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Duplex Ultrasound Outcomes following Ultrasound-guided Foam Sclerotherapy of Symptomatic Recurrent Great Saphenous Varicose Veins
- Source :
- European Journal of Vascular and Endovascular Surgery. 42:107-114
- Publication Year :
- 2011
- Publisher :
- Elsevier BV, 2011.
-
Abstract
- ObjectivesTo describe duplex ultrasound (DUS) outcomes 12 months following ultrasound-guided foam sclerotherapy (UGFS) of recurrent great saphenous varicose veins (GSVV).MethodsA consecutive series of UK National Health Service patients underwent serial DUS examinations following UGFS with 3% sodium tetradecyl sulphate for symptomatic recurrent GSVV.Results91 treated legs (CEAP C2/3 58, C4 21, C5 8, C6 4) belonging to 73 patients (24 male) of median age 58 (range 32–86) years were enrolled between November 2004 and May 2007. The median volume of foam used was 8 (range 4–14) ml. Above-knee (AK) and below-knee (BK) GSV reflux was present in 88 (97%) and 80 (88%) legs respectively prior to treatment. AK and BK-GSV reflux was completely eradicated by a single session of UGFS in 86 (98%) and 74 (93%) legs respectively; and by two sessions of UGFS in 88 (100%) and 77 (97%) legs respectively. In those legs where GSV reflux had been eradicated, recanalisation occurred in 7/78 (9%) AK and 8/68 (12%) BK-GSV segments after 12 months follow-up. Retreatment, where undertaken, with a single UGFS session effectively eradicated all GSV reflux in all cases of recanalisation.DiscussionA single session of UGFS can eradicate reflux in the AK and BK-GSV in over 93% of patients with symptomatic recurrent GSVV. Re-recurrence at 12 months is superior to that reported after redo GSV surgery, similar to that observed following other minimally-invasive techniques and, when it occurs, is effectively and simply treated by a single further session of UGFS.
- Subjects :
- Adult
Male
medicine.medical_specialty
Time Factors
Chronic venous insufficiency
medicine.medical_treatment
Sodium Tetradecyl Sulfate
Recurrence
Sclerotherapy
Varicose veins
medicine
Sodium tetradecyl sulphate
Humans
Duplex ultrasound
Saphenous Vein
Ultrasonography, Interventional
Aged
Medicine(all)
Aged, 80 and over
Ultrasonography, Doppler, Duplex
business.industry
Ultrasound
Reflux
Middle Aged
medicine.disease
Sclerosing Solutions
Ultrasound guided
Surgery
Treatment Outcome
England
Duplex (building)
Retreatment
Female
Radiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- ISSN :
- 10785884
- Volume :
- 42
- Database :
- OpenAIRE
- Journal :
- European Journal of Vascular and Endovascular Surgery
- Accession number :
- edsair.doi.dedup.....9587e326d76aea99e2180ed34f88249f