Page 12 - vascular professional 01_2021_eMagazine

vascular professional | issue 01 · 2021 original article

ELVeS® Radial® 2ring fi bre may improve quality

of life outcomes compared with traditional

single-ring fi bre (ELVeS Radial Fibre)

ROBERT VLACHOVSKÝ, M.D., PH.D.,

VASCUMED the Vein Clinic, Brno, Prague, Czech Republic

2nd Department of Surgery, St. Anne‘s University Hospital Brno and Faculty of Medicine,
Masaryk University, Brno, Czech Republic

Results from a Czech study indicate that The aim of the study was to compare the clinical effi cien-
1470nm laser treatment of saphenous vein cy and safety of these two types of fi bres in endovenous
refl ux with both radial single-ring and 2ring laser ablation of saphenous varicose veins of the lower
fi bres results in clinical improvement of symp- limb. The study was a non-randomized prospective study
toms and comparable occlusion rates. In the of 94 patients with primary varicose veins stage C2 - C4
early postoperative period, 2ring laser radial according to CEAP, and the lengths of the treated great
fi bre seems to remove the quality of life limi- saphenous vein segments were over 30cm in all cases.
tations associated with traditional single-ring Patient follow-up was performed at days 1 and 7, and
radial fi bre use. then at 3, 6 and 12 months after the procedure. No ad-
junctive treatments were performed in the 12 months
Chronic venous disorder (CVD) is one of the most preva- post-procedure. There were no signifi cant demographic
lent worldwide diseases, aff ecting approximately 25% diff erences between the two groups.
of the adult population. CVD is an umbrella term that in-
cludes full range of clinical symptoms, aside from cos-
metic concerns, cause signifi cant impairment in health-
related quality of life (QoL). Symptoms include aching,
discomfort, pruritus and muscle cramps. Some of the
patients develop the complications of chronic venous
disorder, potentially progressing to ulceration. In the last
decade, the spectrum of treatment for varicose veins has
been broadened. New, less invasive treatment options
than surgery have been introduced, such as endovenous
laser ablation (EVLA).
Venous Vein Treatment a homogenous eff ect with less perforation (and there-
The 1470nm single-radial fi bre laser system creates

with 2ring Fibre fore less pain and bruising) while sticking to the vein. With © Robert Vlachovský, VASCUMED The Vein Clinic, Brno, Prague, Czech Republic
2-ring laser fi bre the energy is split into two rings. This al-
lows safe closure of the vein with a low energy density
in each ring, a perfectly centered fi bre tip due to the pre-
shrinkage eff ect and optimal, homogeneous distribution
of laser energy on the vessel wall (even with a large dia-
meter). Thanks to these factors, periprocedural sticking
eff ect is less pronounced. Robert Vlachovský performing the local tumescent
anaesthesia in the track of the great saphenous vein

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