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Case Reports
. 2019 Jun 12:2019:1726978.
doi: 10.1155/2019/1726978. eCollection 2019.

Endovenous Laser Ablation for Treatment of a Partially Thrombosed Proximal Great Saphenous Vein

Luca Spinedi  1 , Hans Stricker  1 , Daniel Staub  2 , Heiko Uthoff  3
Affiliations
Case Reports

Endovenous Laser Ablation for Treatment of a Partially Thrombosed Proximal Great Saphenous Vein

Luca Spinedi et al. Case Rep Vasc Med. .

Abstract

Introduction: Superficial vein thrombosis of the great saphenous vein near to the saphenofemoral junction is generally treated with anticoagulation or surgically.

Report: We present the case of a 70-year-old man with varicosities and a partially thrombosed great saphenous vein near to the saphenofemoral junction, treated with endovenous laser ablation of the great saphenous vein.

Discussion: The case illustrates an alternative treatment option for superficial vein thrombosis of the great saphenous vein, which permits avoiding a prolonged anticoagulation or surgical procedure.

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Figures

Figure 1
Figure 1
Partially obstructing, isoechogenic mass with hyperechogenic components (arrows) at the saphenofemoral junction in a medially situated eccentric dilatation of the great saphenous vein distally from the terminal valve.
Figure 2
Figure 2
The tip of the laser fiber (white arrow) is stuck at the distal thrombotic mass (white-dashed line).
Figure 3
Figure 3
The tip of the laser fiber (arrow) is placed at the confluence between the great saphenous vein (white circle) and the common femoral vein (CFV).
Figure 4
Figure 4
Result 13 days after endovenous laser ablation of the great saphenous vein (GSV) with exclusion of the thrombotic mass. The GSV (longitudinal view) is occluded up to the confluence (white arrow) between the great saphenous vein and the common femoral vein (CFV).
See this image and copyright information in PMC

References

    1. Dua A., Heller J. A., Patel B., Desai S. S. Variability in the management of superficial venous thrombophlebitis across practitioners based in north america and the global community. Thrombosis. 2014;2014:6. doi: 10.1155/2014/306018.306018 - DOI - PMC - PubMed
    1. Decousus H., Quéré I., Presles E., et al. Superficial venous thrombosis and venous thromboembolism: a large, prospective epidemiologic study. Annals of Internal Medicine. 2010;152(4):218–224. doi: 10.7326/0003-4819-152-4-201002160-00006. - DOI - PubMed
    1. Di Nisio M., Wichers I. M., Middeldorp S. Treatment for superficial thrombophlebitis of the leg. Cochrane Database of Systematic Reviews. 2013;4CD004982 - PubMed
    1. Enzler M. A., Russell D., Schimmelpfennig J. Thermal ablation in the management of superficial thrombophlebitis. European Journal of Vascular and Endovascular Surgery. 2012;43(6):726–728. doi: 10.1016/j.ejvs.2012.02.012. - DOI - PubMed
    1. Bishara R. A., Taha W., Grace A. I. Endovenous great saphenous vein ablation for the treatment of superficial thrombophlebitis complicated by pulmonary embolism. European Journal of Vascular and Endovascular Surgery. 2014;47(3):330–331. doi: 10.1016/j.ejvs.2013.12.005. - DOI

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