Page 9 - vascular professional 01_2021_eMagazine

vascular professional | issue 01 · 2021 original article

In the next presentation Dr. Petar Dragić talked about applied. A special case where this is of great relevance
his approach to endolaser and miniphlebectomy and their would be post thrombotic veins where the wall is thicker
application in special cases. and energy should therefore be adapted. Single ring
According to him along with a good medical outcome probes are preferred because double ring probes diffuse
the esthetic result is of utmost importance when it comes the energy applied to the vein.
to treatment of varicose veins, thus making high precision When it comes to treating side branches Dr. Dragić
necessary. prefers miniphlebectomy to sclerotherapy due to the fact
Dr. Dragić presented his zero level approach in order that there is no risk of discoloration. In his presentation,
to perform crossectomy, obliterating the GSV directly at he stated that complete extraction is of importance to
the SFJ since a remaining postoperative GSV stump is prevent thrombosis and bleeding. Side branches are liga-
the most common cause for recurrence. According to Dr. ted to prevent bleeding. 27th
Dragić, recurrences in the SFJ area could be due to existing Dr. Denis Borsuk gave an overview on endolaser and
capillary veins that dilate postoperatively. miniphlebectomy in practice and literature, starting of
Among the special cases successfully treated by Dr. with some interesting data on isolated EVLT.
Dragić using EVLT are insufficient GSV stumps after strip- In 20% of patients, tributaries disappear after endo-
ping or EVLT without lasercrossectomy. The zero level venous treatment of GSV, an additional 65% experience
approach has been shown to be an excellent treatment a reduction of tributaries, which roughly is in accordance
option for those cases. to the 80% reduction previously reported by Prof. Dr.
In order to prevent recurrences when performing Maurins. Using this approach, thrombophlebitis occured
EVLT, Dr. Dragić also applies laser energy to subfascial in 10% of patients, 73% of which were satisfied with the
perforator veins. procedure nonetheless.
In his lecture he highlighted the importance of taking Patient selection for isolated EVLT is not yet evidence The event is an offi cial advanced training event of the German Society for Phlebology e. V. recognized for the
wall thickness into consideration when performing endo- based but based on experience. advanced training certifi cate of the German Society for Phlebology. Certifi cation is requested from the Hessen
Medical Association.
venous lasertherapy. The energy should be adapted in ac- According to studies by Dr. Borsuk et al thermal tume-
cordance to vein wall thickness rather than just diameter scent therapy leads to excellent occlusion rates with low
since diameter does not necessarily correspond with wall postoperative pain at any energy setting, thus proving
thickness. This problem is approached by monitoring the high efficacy of this treatment method. Topic overview
vein wall by ultrasound during operation and adjusting DIGITAL
pullback speed accordingly, thus optimizing the energy ▪ Diagnosis and therapy of varicose veins
th
▪ Thromboembolic diseases save April 30 –
st
▪ Emergencies in phlebology thedate May 1 , 2021
PROF. H.C. DR. ALEXANDER FLOR ▪ Pelvic varicose veins
▪ COVID-19 and phlebology
General Surgeon to do it online. The virtual event took place on Nov 21 ▪ Wound treatment
st
Private Practice for Vein, General and Endoscopic 2020 with over 600 registrations. ▪ Compression therapy
Surgery at Private Clinic Döbling in Vienna, Austria
▪ Sclerotherapy

Dr. Flor is a member of the American Vein and Lym-
phatic Society. In 2002 he was awarded Gold by the
American College of Phlebology for his technique of
the „Transilluminated Miniphlebectomy“. Congress President:
Dr. Flor is using the Endolaser since 2001. His ex- Prof. Dr. med. Eberhard Rabe, Bonn Information and registration:
perience with the technique he presented on various eberhard.rabe@ukbonn.de www.bonner-venentage.de
talks on five continents. In 2020 he was going to or-
ganize the 35 Várady Workshop in Vienna (1 Veins
th
st
International Congress). Due to the pandemia he had © Prof. h.c. Dr. Alexander Flor Congress organization: Wikonect GmbH, Hagenauer Straße 53, D-65203 Wiesbaden
Tel.: +49 611 204809-0, info@wikonect.de, www.wikonect.de

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