Comparison early with deferred endovenous laser ablation for active venous leg ulcer

Abstract

Venous leg ulceration (VLU) is one of the most predominate medical disorders worldwide and in the western hemisphere it affects around 1-2% of the general population and up to 5% of the elderly population. The prospective study of 82 patients with VLU who undergoing endovenous varicose veins ablation at the AngioLife Vascular Center. As a result of comprehensive treatment in 97.5% of patients with VLU completely healed during the year, but there were some differences, particularly in terms of healing and symptoms of CVD dynamics depending on how fast the endovenous superficial venous treatment has been provided. Early endovenous superficial venous ablation is an effective, safe and affordable method of treatment for patients with active varicose leg ulcers. Limitations of this study include lack of a control arm or a standardized intervention. In addition, data were not collected on the size of the ulcer and it is possible that small ulcers of short duration may have healed with continued compression and conservative treatment alone. Further randomized controlled studies are needed to confirm these findings.