Catheter-Assisted Vein Sclerotherapy: A New Approach for Sclerotherapy of the Greater Saphenous Vein with a Double-Lumen Balloon Catheter

Brodersen, Jens P.; GEISMAR, ULRIKE

doi:10.1111/j.1524-4725.2007.33095.x

Cited by 28 publications

(27 citation statements)

References 22 publications

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“…In their pilot study of 30 patients, the authors report a 90% GSV closure rate with no significant side-effects. 20 In a follow-up of two years, no DVT has been detected in this cohort of patients (personal communication).…”

Section: Kavsmentioning

confidence: 87%

Catheter-directed sclerotherapy

Parsi

2009

Phlebology

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Section: Kavsmentioning

confidence: 87%

Catheter-directed sclerotherapy

Parsi

2009

Phlebology

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“…38 Subsequently other authors reported interesting results with LCFS. [39][40][41][42][43][44] In fact the use of a long catheter on one side may allow a more targeted and homogenous distribution of the sclerosant foam; on the other side the placement of a long catheter within the saphenous stem allows fluid tumescence infiltration within the saphenous compartment to minimize saphenous caliber prior to foam delivery. The peri-saphenous tumescence infiltration is routinely used in laser treatment and radiofrequency ablation, in order to provide anesthesia, compress the veins and disperse the generated heat.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided perisaphenous tumescence infiltration improves the outcomes of long catheter foam sclerotherapy combined with phlebectomy of the varicose tributaries

Cavezzi

Mosti²,

Paolo

et al. 2015

Veins and Lymphatics

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A prospective comparative observational study was performed to assess the short--term efficacy and safety of the peri-saphenous infiltration of tumescence solution (PST) in great saphenous vein (GSV) long catheter foam sclerotherapy (LCFS) combined with phlebectomy of the varicose tributaries. Since November 2006 through November 2010 fifty-one consecutive patients (16 males and 35 females, mean age 51.5 years) who underwent LCFS of GSV + multiple phlebectomies were prospectively enrolled, without any pre-selection criteria, in three different groups (17 patients per group) and reviewed as to their outcomes: i) patients without additional PST; ii) with PST under visual control; iii) with ultrasound-guided PST. All procedures were performed in local anesthesia and an average of 7 mL [interquartile range (IQR) 6.5-7.5] of 3% sodiumtetradecylsulfate CO2+O2-based sclerosant foam was injected in the diseased segment of GSV (median caliber 7) (IQR 6-8) by means of a 4F long catheter. Clinical and color-duplex ultrasound (CDU) follow-up was performed at regular intervals, the last of which 14 months after the treatment.At 14 months follow-up no varicose veins were visible in 94%, 94% and 100% of the cases in group I, II and III respectively. The CDUbased outcomes were the following: 71%, 71% and 84% GSV occlusion rate in group I, II and III respectively; reflux was found in 5, 4 and 1 cases in group I, II and III respectively. Clinical and CDU morphologic and hemodynamic results were assembled and scored through an arbitrary system. The relative statistical analysis showed a significant (P<0.0001) improvement of the results for patients who received ultrasound guided PST over the other two groups. No relevant complications were recorded in all 51 cases.GSV treatment by means of LCFS + phlebectomy of varicose tributaries proved to be effective and safe in this prospective observational study. The addition of ultrasound guided PST resulted in a significant improvement of GSV occlusion rate and of varicose vein clinical resolution.

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“…37 Foam sclerotherapy of incompetent saphenous veins with long catheters is also effective. [38][39][40][41][42][43][44] Sclerotherapy of varices in the region of venous ulcers improves the healing rate. [45][46][47][48] (GRADE 1B).…”

Section: Assessment Of the Outcome After Sclerotherapymentioning

confidence: 99%

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

Pannier

Rabe

2014

Phlebology

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Catheter-Assisted Vein Sclerotherapy: A New Approach for Sclerotherapy of the Greater Saphenous Vein with a Double-Lumen Balloon Catheter

Abstract: The KAVS method represents a feasible approach for sclerotherapy of the GSV. The efficiency and treatment modalities need to be explored in further studies.

Cited by 28 publications

References 22 publications

Catheter-directed sclerotherapy

Catheter-directed sclerotherapy

Ultrasound-guided perisaphenous tumescence infiltration improves the outcomes of long catheter foam sclerotherapy combined with phlebectomy of the varicose tributaries

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

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