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Phlebology. 2008;23(1):10-4.

Is there a risk for lymphatic complications after endovenous laser treatment versus cryostripping of the great saphenous vein? A prospective study.

Author information

1
Department of Surgery, Mesos Medical Centre, Utrecht, The Netherlands. bcvmdisselhoff@mesos.nl

Abstract

OBJECTIVE:

To investigate whether lymphatic complications occur after endovenous laser treatment (EVLT) versus cryostripping.

METHODS:

A prospective analysis of patients who underwent lymphoscintigraphy before and six months after treatment of primary varicose veins.

RESULTS:

Of 120 patients randomized in a clinical trial comparing EVLT and cryostripping, 33 agreed to participate in this study. Six months after treatment, none of the 17 patients treated with EVLT and one (6.3%) of the 16 patients treated with cryostripping had clinical grade 1 lymphoedema, with marked disruption of the lymphatics around the knee. This patient also showed an abnormal uptake of radioactive tracer at the groin, 120 min after injection.

CONCLUSION:

This study demonstrated that no lymphatic complications occurred six months after EVLT, whereas one lymphatic complication occurred after cryostripping, however not in the groin but at the knee.

PMID:
18361264
DOI:
10.1258/phleb.2007.007015
[Indexed for MEDLINE]

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