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Ultrasound-guided foam sclerotherapy of great saphenous vein with 2% polidocanol – one-year follow-up results
| Content Provider | Semantic Scholar |
|---|---|
| Author | Kurnicki, Jacek Osęka, Marcin Tworus, Robert Gałązka, Zbigniew |
| Copyright Year | 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. |
| Starting Page | 67 |
| Ending Page | 75 |
| Page Count | 9 |
| File Format | PDF HTM / HTML |
| PubMed reference number | 27458485 |
| Alternate Webpage(s) | https://doi.org/10.5114/wiitm.2016.60579 |
| DOI | 10.5114/wiitm.2016.60579 |
| Journal | Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques |
| Volume Number | 11 |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Blood Vessel Chronic venous insufficiency Complication Congenital Abnormality Deep Vein Thrombosis Dyspnea Excretory function Follow-Up Report Gastroesophageal reflux disease Great saphenous vein structure Patients Pulmonary Embolism Sclerotherapy Structure of deep vein Varicosity Veins Venous Thrombosis aethoxysclerol anaphylaxis nervous system disorder polidocanol |
| Content Type | Text |
| Resource Type | Article |
