The Influence of Laser Crossectomy With Different Wavelengths on Varicose Vein Progression

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorPirogov Russian National Research Medical University

About this trial

Technically successful laser crossectomy will reduce the risk of reflux recurrence at the sapheno-femoral junction without increasing the risk of endovenous heat-induced thrombosis, which may positively impact the likelihood of ultrasound- or clinical-recurrence of varicose veins. Similar technical efficacy is expected for laser crossectomy at 1940 nm and 1470 nm. A possible advantage of the 1940 nm wavelength in terms of postoperative pain intensity and the risk of adverse events cannot be ruled out.

Eligibility criteria

Qualifiers

Age >18 years

Primary VVs of Clinical Etiology Anatomy Pathophysiology (CEAP) clinical class of C2-C6

Reflux along the GSV trunk lasting >0.5 sec.

GSV trunk diameter ≤12 mm

Disqualifiers

Primary reflux outside the GSV trunk (including combined reflux)

History of deep or superficial vein thrombosis

Deep vein reflux

Non-thrombotic or post-thrombotic venous obstruction

Trial design

Treatments tested in this trial

  • Laser crossectomy on 1470 nm
  • Laser crossectomy on 1940 nm
  • Standard EVLT with a stump

Treatment groups

400 Participants
are divided into 3 treatment groups