Evaluation of risk of venous thromboses after endovenous laser therapy in patients with varicose disease

Abstract

Introduction. Endovenous laser ablation (EVLA) of saphenous veins is dominant surgical intervention in modern phlebology. However, despite, proven safety of the method, there is a number of postoperative complication head-induced triatment thrombosis of varicose disease. The aim of the study. Evaluation of postoperative results of EVLA after endothermal methods of treatment of varicose veins. Materials and methods. Scientific research covered 278 patients operated in a clinic for varicose disease great saphenous vein from 1.03.2016 – 16.06.2018. In general by classification Kabnick EHIT first class is verified in 11 (3,9%) patients, second – in 6 (2,1%), third – in 2 (0,7%). Fourth class (Kabnick IV) at which there is a complete of the deep vein thrombosis and pulmonary embolism – it was not. Results and discussion. The analysis of the obtained results testifies to the high efficiency of the method of EVLA in the treatment of varicose disease. However, it should be noted that there is a certain risk of transfascial transition of head-induced thrombosis (6,8%) to the system of deep veins with the possible migration of thrombotic masses to the pulmonary artery. Complete regression of complications was observed in all operated patients for 5 day after intervention. There were no symptomatic and thromboembolic complication. Conclusions. Mini-invasive thermoblittering treatments for varicose veins are an effective and safe method of treatment. The low level of endovascular thermoinduced thrombosis (6.8%) is a good result of treatment, but needs to be further studied. Anticoagulation therapy is successful in all patients in the 2nd-4th grade of EVLA according to the Kabnick classification within 30 days.