Page 18 - vascular professional 01_2021_eMagazine

vascular professional | issue 01 · 2021 original article

Results: In recent times the treatment protocol of the radiofrequen-
Both devices proved to be safe. cy changed to use more energy at the sapheno-femoral or
There were no major complications observed. Recur- popliteal junction (use at least 3 cycles of 20 seconds of
rences were more often seen in patients who underwent heating; oral recommendation by Medtronic); in this study Healthy legs…
radiofrequency procedures. only 2 cycles were performed.
The laser treatment was performed with the amount endure longer
Discussion: of energy which was calculated by diameter of the vein x 7,
Recurrences over all were with radiofrequency 11,49%, which led to the LEED (the average linear endovenous
with laser 4%. energy density). We now use at least 100J/cm for the
The 2-ring radialtip-laser fi bre was more effi cient fi rst 2cm.
in the treatment of superfi cial venous refl ux than the
radiofrequency catheter. Technically fail-ures, which What did we learn from this?
led to recanalizations of the trunk, occured with more It is strongly recommended to treat accessory veins as
or less 5%. But recurrent varicose veins were not well to reduce recurrent varicose veins. climb higher
only recanalizations of the thermal ablated trunk. We realized over the years, that it is feasible and safe
There were also new small reticular veins running to perform what is now called laser crossectomy. The
through lymphnodes, new emerged insuffi cient perfo- fl ush ligation of open surgery is now made endovascular
rators and varicose veins due to refl uxing accessory veins in an offi cebased setting.
like the anterior und posterior saphenous branches. This
was more observed using radiofrequency.

DR. MED. JUERGEN BOEHME

Medical specialist for surgery and vascular surgery hike further
Veincenter (Venenzentrum) Lueneburg, Germany

Dr. med Juergen Boehme is specialized in open and
endovascular venous surgery with a leading annual
number of thermal ablations. He was born 1963 in
Heilbronn, Germany. In 1998 he acquired the Board
certifi cation General Surgery and in 2002 the Board
certifi cation Vascular Surgery. In 2003 he founded his Katholisches Klinikum Bochum
own medical offi ce for vein surgery, the Veincenter
Lueneburg, which underwent in 2017 an expansion at
a new location in Lueneburg. Dr. med Juergen Boeh-
me holds lectures and presentations at international Vein Centre Bochum Dermatology & Vascular Surgery
congresses (UIP) and educates physicians and nurses. © Dr. med Juergen Boehme Teamwork in the treatment of varicose veins, thromboses and diseases of the lymphatic system

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