Endovenous laser ablation of varicose veins after direct percutaneous puncture: Early results

Sang Woo Park, Ik Jin Yun, Jae Joon Hwang, Song Am Lee, Jun Seok Kim, Seong Hwan Chang, Hyun Keun Chee, Suk Joo Hong

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)


BACKGROUND: Although endovenous laser ablation has been demonstrated to effectively occlude incompetent saphenous veins, it does not treat branch varicosities directly. OBJECTIVE: The objective was to evaluate the technical feasibility and early results of the direct ablation of branch varicosities using a 980-nm diode laser. MATERIALS AND METHODS: From July to August 2005, 17 patients (21 limbs; male:female ratio, 7:10; mean age, 50.1 years; range, 24-62 years) with varicose veins were enrolled in this study. Endovenous laser ablation was performed in incompetent saphenous veins. Thereafter, branch varicosities were percutaneously punctured and a direct laser ablation was performed using a 400-μm laser fiber. Patients were evaluated at 1 week and at 1-, 3-, and 6-month intervals. RESULTS: Technical success in branch varicosities was achieved in 11 of 15 limbs (71.4%). Continued closure of treated saphenous veins was evident in 11 of 11 limbs (100%) at 1-month follow-up. Successful ablation in varicose tributaries was seen in 6 of 11 limbs (54.5%) at 1-month follow-up and ablation failed in 5 limbs. One of the 11 limbs (9%) had a skin burn that required treatment. CONCLUSION: Despite partly successful occlusion, we suggest that direct laser ablation cannot replace classic methods of treating branch varicosities, because of its high failure rate and the risk of skin burns.

Original languageEnglish
Pages (from-to)1243-1249
Number of pages7
JournalDermatologic Surgery
Issue number10
Publication statusPublished - 2007 Oct
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Dermatology


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