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Belyaev A.N.

National Research Mordovia State University

Ryabochkina P.A.

National Research Mordovia State University

Kostin S.V.

National Research Mordovia State University

Bushukin O.S.

National Research Mordovia State University

Khrushchalin S.A.

National Research Mordovia State University

Belyaev S.A.

National Research Mordovia State University

Vein wall changes after 1910 nm laser coagulation with bare-fiber and radial fiber

Authors:

Belyaev A.N., Ryabochkina P.A., Kostin S.V., Bushukin O.S., Khrushchalin S.A., Belyaev S.A.

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Journal: Journal of Venous Disorders. 2021;15(3): 154‑161

DOI: 10.17116/flebo202115031154

Read: 1161 times

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Table of contents

VEIN WALL CHANGES AFTER 1910 NM LASER COAGULATION WITH BARE-FIBER AND RADIAL FIBER
VEIN WALL CHANGES AFTER 1910 NM LASER COAGULATION WITH BARE-FIBER AND RADIAL FIBER

To cite this article:

Belyaev AN, Ryabochkina PA, Kostin SV, Bushukin OS, Khrushchalin SA, Belyaev SA. Vein wall changes after 1910 nm laser coagulation with bare-fiber and radial fiber. Journal of Venous Disorders. 2021;15(3):154‑161. (In Russ.)
https://doi.org/10.17116/flebo202115031154

Подписка 2026 Флебология (Journal of Venous Disorders)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To study the structural features of vein damage after 1910 nm laser coagulation with bare-fiber and radial fiber.

MATERIAL AND METHODS

There were 16 procedures of endovascular laser obliteration (EVLO) performed in 4 sheep. Bare-fiber (8 limbs) and radial fiber (8 limbs) were used. We applied a power of 1, 5, 3 and 4 W at a fiber extraction rate of 2 mm/s. Macroscopic and histological (×40 and ×200) examination of the veins were carried out before and after EVLO.

RESULTS

Bare fiber with a power of 1.5 W resulted changes within the vein intima. Higher power up to 3 and 4 W was followed by eccentric effect on the vein wall. We observed total destruction and perforation of vein wall within the contact of fiber tip and vein wall. These events occurred in 23 and 67% of cases, respectively. Radial fiber ensured uniform radial damage to the vein. At a power of 1.5 W, vein damage was localized within the intima. Coagulation with a power of 3 W resulted additional damage to the muscular layer while a power of 4 W led to thermal damage to all layers of the vein wall.

CONCLUSION

Obliteration with a 1910 nm laser and bare fiber is followed by eccentric damage to the vein with perforations following high power. Radial fiber ensures uniform radial damage to all layers of the vein wall.

Keywords:

laser coagulation
vein
1910 nm
bare fiber
radial fiber
power

Authors:

Belyaev A.N.

National Research Mordovia State University

Ryabochkina P.A.

National Research Mordovia State University

Kostin S.V.

National Research Mordovia State University

Bushukin O.S.

National Research Mordovia State University

Khrushchalin S.A.

National Research Mordovia State University

Belyaev S.A.

National Research Mordovia State University

Received:

06.04.2021

Accepted:

14.07.2021

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References:

  1. Böhler K. Operative Therapie der Varikose [Surgery of varicose vein insufficiency]. Wiener Medizinische Wochenschrift. 2016;166(9-10):293-296.  https://doi.org/10.1007/s10354-016-0486-6
  2. Wallace T, El-Sheikha J, Nandhra S, Leung C, Mohamed A, Harwood A, Smith G, Carradice D, Chetter I. Long-term outcomes of endovenous laser ablation and conventional surgery for great saphenous varicose veins. The British Journal of Surgery. 2018;105(13):1759-1767. https://doi.org/10.1002/bjs.10961
  3. Navarro L, Min RJ, Boné C. Endovenous laser: a new minimally invasive method of treatment for varicose veins — preliminary observations using an 810 nm diode laser. Dermatologic Surgery. 2001;27(2):117-122.  https://doi.org/10.1046/j.1524-4725.2001.00134.x
  4. Somasundaram SK, Weerasekera A, Worku D, Balasubramanian RK, Lister D, Valenti D, Rashid H, Singh Gambhir RP. Office Based Endovenous Radiofrequency Ablation of Truncal Veins: A Case for Moving Varicose Vein Treatment out of Operating Theatres. European Journal of Vascular and Endovascular Surgery. 2019;58(3):410-414.  https://doi.org/10.1016/j.ejvs.2019.05.020
  5. Kawai Y, Sugimoto M, Aikawa K, Komori K. Endovenous Laser Ablation with and Without Concomitant Phlebectomy for the Treatment of Varicose Veins: A Retrospective Analysis of 954 Limbs. Annals of Vascular Surgery. 2020;66:344-350.  https://doi.org/10.1016/j.avsg.2019.12.025
  6. Shajdakov EV, Iljuhin EA, Petuhov AV, Rosuhovskij DA. Comparison of lasers with a wavelength of 970 and 1470 nm when modeling endovasal laser vein obliteration in vitro. Flebologija. 2011;5(4):23-30. (In Russ.).
  7. Shevchenko JuL, Stojko JuM, Mazajshvili KV. The mechanism of endovenous laser obliteration: a new look. Flebologija. 2011;5(1):42-46. (In Russ.).
  8. Massaki ABMN, Kiripolsky MG, Detwiler SP, Goldman MP. Endoluminal laser delivery mode and wavelength effects on varicose veins in an ex vivo model. Lasers in Surgery and Medicine. 2013;45(2):123-129.  https://doi.org/10.1002/lsm.22069
  9. Doganci S, Demirkilic U. Comparison of 980 nm laser and bare-tip fibre with 1470 nm laser and radial fibre in the treatment of great saphenous vein varicosities: a prospective randomised clinical trial. European Journal of Vascular and Endovascular Surgery. 2010;40(2):254-259.  https://doi.org/10.1016/j.ejvs.2010.04.006
  10. Belyaev AN, Chabushkin AN, Khrushchalina SA, Kuznetsova OA, Lyapin AA, Romanov KN, Ryabochkina PA. Investigation of endovenous laser ablation of varicose veins in vitro using 1.885-μm laser radiation. Lasers in Medical Science. 2016;31(3):503-510.  https://doi.org/10.1007/s10103-016-1877-z
  11. Ashpitel HF, Dabbs EB, Nemchand JL, La Ragione RM, Salguero FJ, Whiteley MS. Histological and Immunofluorescent Analysis of a Large Tributary of the Great Saphenous Vein Treated with a 1920 nm Endovenous Laser: Preliminary Findings. EJVES Short Reports. 2018;39:7-11.  https://doi.org/10.1016/j.ejvssr.2018.03.003
  12. Thomis S, Verbrugghe P, Milleret R, Verbeken E, Fourneau I, Herijgers P. Steam ablation versus radiofrequency and laser ablation: an in vivo histological comparative trial. European Journal of Vascular and Endovascular Surgery. 2013;46(3):378-382.  https://doi.org/10.1016/j.ejvs.2013.06.004
  13. Gavrilenko AV, Vahrat’jan PE, Kotaev AJu, Nikolaev AM, Mamedova NM, Anan’eva MV. Saving and radical principles in the surgical treatment of varicose veins of the lower extremities. Flebologija. 2018;12(4):300-305. (In Russ.). https://doi.org/10.17116/flebo201812041300
  14. Weiss RA, Weiss MA, Eimpunth S, Wheeler S, Udompunturak S, Beasley KL. Comparative outcomes of different endovenous thermal ablation systems on great and small saphenous vein insufficiency: Long-term results. Lasers in Surgery and Medicine. 2015;47(2):156-160.  https://doi.org/10.1002/lsm.22335
  15. Proebstle TM, Gül D, Lehr HA, Kargl A, Knop J. Infrequent early recanalization of greater saphenous vein after endovenous laser treatment. Journal of Vascular Surgery. 2003;38(3):511-516.  https://doi.org/10.1016/S0741-5214(03)00420-8
  16. Srivatsa SS, Chung S, Sidhu V. The relative roles of power, linear endovenous energy density, and pullback velocity in determining short-term success after endovenous laser ablation of the truncal saphenous veins. Journal of Vascular Surgery. Venous and lymphatic Disorders. 2019;7(1):90-97.  https://doi.org/10.1016/j.jvsv.2018.07.018
  17. van den Bos RR, van Ruijven PW, van der Geld CW, van Gemert MJ, Neumann HA, Nijsten T. Endovenous simulated laser experiments at 940 nm and 1470 nm suggest wavelength-independent temperature profiles. European Journal of Vascular and Endovascular Surgery. 2012;44(1):77-81.  https://doi.org/10.1016/j.ejvs.2012.04.017
  18. Cowpland CA, Cleese A.L, Whiteley MS. Factors affecting optimal linear endovenousenergy density for endovenous laser ablation in incompetent lower limb truncal veins. A review of the clinical evidence. Phlebology. 2017;32(5):299-306.  https://doi.org/10.1177/0268355516648067
  19. Pannier F, Rabe E, Rits J, Kadiss A, Maurins U. Endovenous laser ablation of great saphenous veins using a 1470 nm diode laser and the radial fibre — follow-up after six months. Phlebology. 2011;26(1):35-39.  https://doi.org/10.1258/phleb.2010.009096
  20. Stokbroekx T, de Boer A, Verdaasdonk RM, Vuylsteke ME, Mordon SR. Commonly used fiber tips in endovenous laser ablation (EVLA): an analysis of technical differences. Lasers in Medical Science. 2014;29(2):501-507.  https://doi.org/10.1007/s10103-013-1475-2
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