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Vascular Surgery 2019
Journal of Vascular and Endovascular Therapy
ISSN: 2573-4482
Page 73
March 28-29, 2019
Rome, Italy
Vascular Surgery
4
th
Edition of World Congress & Exhibition on
J Vasc Endovasc Therapy 2019, Volume 4
DOI: 10.21767/2573-4482-C1-006
Biochemical endothelial injury detection of
saphenofemoral junction in endovenous laser ablation of
varicose veins
M Ayman Fakhry
Egyptian Medical Military Academy, Egypt
Background:
Thrombus formation and extension to
femoral or popliteal veins and pulmonary embolism may
be though as a complication of EVLT in varicose veins
treatment
Aim:
We aimed to study the thermal energy effect of the
procedure under standardized conditions on biochemical
markers of platelets and endothelium activities.
Patients & Methods:
25 patients admitted to vascular
surgery dept. of Alexandria armed forces hospital
with varicose veins and GSV. Reflux and all treated by
endovenous laser ablation during: 7/1/2017-12/25/2018.
Venous blood samples were taken from iliofemoral and
antecubital veins, before during and one day after surgery
of P-selectin, soluble thrombomodulin, fibrin degradation
products and D-dimer.
Results:
Mean age of patients was 34.6 +0.5 years,
female/male was 3/2 all of them were related to CEAP
2-6 with left side predominance 16/9. There was
no immediate rise of P-selectin and s TM in neither
iliofemoral nor antecubital veins, where FDPs D-dimer
was significantly elevated post operatively in the two
regions.
Conclusion:
1480 pulsed mode Nad-YAG diode laser
doesn’t induce measurable endothelial and platelets
activation in iliofemoral region during endovenous
ablation of varicose veins.
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