Endovenous Laser Ablation as a Treatment for Postsurgical Recurrent Saphenous Insufficiency

Cardiovasc Intervent Radiol. 2010 Oct;33(5):983-8. doi: 10.1007/s00270-009-9784-3. Epub 2009 Dec 25.


The purpose of this study was to investigate the safety and efficacy of endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency occurring after saphenous vein ligation and stripping. A single-center retrospective review of patients who received endovenous laser ablation as a treatment for recurrent symptomatic saphenous insufficiency after ligation and stripping between November 2003 and October 2006 was performed. Fifty-six insufficient saphenous systems were identified in 38 patients. Follow-up consisted of a clinical examination in all patients as well as selective lower-extremity duplex ultrasound as clinically indicated. All 38 patients demonstrated complete closure of the insufficient saphenous vein by clinical examination and/or duplex ultrasound evaluation. Preoperative symptoms resolved after treatment in all 38 patients. No major complications were identified. Endovenous laser ablation of recurrent symptomatic saphenous venous insufficiency is a safe and effective treatment in patients who develop recurrent symptoms after saphenous vein ligation and stripping.

MeSH terms

  • Adult
  • Aged
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Humans
  • Laser Therapy / methods*
  • Ligation / adverse effects
  • Ligation / methods
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / methods
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / surgery
  • Radiography, Interventional
  • Recurrence
  • Reoperation
  • Retrospective Studies
  • Saphenous Vein / diagnostic imaging
  • Saphenous Vein / surgery*
  • Treatment Outcome
  • Varicose Veins / diagnostic imaging
  • Varicose Veins / surgery*
  • Vascular Surgical Procedures / adverse effects
  • Vascular Surgical Procedures / methods
  • Venous Insufficiency / diagnostic imaging
  • Venous Insufficiency / surgery*