Clinical Results of Endovenous Laser Ablation for Incompetent Perforating Vein

Abstract

Incompetent perforating vein (IPV) is often the cause of varicose veins with skin lesions and recurrent varicose veins. There are various treatments for IPV. We studied percutaneous ablation of perforators (PAPS) using the technique of endovenous laser ablation. The effectiveness of PAPS was measured by ultrasonography to determine the presence of IPV diameter change and reflux, and the symptoms were studied using venous clinical severity score (VCSS). The value of VCSS improved in all cases. All IPV backflow stopped. The IPV diameter is an average of 5.83 ± 1.13 mm preoperatively, 3.43 ± 0.40 mm (p = 0.01) one month after PAPS, and 2.90 ± 0.88 mm (p = 0.03) three months after PAPS (using t test). All IPV diameters were significantly reduced. PAPS has made it possible to provide treatment with simple procedures by device innovation. It is useful as a treatment for varicose veins showing various conditions.