About this trial
The goal of this clinical trial is to compare efficacy of two wavelength for EndoVenous Laser Ablation (EVLA) in treatment of varicose veins of the lower limbs.
The main questions it aims to answers are :
1. Is the increase of wavelength form 1470 nm to 1940 nm affect the efficacy of varicose veins treatment ? 2. Is the increase of wavelength reduce complication or pain ? Participants are patients with varicose veins of lower limbs and candidate for endovenous laser ablation.
After laser ablation patients will be followed during 5 years for clinical evaluation, recording potential treatment complications and quality of life evaluation.
Researchers will compare strategy 1(EVLA with an endovenous laser at 1940 nm) vs strategy 2 (EVLA with an endovenous laser at 1470 nm) in varicose veins treatment to see if efficacy of treatment is not reduce, and to see if complications of EVLA treatment can be reduced.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Primary insufficiency of the great saphenous vein (GSV) and/or small saphenous vein (SSV)
Patient candidate for endothermic treatment of the lower limbs
CEAP: C2 - C6
Patient with a target vein diameter (GSV and/or SSV) >= 3 mm throughout the target vein segment
Disqualifiers
Patient with a current serious pathology and/or a life expectancy of less than 5 years
Patient who has had a deep or superficial vein thrombosis in the previous 6 months
Obliterating arteriopathy of the lower limb concerned, with an IPS < 0.8 or > 1.3
Patient with post-thrombotic obstructive syndrome at the popliteal and/or femoral and/or iliac stage on the ipsilateral lower limb
Trial design
Parallel
Treatments tested in this trial
EVLA 1940 nm
Procedure/SurgeryTreatment of varicose veins by endothermic ablation with an endovenous laser at 1940 nm
EVLA 1470 nm
Procedure/SurgeryTreatment of varicose veins by endothermic ablation with an endovenous laser at 1470 nm
Treatment groups
Trial outcomes
Primary outcomes
Anatomical success
Closure of the target vein
Secondary outcomes
VAS Pain
Visual Analogue Scale (0-100 mm); higher is worse
Adverse Events
Adverse events related to endovenous treatment
Venous Clinical Severity
Venous Clinical Severity Score (VCSS) ; score between 0 to 30; higher is worse
Symptoms
VEINES Sym (VEnous INsufficiency Epidemiologic and Economic Study - Symptoms) questionnaire
Sponsors and contacts
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