Genesis of great saphenous vein obliteration and its clinical manifestations after endovenous laser coagulation combined with crossectomy during the varicose vein treatment

• Published in: Vestnik hirurgii im. I.I. Grekova Vol. 172; no. 1; pp. 16 - 19
• Main Authors: Vakhitov, M Sh, Ulimbasheva, Z M, Ryzhov, A N, Bykov, M A, Danil'chenko, O V, Tsibin, A Iu, Semenov, D Iu
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 2013
• Subjects: Adult; Aged; Comparative Effectiveness Research; Endovascular Procedures - adverse effects; Endovascular Procedures - methods; Female; Humans; Laser Coagulation - adverse effects; Laser Coagulation - methods; Leg - blood supply; Male; Middle Aged; Pain, Postoperative - etiology; Pain, Postoperative - physiopathology; Patient Satisfaction; Postoperative Period; Saphenous Vein - diagnostic imaging; Saphenous Vein - surgery; Treatment Outcome; Ultrasonography, Doppler, Duplex - methods; Varicose Veins - diagnosis; Varicose Veins - physiopathology; Varicose Veins - surgery
• ISSN: 0042-4625

An analysis of results of the endovenous laser coagulation combined with crossectomy was made in 170 patients with varicose veins of lower extremities (C(VI), C(II)-C(V)). Clinical and ultrasonic data were investigated during a period of 3-5 days (45 lower extremities) and followed up in 1-3 years after operation (194 lower extremities). Three years later the absence of reflux was observed in 95.9% of cases. In 51.1% of cases, 1-2 zones of parietal and segmental hemodynamical insignificant bloodstream were detected. A recanalization of the great saphenous vein along the whole length was revealed in 8 cases out of 194 (4.1%) patients. The bloodstream was provided by affluxes in the area of a shin and a wellhead afflux of the stump of the great suphenous vein. The ultrasonic picture of recanalization was similar to that observed in post-thrombophlebitic occlusion.