underwent EVLA with a 980-nm laser and 74 underwent EVLA with a 1470-nm laser. Treatment response was (68) 87.2 % in the 980-nm group and (74) 100 % in the 1470-nm group (p = 0.004). The median VCSS decreased from 4 to 2 in the 980-nm group (p < 0.001) and from 8 to 2 (p < 0.001) in the 1470-nm group. At 1-year follow-up, seven veins treated with 980 nm and two veins treated with 1470 nm were recanalized (p = 0.16); the average linear endovenous energy density (LEED) was 83.9 (r, 55-100) J/cm and 58.5 (r, 45-115) J/cm, respectively (p < 0.001). Postoperative minor complications occurred in 23 (29.4 %) limbs in the 980-nm group and in 19 (25.6 %) limbs of the 1470-nm group (p = 0.73). EVLA with the 1470-nm laser have less energy deposition for occlusion and better treatment response.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s10103-015-1768-8
dc.identifier.endpage1587en_US
dc.identifier.issn0268-8921
dc.identifier.issn1435-604X
dc.identifier.issue5en_US
dc.identifier.pmid25990260
dc.identifier.scopus2-s2.0-84931577623
dc.identifier.scopusqualityQ1
dc.identifier.startpage1583en_US
dc.identifier.urihttps://doi.org/10.1007/s10103-015-1768-8
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6131
dc.identifier.volume30en_US
dc.identifier.wosWOS:000356531400022
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer London Ltden_US
dc.relation.ispartofLasers In Medical Science
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVenous insufficiencyen_US
dc.subjectEVLAen_US
dc.subjectSaphenous veinsen_US
dc.subject1470 nmen_US
dc.subject980 nmen_US
dc.subjectRadial fiberen_US
dc.titleComparing 1470-and 980-nm diode lasers for endovenous ablation treatmentsen_US
dc.typeArticle

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