Treatment of Venous Ulcer of the Lower Leg by Endovenous Laser Ablation

Venous ulcer is the most advanced stage of chronic venous insufficiency (CVI). Its prevalence is estimated to be between 1% and 3%. Recent articles have suggested that leg ulcers with reflux in superficial veins can be treated by endovenous laser ablation (EVLA). Endovenous laser ablation of the great and/or short saphenous vein has already become the treatment of choice for varicose vein and can also be applied for superficial veins and perforators. In this study, a new approach for treating patients with venous ulcer of the lower leg has been evaluated combining foam sclerosation (TRIS) and endovenous laser ablation (EVLA) of refluxing saphenous and perforating veins. 45 patients with venous ulcer of the lower leg were treated in our clinic, combining TRIS and EVLA of perforating and truncal veins using 1064 nm Nd:YAG laser.