Chronic Venous Disease Treated by Ultrasound Guided Foam Sclerotherapy

Smith, Prudence

doi:10.1016/j.ejvs.2006.04.033

Cited by 151 publications

(108 citation statements)

References 24 publications

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“…They also suggested longer initial compression, lasting for more than 2 weeks. 12 The site of insertion of the intravenous cannula, volume of foam and its production and the concentration of the sclerosant used were in accordance with the Consensus from the 2 nd meeting on foam sclerotherapy. Follow-up examinations were done to assess the efficacy of the treatment and for appropriate management in case of any complications.…”

Section: Discussionmentioning

confidence: 99%

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Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

et al. 2017

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Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treatment varicose veins. It is a relatively safe, effective inexpensive method in limited, small varicose veins.This study aims to assess the safety and efficacy of UGFS using sodium tetradecyl sulphate (setrol) in patients presenting with minor varicosities and residual varicosities of lower limb.Methods: 78 patients with minor varicosities or residual varicosities post-surgery who presented between January2015 and June2016 at KR hospital attached to Mysore Medical College and Research Institute, Mysuru, underwent ultrasound-guided foam sclerotherapy with 0.5ml (at a single session) setrol prepared as a foam by Tessari technique. The efficacy criterion was the disappearance of the varicosities and improvement in symptoms and signs: 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 was reported in 96% of cases (74 patients). Disappearance or decrease of varicose veins was observed in all patients (100%). Phlebitis and pigmentation as a complication was noted in 5 (7%) and 9 (11.5%) cases respectively. Major complications, such as deep vein thrombosis, pulmonary embolism, dyspnoea, anaphylaxis, or neurological abnormalities, were not reported.Conclusions: Ultrasound-guided foam sclerotherapy for minor varicosities and residual varicosities with sodium tetra decyl sulphate is a safe and satisfactory method of treatment of minor and residual varicosities.

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Section: Discussionmentioning

confidence: 99%

“…Similar follow-up has also been suggested by several other authors. [12][13][14][15] An ultrasound examination was done a week after therapy showed optimum obliteration of the treated vein in all the cases and also showed no signs of DVT. Thus re-sclerotherapy was not required.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

et al. 2017

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“…This is somewhat higher than reported in other studies. In Coleridge study [15] the reported complications were as follow, thrombophlebitis occurred in a small number of patients (5%) and was managed by analgesia, compression and aspiration of thrombus. Calf vein thrombosis was confined to isolated gastrocnemius veins or to part of the posterior tibial vein (1.23%) All resolved with compression by stocking or bandage and exercise without use of anticoagulants.…”

Section: Citationmentioning

confidence: 99%

“…In Coleridge study [15], 459 limbs have been reviewed at 6 months or more following treatment, average 11 months and range 6-46 months. This includes 363 of 886 GSVs and 141 of 263 SSVs.…”

Section: Citationmentioning

confidence: 99%

Color Duplex Ultrasound-Guided Foam Sclerotherapy: An Approach in the Management of Patients with Superficial Varicosities of Lower Extremity

Wm¹,

As²

2016

J Vasc Med Surg

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“…Techniques for ablation of superficial veins and malformations are individualized and may include sclerotherapy with alcohol or foam, that showed a good success but can cause nerve injury and cutaneous damage [47]. Foam sclerotherapy, with sodium tetra decyl sulphate and polidocanol, has been shown to be of a low risk and effective treatment for superficial venous disease [48,49]. Patient's cosmetic satisfaction with multiple session foam sclerotherapy has been reported in about 71.5% of treated patients [50].…”

Section: Managementmentioning

confidence: 99%

Klippel Trenaunay Syndrome, Inverse Klippel Trenaunay Syndrome: Hypertrophy of Lower Limbs and Atrophy of the Upper Limbs and Facial Muscles: Case Report and Literature Review

Hannawi¹

2013

J Clin Exp Dermatol Res

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Introduction: Klippel Trenaunay Syndrome (KTS) is a rare, congenital malformation. Several theories have been postulated to describe its pathogenesis. However, the exact etiology is not known. It's characterized by a triad of (1) haemangioma due to capillary malformation, (2) bone and soft tissue hypertrophy, and (3) varicose veins. Interestingly, lipoatropy rather than hypertropy of the involved limbs had been described in some cases. The clinical presentation of this syndrome is variable ranging from minimal disease to sever presentation such as significant cosmetic disfiguring, life threatening bleeding and embolism. The KTS is classified according to severity. This is important step in away to educate patients, to predict prognosis and to set treatments, especially in severe cases. Physicians should not only be attentive to the physical aspects but also to the psychological and social aspects of KTS. Case presentation:A 16-year-old boy presented with multiple port-wine stain type vascular anomalies and varicose veins. Also, there was a marked deforming enlargement of his right foot, right knee and number of his left toes with, striking gigantism of both lower limbs. This is consistent with clinical presentation of KTS. Furthermore, there were additional features matching myotonic dystrophy outlook; face showed a remarkable lipodystropy with bilateral upper limbs wasting and atrophy. This could represent the Inverse-Klippel Trenaunay Syndrome. According to our knowledge, this had never been reported to be associated with Klippel Trenaunay Syndrome Conclusion: Klippel Trenaunay and Inverse Klippel Trenaunay Syndrome can be seen in the same patient.

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Chronic Venous Disease Treated by Ultrasound Guided Foam Sclerotherapy

Abstract: This technique is useful in the management of chronic venous disease as an alternative to surgery.

Cited by 151 publications

References 24 publications

Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

Color Duplex Ultrasound-Guided Foam Sclerotherapy: An Approach in the Management of Patients with Superficial Varicosities of Lower Extremity

Klippel Trenaunay Syndrome, Inverse Klippel Trenaunay Syndrome: Hypertrophy of Lower Limbs and Atrophy of the Upper Limbs and Facial Muscles: Case Report and Literature Review

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