Endovenöse Lasertherapie der Varikose

Zusammenfassung

Endoluminale Techniken scheinen sich zu einer bedeutenden methodischen Erweiterung in der operativen Therapie der Varikose zu entwickeln. An die Stelle der Beseitigung pathologischer Refluxe durch chirurgische Entfernung des ganzen Gefäßes tritt die alleinige Okklusion des Gefäßlumens, um so eine Normalisierung der Hämodynamik zu erreichen. Auf Grund ihrer guten Steuerbarkeit und ihren verhältnismäßig schnellen Durchführbarkeit hat die endovenöse Lasertherapie (ELT) eine herausgehobene Position gegenüber anderen endoluminalen Verfahren. Die vorliegende Arbeit stellt Entwicklung, Wirkungsweise und Effizienz der ELT dar und präsentiert eigene Ergebnisse von über 500 Eingriffen mit dem 940-nm-Diodenlaser seit Anfang 2001.

Summary

Endoluminal techniques seem to move towards a relevant methodological extension of the operative treatment of varicose veins. Instead of abolishing pathological refluxes by surgical removal of the whole vessel, only the lumen is occluded to normalize haemodynamics. Because of its precise adjustability and its relatively short time for treatment, endovenous laser treatment (ELT) has an outstanding position as compared to other endoluminal techniques. The paper presented here addresses development, mode of action and efficacy of ELT. Furthermore, own results of more than 500 procedures with the 940 nm diode laser since 2001 are shown.

Résumé

Les techniques endoluminales semblent prendre une place de plus en plus importante dans le traitement chirurgical de la varicose. Les reflux pathologiques ne sont pas éliminés par une ablation chirurgicale du vaisseau entier mais l’hémodynamique est normalisée par un blocage de la lumière du vaisseau uniquement. Grâce à sa précision et à sa mise en oeuvre relativement rapide, la thérapie endoveineuse au laser (TEL) occupe une place importante par rapport à d’autres techniques endoluminales. Le présent article expose le développement, le mode d’action et l’efficacité de la TEL. En outre, les résultats obtenus depuis 2001 lors de plus de 500 interventions réalisées à l’aide d’un laser à diode de 940 nm sont présentés.

Schlüsselwörter

Varikose - endovenöse Lasertherapie

Keywords

Varicose veins - endovenous laser treatment

Mots clés

Varicoses - traitement endoveineux au laser

• Literatur

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