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Randomized clinical trial shows laser ablation (EVLT) is superior to vein stripping for the small saphenous veins
Monday, November 26, 2012


A randomized controlled study has investigated the efficacy of endovenous laser therapy versus conventional vein stripping for venous insufficiency involving the short (lesser) saphenous veins


The study, done in a prospective controlled and randomized manner was done by Dr. Samuel and colleagues at the Academic Vascular Surgical Unit, Hull York Medical School/University of Hull, United Kingdom. The premise of the study was that "no randomized clinical trial comparing treatment options for small saphenous vein (SSV) incompetence exists, and there is no clear evidence that this axis behaves the same as the great saphenous vein after treatment".


The study by Samuel and colleagues assessed "at baseline and weeks 1, 6, 12, and 52. Outcomes included successful abolition of axial reflux on duplex, visual analog pain scores, recovery time, complication rates, Venous Clinical Severity Score, and quality of life profiling".


Samuel and colleagues have concluded from this important study that "EVLT produced the same clinical benefits as conventional surgery but was more effective in addressing the underlying pathophysiology and was associated with less periprocedural morbidity allowing a faster recovery".


This is the first study that has investigated the efficacy of EVLT or EVLA compared to conventional surgery (vein stripping).


Dr. hratch Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 716-839-3638 or 


Dr. Raffy Karamanoukian is a member of the American College of Phlebology AND a Diplomate of the American Board of Phlebology. He can be contacted by calling 310-998-5535 or 


Drs. Raffy and Hratch Karamanoukian have authored 6 books about venous disease. The books are available on Amazon Kindle and Nook books for download.

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