Clinical risk factors to predict deep venous thrombosis post-endovenous laser ablation of saphenous veins

Yung-wei Chi, T. C. Woods

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: Endovenous laser ablation of saphenous veins is an alternative in treating symptomatic varicose veins. Deep venous thrombosis (DVT) has been reported in up to 7.7% of patients undergoing such procedure. We sought to establish clinical risk factors that predict DVT post-endovenous laser ablation. Method: Patients who underwent endovenous laser ablation were prospectively followed. Clinical data and post-interventional duplex ultrasound were analysed. A P value <0.05 was accepted as representing a significant difference. Results: From 2007 to 2008, 360 consecutive patients were followed. Nineteen DVTs were found on follow-up ultrasound. Eighteen cases involved either the saphenofemoral or saphenopopliteal junctions; only one case involved the deep venous system. Age >66 (P = 0.007), female gender (P = 0.048) and prior history of superficial thrombophlebitis (SVT) (P = 0.002) were associated with increased risk of DVT postprocedure. Conclusion: Age >66, female gender and history of SVT were significant predictors of DVT post-endovenous laser ablation of saphenous veins.

Original languageEnglish (US)
Pages (from-to)150-153
Number of pages4
JournalPhlebology
Volume29
Issue number3
DOIs
StatePublished - 2014

Fingerprint

Saphenous Vein
Laser Therapy
Venous Thrombosis
Interventional Ultrasonography
Thrombophlebitis
Varicose Veins

Keywords

  • Deep venous thrombosis
  • Endovenous laser ablation
  • Saphenous veins
  • Venous insufficiency

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Clinical risk factors to predict deep venous thrombosis post-endovenous laser ablation of saphenous veins. / Chi, Yung-wei; Woods, T. C.

In: Phlebology, Vol. 29, No. 3, 2014, p. 150-153.

Research output: Contribution to journalArticle

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AB - Objective: Endovenous laser ablation of saphenous veins is an alternative in treating symptomatic varicose veins. Deep venous thrombosis (DVT) has been reported in up to 7.7% of patients undergoing such procedure. We sought to establish clinical risk factors that predict DVT post-endovenous laser ablation. Method: Patients who underwent endovenous laser ablation were prospectively followed. Clinical data and post-interventional duplex ultrasound were analysed. A P value <0.05 was accepted as representing a significant difference. Results: From 2007 to 2008, 360 consecutive patients were followed. Nineteen DVTs were found on follow-up ultrasound. Eighteen cases involved either the saphenofemoral or saphenopopliteal junctions; only one case involved the deep venous system. Age >66 (P = 0.007), female gender (P = 0.048) and prior history of superficial thrombophlebitis (SVT) (P = 0.002) were associated with increased risk of DVT postprocedure. Conclusion: Age >66, female gender and history of SVT were significant predictors of DVT post-endovenous laser ablation of saphenous veins.

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