Selected phlebological abstracts.

Abstract

The authors investigated different laser fi ber tip con fi gurations to outcomes regarding technical success and incidence of complications. A retrospective analysis was conducted on patients with documented great saphenous vein (GSV) re fl ux from 2020 to 2022, comparing baseline parameters and outcome between 2 groups of laser tip fi bers used; radial tip and jacketed tip. The primary endpoint was technical success. Secondary endpoints included incidence of complications in each group, and venous clinical severity score (VCSS) difference in both groups. Inclusion criteria entailed patients with primary varicose veins over the age of 18 years, free from malignancy, hematological disorders, and having documented GSV re fl ux of more than 0.5 seconds. All patients had endovenous laser ablation (EVLA) of the GSV, with comple-mentary foam sclerotherapy or ambulatory phlebectomies as required. A total of 74 patients underwent EVLA (85 limbs). 54 limbs utilized the radial laser fi bers, and the remaining utilized jacketed fi bers. Technical success was achieved in 92.9%; 6 limbs (7.1%) had recanalization of the proximal 3 cm GSV at 1 month; 2 patients experienced hematomas; and 5 patients had super fi cial vein thrombosis. There was no signi fi cant association between postoperative pain, bruising, recanalization, hematoma