- Conference date: 31 October–1 November 2008
- Location: Florence (Italy)
Purpose: The aim is to verify short‐term results in Endovenous Laser Treatment (EVLT) performed in haemodynamic way in patients belonging to C2, C3 classes and type I, II, III venous shunts, according respectively with CEAP and Teupitz classification. Methods: Minor changes of technique were applied to EVLT in order to provide haemodynamic conditions. Treatment efficacy, anatomical failure, complications, recurrence rate and clinical improvements were analyzed. 105 limbs were treated from November 2004 to November 2007. Clinical and Echo‐Colour‐Doppler (ECD) follow up was performed two weeks, one, two and three years after the surgery. Results: in 79 inferior limbs follow‐up was concluded and this are the final data: a) no Deep Venous Thrombosis (DVT) was detected; b) a notable reduction of recurrence if compared with groin recurrence rate in traditional stripping; e) satisfactory cosmetic results and short recovery were found in all the patients. Conclusions: In selected patients haemodynamic‐guided EVLT is equally safe and efficient than standard. Clinical and aesthetical outcomes are durable without statistical differences on the plan of disease progression and complications. The recurrence rate is lower in EVLT haemodynamic‐guided surgery than in conventional stripping. Long‐term outcomes should be investigated. We need studies camparison among the three different kind of surgery performed in haemodynamic way
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