Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202201461
Jornal Vascular Brasileiro
Inovação

Descrição da técnica LEST: laser endovenoso de safena e tributárias

Endovenous laser ablation for saphenous veins and tributaries - the LEST technique

Adriano Carvalho Guimaraes; Ricardo Herkenhoff Moreira; Petra Cristina Van Den Bogert; Sergio Quilici Belczak; Felipe Coelho Neto; Walter Jr. Boim de Araujo

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Resumo

Atualmente, a ablação térmica endovenosa é uma das principais técnicas para o tratamento da insuficiência venosa crônica. Com o refinamento técnico e as inovações tecnológicas, é possível aplicá-la, além de em veias safenas, em veias superficiais como as tributárias varicosas. Descrevemos uma técnica de tratamento cirúrgico de varizes por termoablação com laser endovenoso empregando-se múltiplas punções e a experiência do serviço após a análise de 601 casos operados com a técnica. O tratamento termoablativo de veias tributárias com múltiplos sítios de punção expande a aplicação do uso do endolaser no tratamento das varizes de membros inferiores de forma adequada, visando, assim, a um tratamento amplo, seguro e eficaz.

Palavras-chave

varizes; termoablação; insuficiência venosa

Abstract

Endovenous thermal ablation is now one of the most important techniques for treating chronic venous insufficiency. Technical refinements and technological innovations have made it possible to employ the method not only in the saphenous veins, but also to treat superficial veins such as varicose tributaries. We describe a technique for surgical treatment of varicose veins using endovenous laser thermal ablation employing multiple punctures and present the experience at our service with analysis of 601 cases operated using this technique. Thermoablative treatment of tributary veins with multiple puncture sites expands the applications for endolaser in treatment of lower limb varicose veins, providing, comprehensive, safe, and effective treatment.

Keywords

varicose veins; thermoablation; venous insufficiency

Referências

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Submetido em:
02/09/2023

Aceito em:
05/05/2024

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