201. Sclerosing agents in the treatment of telangiectasia. Comparison of the clinical and histologic effects of intravascular polidocanol, sodium tetradecyl sulfate, and hypertonic saline in the dorsal rabbit ear vein model.
- Author
-
Goldman MP, Kaplan RP, Oki LN, Cavender PA, Strick RA, and Bennett RG
- Subjects
- Animals, Ear blood supply, Injections, Intravenous, Necrosis, Polidocanol, Polyethylene Glycols administration & dosage, Rabbits, Saline Solution, Hypertonic administration & dosage, Sodium Tetradecyl Sulfate administration & dosage, Veins drug effects, Veins pathology, Fatty Alcohols pharmacology, Polyethylene Glycols pharmacology, Saline Solution, Hypertonic pharmacology, Sodium Chloride pharmacology, Sodium Tetradecyl Sulfate pharmacology, Telangiectasis therapy
- Abstract
A 0.25-mL quantity of 0.25%, 0.5%, and 1.0% polidocanol (Aethoxysclerol [France]), 0.5% sodium tetradecyl sulfate (Sotradecol injection), and 23.4% hypertonic saline was injected into the dorsal marginal rabbit ear vein; clinical and histologic thrombosis resulted that lasted between four and eight days. The lowest concentration of polidocanol (0.25%) demonstrated immediate thrombosis; however, no clinical or histologic changes occurred eight days after injection. With all other agents, histologic fibrosis of the vessel correlating with clinical disappearance occurred after eight days. However, 0.5% polidocanol and sodium tetradecyl sulfate developed recanalization through the initially sclerosed vessel between eight and 14 days, with clinical reappearance of the 0.5% polidocanol-injected vessel at 30 days, after injection. Cutaneous necrosis was noted clinically and histologically in three of ten vessels injected with 1.0% polidocanol and in two of ten vessels injected with hypertonic saline. Clinical and histologic evidence of necrosis occurred with and without extravasation of the sclerosants.
- Published
- 1987
- Full Text
- View/download PDF