Page 15 - vascular professional 01_2021_eMagazine

vascular professional | issue 01 · 2021 original article

The primary efficacy endpoint was occlusion rate as mea- For the single-radial fibre group, occlusion rates were
sured by duplex ultrasound and 1 and 6 days, and 3 and 100% at 1 day and 97.9% at 6 days, 6 months and ROBERT VLACHOVSKÝ, M.D., PH.D.
6 month post-surgery. The primary safety endpoint was 12 months. For the 2ring fibre group, the occlusion rate
incidence of pain during the same observation period. was 100% at all time points. The differences were not Head surgeon Professional memberships: Czech Society for Cardio-
statistically significant. VASCUMED the Vein Clinic, vascular Surgery; European Society for Vascular Sur-
Rates of pain in the treated area were 14.8% for the Brno, Prague, Czech Republic gery; European Venous Forum; Czech Society of Phle-
single-radial fibre group and 3% in the 2ring fibre group, Also vascular surgeon and department vice-head for bology.
but this difference was not significant. Changes in VAS of research and development at 2nd Department of Sur-
pain over 12 months of follow-up were also recorded. The gery, Center for Vascular Disease, St. Anne‘s Universi-
maximum mean VAS (here 0-100) for the single-radial ty Hospital, and Faculty of Medicine, Masaryk Univer-
fibre group was 20.5±17.6 compared with 6.4±4.4 for sity, Brno, Czech Republic.
the 2ring fibre group (p<0.0001). Bruising was more pro- Main professional research interests are venous
minent in the single-radial fibre group (37%) than in the surgery, carotid artery surgery and abdominal aortic
2ring fibre group (6.5%) (p<0.0001). aneurysms. He is involved as a co-investigator in sev-
The most common postoperative complications in eral international clinical trials, and he is certified in
© biolitec® both groups was induration (single-radial fibre group laser, radiofrequency, vein glue and mechanochemical
8.3% vs. 2ring fibre group 4.3%, p=0.118). Other compli-
Light rings of ELVeS® Radial® 2ring fibre of biolitec® cations in the single-radial fibre group included erythema ablation techniques. © Robert Vlachovský, M.D., Ph.D.
(6.5%), tenderness (4.3%), and paraesthesia (2.2%).
The procedures were conducted using a 1470nm Other complications in the 2ring fibre group included
laser device (ELVeS, Biolitec, Germany) with an ultra- paraesthesia (4.2%) and erythema (2%). There was no
sound-guided percutaneous approach. Tumescent local equipment failure in this study.
anaesthesia was used in the track of the great saphe-
nous vein, with fibre inserted and positioned 1cm distal to
the sapheno-femoral junction. The power used was 10W
with continuous fibre pullback and the linear endovenous
energy density (LEED) was 80 - 94J/cm. Concomitant
phlebectomy was used in all patients and thigh compres-
sion stockings were worn for three weeks. © Robert Vlachovský, VASCUMED The Vein Clinic, Brno, Prague, Czech Republic

© Robert Vlachovský, VASCUMED The Vein Clinic, Brno, Prague, Czech Republic

Pulling out the laser fibre

Endovenous laser treatment of saphenous vein reflux
with 1470nm lasers using both fibre types results in clini-
cal improvement of symptoms and comparable occlusion
rates, while the 2ring laser fibre appears to remove qua-
lity of life limitations associated with traditional single-
Inserting radial 2-ring-fibre into the cannula
radial fibre, at least in the early postoperative period.

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