Publikasi Scopus 2024 per tanggal 30 September 2024 (820 artikel)

Taofan T.; Dakota I.; Kartamihardja A.H.A.; Afandy J.E.; Indriani S.; Adiarto S.
Taofan, Taofan (57644267700); Dakota, Iwan (55796663700); Kartamihardja, Achmad Hafiedz Azis (57271866200); Afandy, Jonathan Edbert (57458857800); Indriani, Suci (57213831064); Adiarto, Suko (8603606800)
57644267700; 55796663700; 57271866200; 57458857800; 57213831064; 8603606800
Satisfactory result of great saphenous vein endovenous laser ablation until below the knee on active venous leg ulcer: a case series
2024
F1000Research
12
383
0
Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Departement of Cardiology and Vascular Medicine, Faculty of Medicine Padjadjaran University, Hasan Sadikin General Hospital, Bandung, Indonesia; Assistant of Vascular Division, Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia
Taofan T., Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Dakota I., Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Kartamihardja A.H.A., Departement of Cardiology and Vascular Medicine, Faculty of Medicine Padjadjaran University, Hasan Sadikin General Hospital, Bandung, Indonesia; Afandy J.E., Assistant of Vascular Division, Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Indriani S., Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia; Adiarto S., Department of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, National Cardiovascular Center Harapan Kita, University of Indonesia Academic Hospital, Jakarta, Indonesia
Background: Active venous leg ulcer (VLU) is the most severe manifestation of chronic venous disease which not only affects patients’ health, but also decreases the quality of life, and delivers economic burdens. Treatment of superficial venous reflux with early endovenous laser ablation (EVLA) has been associated with reducing ulcer recurrence levels and promoting faster VLU healing. We reported three cases of patients with active VLU undergoing EVLA with different approaches. Case illustration: Three patients came with complaint of leg ulcer, diagnosed with C6sEpAsdPr, with venous clinical severity scores (VCSS) of 15, 23, and 22 respectively. Severe great saphenous veins (GSV) reflux was found in all patients by duplex ultrasound examination. The second patient had undergone above-the-knee EVLA. All patients underwent EVLA using 1470-nano meter wavelength laser device and ELVeS radial fiber (Biolitec, Bonn, Germany). The laser energy protocol used was 6 W linear endovenous energy density (LEED) 50 J/cm for proximal until media ATK GSV ablation, 5 W LEED 40 J/cm for media ATK until proximal below-the-knee (BTK) GSV, and 2 W LEED 20 J/cm for proximal until distal BTK GSV. The third patient was also treated with EVLA for small saphenous vein severe reflux. Follow-up until 6 months post-EVLA showed significant healing of the ulcer with 14, 16, and 17 VCSS reduction consecutively without any complication. Conclusion: We’ve reported three cases of patients with active VLU undergoing EVLA until BTK with significant results. The EVLA of GSV until BTK where there is still significant reflux is safe and provides satisfactory results in patients with VLU. Copyright: © 2024 Taofan T et al.
below the knee; complication; endovenous laser ablation; laser power; outcome; venous leg ulcer
Aged; Endovascular Procedures; Female; Humans; Laser Therapy; Leg Ulcer; Male; Middle Aged; Saphenous Vein; Treatment Outcome; Varicose Ulcer; cefazolin; ceftriaxone; metronidazole; adult; aged; ankle brachial index; Article; body mass; case report; clinical article; disease severity assessment; edema; erythema; female; follow up; human; hyperpigmentation; knee; laser surgery; laser therapy; leg ulcer; lower limb; male; middle aged; outcome assessment; peer review; physical examination; plethysmography; Pseudomonas aeruginosa; quality of life; risk factor; saphenous vein; skin color; swelling; ultrasound; vein disease; venous clinical severity score; venous reflux; visual analog scale; endovascular surgery; laser therapy; leg ulcer; procedures; surgery; treatment outcome; varicosis
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