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Endvenous laser ablation for patients with healed and active venous stasis ulcers



Stockholm, Sweden


Researchers at the Department of Vascular Surgery, Karolinska University Hospital and Karolinska Institutet, Stockholm, Sweden have published a research article entitled "Mid-term outcome of endovenous laser ablation in patients with active and healed venous stasis ulcers: a follow-up study". 


The article is published in the Eur J Vasc Endovasc Surg. 2017 Apr 10.

The aim of the study is as indicated in the title. Consecutive patients treated with EVLA because of a healed or active venous ulcer between 2006 and 2013 were identified and studied. The mean follow-up time was 41 months (range 14-89 months).

The average age was 66.6 years (range 36-87 years). All 86 legs operated on for an active ulcer had this ulcer healed sometime between the operation and the study examination, but thereafter it recurred in 16%.

In 109 legs operated on for a healed ulcer, the ulcer recurred in 16%.

Complications such as permanent sensory loss were seen in 8% and deep venous thrombosis in 1%.

Reduced ankle mobility was a risk factor for recurrence in both univariate and multivariate analysis (p < 0.05).

These midterm results demonstrate that endovenous laser ablation of SVI in patients with healed or active venous ulcers achieves good healing and low ulcer recurrence rates, with a low rate of complications and an acceptable re-intervention rate.


Dr. Karamanoukian's note: In our practice, sensory less is exceedingly rare because ablations are done in the awake patient with tumescent anesthesia. 

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