Back to Search
Start Over
Ultrasound-guided foam sclerotherapy of great saphenous vein with 2% polidocanol – one-year follow-up results
- Source :
- Videosurgery and Other Miniinvasive Techniques, Vol 11, Iss 2, Pp 67-75 (2016), Videosurgery and other Miniinvasive Techniques
- Publication Year :
- 2016
- Publisher :
- Termedia Publishing House, 2016.
-
Abstract
- Introduction : Ultrasound-guided foam sclerotherapy (UGFS) of varicose veins is a useful treatment option. It is a relatively safe method in the case of limited, small varicose veins. In theory, a justified concern could be raised that the injection of an active drug into the large superficial venous vessels may potentially cause life-threatening consequences. Aim : To assess the safety and efficacy of UGFS using a 2% solution of polidocanol (Aethoxysklerol 2%) in the case of great saphenous vein incompetence. Material and methods : Fifty-two patients with great saphenous vein incompetence underwent ultrasound-guided foam sclerotherapy. The efficacy criterion was the elimination of reflux measured ultrasonographically and withdrawal or decrease of complaints: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up. Results : Decrease or withdrawal of complaints of chronic venous insufficiency was reported in 96% of cases (50 patients). Disappearance or decrease of varicose veins was noted in all patients (100%). During examination after 12 months, full success of ultrasound was achieved in 38 (73%) cases, and 11 (21%) patients presented a partial desired effect according to the consensus from Tegernsee. Persistence of reflux longer than 1 s in the treated great saphenous vein was reported in 3 (6%) cases. Serious complications, such as deep vein thrombosis, pulmonary embolism, dyspnea, anaphylaxis, or neurological abnormalities, were not recorded. Conclusions : Ultrasound-guided foam sclerotherapy of incompetent great saphenous vein and varicosities with 2% polidocanol was found to be an effective and safe method of treatment during 1 year of observation. However, longer observation is necessary.
- Subjects :
- medicine.medical_specialty
Chronic venous insufficiency
Urology
Deep vein
medicine.medical_treatment
lcsh:Medicine
polidocanol
Doppler ultrasound
Polidocanol
ultrasound-guided sclerotherapy
Varicose veins
Sclerotherapy
Medicine
foam sclerotherapy
varicose veins
Original Paper
business.industry
Great saphenous vein
lcsh:R
Gastroenterology
Obstetrics and Gynecology
medicine.disease
Thrombosis
Pulmonary embolism
Surgery
medicine.anatomical_structure
medicine.symptom
business
medicine.drug
Subjects
Details
- Language :
- English
- ISSN :
- 22990054 and 18954588
- Volume :
- 11
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Videosurgery and Other Miniinvasive Techniques
- Accession number :
- edsair.doi.dedup.....29157e7648c06cf0725601971eecc167