Objective: To compare the clinical efficacy and complication rate of Biolitec laser and Halo laser for the treatment of lower extremity great saphenous vein (GSV) and small saphenous vein (SSV) under the same LEED value. Methods: A total of 70 cases of GSV and 30 cases of SSV treated with laser in our hospital from May 2022 to May 2023 were selected and treated with Biolitec and Halo laser equipment, respectively. The working mode was continuous mode. The patients were divided into the Biolitec group (35 patients with GSV and 15 patients with SSV) and the Halo group (35 patients with GSV and 15 patients with SSV) according to different laser equipment. The days of returning to normal activity, closure rate, and changes in venous clinical severity score (VCSS) were evaluated. Safety endpoints were deep vein thrombosis (DVT), heat-induced thrombosis (EHIT), surgical site ecchymosis, postoperative paresthesia (numbness), postoperative edema, burns, superficial phlebitis, and other adverse events. Results: There were no significant differences in the days of postoperative recovery, the closure rate of varicose veins, the change of VCSS, and the incidence of postoperative complications between the two groups. Conclusions: The Biolitec and the Halo laser have the same efficacy and safety in treating the GSV and SSV under the same power and LEED.
Naleini F, Hassani M, Bagherhosseini N, et al., 2022, Ultrasonographic Measurement of Saphenous Vein Diameter Compared to CEAP Classification in Patients with Varicose Veins. Journal of Vascular Nursing, 40(1): 43–46.
Whing J, Nandhra S, Nesbitt C, et al., 2021, Interventions for Great Saphenous Vein Incompetence. The Cochrane Database of Systematic Reviews, 8(8): CD005624.
Sekizaki H, 2016, Laser Equipment and Irradiation Method of Endovenous Laser Ablation for The Treatment of Varicose Veins. Nippon Laser Igakkaishi, 37(2): 170–174.
Farah MH, Nayfeh T, Urtecho M, et al., 2022, A Systematic Review Supporting the Society for Vascular Surgery, the American Venous Forum, and the American Vein and Lymphatic Society Guidelines on the Management of Varicose Veins. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 10(5): 1155–1171.
Yiannakopoulou E, 2016, Safety Concerns for Sclerotherapy of Telangiectases, Reticular and Varicose Veins. Pharmacology, 98(1–2): 62–69.
Chinese Medical Doctor Association Vascular Surgery Branch Phlebology Group, Shi ZY, 2022, Diagnosis and Treatment Guidelines for Common Venous Diseases (2022 Edition). Chinese Journal of General Surgery (Electronic Edition), 16(4): 255–272.
Gaye M, Diagne PA, Ndiaye A, et al., 2019, Level and Modalities of Origin of the Small Saphenous Vein: Toward Codification of the Proximal Approach Level. Surgical and Radiologic Anatomy, 41(12): 1451–1454.
Morrison N, Gibson K, Vasquez M, et al., 2017, VeClose trial 12 Month Outcomes of Cyanoacrylate Closure Versus Radiofrequency Ablation for Incompetent Great Saphenous Veins. Journal of Vascular Surgery: Venous and lymphatic disorders, 5(3): 321–330.
Gibson K, Morrison N, Kolluri R, et al., 2018, Twenty-Four Month Results from a Randomized Trial of Cyanoacrylate Closure Versus Radiofrequency Ablation for the Treatment of Incompetent Great Saphenous Veins. Journal of Vascular Surgery: Venous and Lymphatic Disorders, 6(5): 606–613.
Zhao JX, Jin YQ, Miu DL, 2024, Comparative Analysis of the Efficacy of Endovenous Laser Ablation and Traditional Surgery in the Treatment of Small Saphenous Varicose Veins. Journal of Vascular and Endovascular Surgery, 10(1): 117–121.
Liu P, Tang J, 2024, Application of Endovenous Laser Treatment Combined with Foam Sclerotherapy for the Minimally Invasive Treatment of Great Saphenous Vein Varicosity. Journal of Clinical and Nursing Research, 8(10): 50–56.
Fang L, Yuan H, 2021, Clinical Analysis of Endovenous Laser Ablation Combined with Foam Sclerotherapy for the Treatment of Lower Limb Varicose Veins. Surgical Theory and Practice, 26(4): 367–369.
Wang X, Meng B, Liu J, et al., 2020, Observation of the Effect of Ultrasound-Guided Foam Sclerotherapy Combined with Surgery on Lower Limb Varicose Veins and the Improvement of Patient Hemodynamics, VCSS Scores, and Inflammation Status. Chinese Journal of Drugs and Clinical Practice, 20(1): 15–19.