Cargando…

Endovenous laser ablation therapy in children: applications and outcomes

BACKGROUND: Endovenous laser ablation is well recognized as the first-line treatment for superficial venous reflux with varicose veins in adults. It is not widely reported and is not an established practice in pediatric patients. OBJECTIVE: To illustrate a variety of pediatric venous conditions in w...

Descripción completa

Detalles Bibliográficos
Autores principales: Patel, Premal A., Barnacle, Alex M., Stuart, Sam, Amaral, Joao G., John, Philip R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574964/
https://www.ncbi.nlm.nih.gov/pubmed/28523345
http://dx.doi.org/10.1007/s00247-017-3863-4
_version_ 1783259939994599424
author Patel, Premal A.
Barnacle, Alex M.
Stuart, Sam
Amaral, Joao G.
John, Philip R.
author_facet Patel, Premal A.
Barnacle, Alex M.
Stuart, Sam
Amaral, Joao G.
John, Philip R.
author_sort Patel, Premal A.
collection PubMed
description BACKGROUND: Endovenous laser ablation is well recognized as the first-line treatment for superficial venous reflux with varicose veins in adults. It is not widely reported and is not an established practice in pediatric patients. OBJECTIVE: To illustrate a variety of pediatric venous conditions in which endovenous laser ablation can be utilized and to demonstrate its feasibility and safety in children. MATERIALS AND METHODS: We conducted a retrospective review of endovenous laser ablation procedures performed between January 2007 and July 2014 at two large pediatric institutions. RESULTS: We included 35 patients (17 males) who underwent endovenous laser ablation to 43 veins. Median age at first treatment was 14 years (range: 3–18 years). Median weight was 56 kg (range: 19–97 kg). Underlying diagnoses were common venous malformation (15), Klippel–Trenaunay syndrome (8), superficial venous reflux with varicose veins (5), verrucous hemangioma-related phlebectasia (4), venous varix (2) and arteriovenous fistula (1). The most common aim of treatment was to facilitate sclerotherapy. Thirty-four patients had treatment in the lower limbs and one patient in an upper limb. Ten of the veins treated with endovenous laser ablation had an additional procedure performed to close the vein. Complications attributable to endovenous laser ablation occurred in two patients (6%). One patient experienced post-procedural pain and one patient developed a temporary sensory nerve injury. Median clinical follow-up was 13 months (range: 28 days–5.7 years). The aim of the treatment was achieved in 29 of the 35 (83%) patients. CONCLUSION: Endovenous laser ablation is technically feasible and safe in children. It can be used in the management of a range of pediatric venous diseases with good outcomes.
format Online
Article
Text
id pubmed-5574964
institution National Center for Biotechnology Information
language English
publishDate 2017
publisher Springer Berlin Heidelberg
record_format MEDLINE/PubMed
spelling pubmed-55749642017-09-18 Endovenous laser ablation therapy in children: applications and outcomes Patel, Premal A. Barnacle, Alex M. Stuart, Sam Amaral, Joao G. John, Philip R. Pediatr Radiol Original Article BACKGROUND: Endovenous laser ablation is well recognized as the first-line treatment for superficial venous reflux with varicose veins in adults. It is not widely reported and is not an established practice in pediatric patients. OBJECTIVE: To illustrate a variety of pediatric venous conditions in which endovenous laser ablation can be utilized and to demonstrate its feasibility and safety in children. MATERIALS AND METHODS: We conducted a retrospective review of endovenous laser ablation procedures performed between January 2007 and July 2014 at two large pediatric institutions. RESULTS: We included 35 patients (17 males) who underwent endovenous laser ablation to 43 veins. Median age at first treatment was 14 years (range: 3–18 years). Median weight was 56 kg (range: 19–97 kg). Underlying diagnoses were common venous malformation (15), Klippel–Trenaunay syndrome (8), superficial venous reflux with varicose veins (5), verrucous hemangioma-related phlebectasia (4), venous varix (2) and arteriovenous fistula (1). The most common aim of treatment was to facilitate sclerotherapy. Thirty-four patients had treatment in the lower limbs and one patient in an upper limb. Ten of the veins treated with endovenous laser ablation had an additional procedure performed to close the vein. Complications attributable to endovenous laser ablation occurred in two patients (6%). One patient experienced post-procedural pain and one patient developed a temporary sensory nerve injury. Median clinical follow-up was 13 months (range: 28 days–5.7 years). The aim of the treatment was achieved in 29 of the 35 (83%) patients. CONCLUSION: Endovenous laser ablation is technically feasible and safe in children. It can be used in the management of a range of pediatric venous diseases with good outcomes. Springer Berlin Heidelberg 2017-05-18 2017 /pmc/articles/PMC5574964/ /pubmed/28523345 http://dx.doi.org/10.1007/s00247-017-3863-4 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Patel, Premal A.
Barnacle, Alex M.
Stuart, Sam
Amaral, Joao G.
John, Philip R.
Endovenous laser ablation therapy in children: applications and outcomes
title Endovenous laser ablation therapy in children: applications and outcomes
title_full Endovenous laser ablation therapy in children: applications and outcomes
title_fullStr Endovenous laser ablation therapy in children: applications and outcomes
title_full_unstemmed Endovenous laser ablation therapy in children: applications and outcomes
title_short Endovenous laser ablation therapy in children: applications and outcomes
title_sort endovenous laser ablation therapy in children: applications and outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5574964/
https://www.ncbi.nlm.nih.gov/pubmed/28523345
http://dx.doi.org/10.1007/s00247-017-3863-4
work_keys_str_mv AT patelpremala endovenouslaserablationtherapyinchildrenapplicationsandoutcomes
AT barnaclealexm endovenouslaserablationtherapyinchildrenapplicationsandoutcomes
AT stuartsam endovenouslaserablationtherapyinchildrenapplicationsandoutcomes
AT amaraljoaog endovenouslaserablationtherapyinchildrenapplicationsandoutcomes
AT johnphilipr endovenouslaserablationtherapyinchildrenapplicationsandoutcomes