Evidence of Foam Sclerotherapy in the Treatment of
                    Recurrent Varicose Veins

Aim. Evaluation of the effectiveness of mechanochemical scleroobliteration in treatment for recurrent lower extremity varicose veins (VVD). Materials and Methods. A retrospective analysis of the results of examination and treatment of 19 patients (17 women and 2 men, average age 36.34.5 years) with recurrences of VVD, in whom mechanochemical sclerotherapy as the main method of treatment was used. In all cases, mechanochemical ablation of the superficial venous trunks was performed using Phlebogriph catheter. As a hardener, 3% sodium tetradecyl sulfate solution (fibro-vein) was used in the volume not more than 10 ml per procedure. Results. According to the CEAP classification, 15 patients had C2 and 4 patients had C3 class. Recurrence of VVD in one lower extremity was diagnosed in 17 (89.5%) patients, and bilateral in 2 (10.5%). In 6 (31.6%) cases, recurrence occurred in 5 or more years after the first operation, in 8 (42.1%) patients after 3-5 years, in 5 (26.3%) after 1-3 years. The diameter of varicose veins before treatment according to color duplex scanning (CDR) was 7.90.8 mm. The duration of the detected saphenofemoral reflux (n=10) with the trunk of the great saphenous vein (GSV) left on the hip was 5.71.4 s, with the length 31.231.4 mm. With the preserved зtrunk of the GSV, crossectomy was performed in combination with mechanochemical scleroobliteration. Crossectomy was also performed in two patients with repeated dilation of the trunk of the small saphenous vein (SSV) followed by mechanochemical scleroobliteration. In two cases, insufficient shin perforants were ligated from mini-incisions, and in two more cases, foam scleroobliteration of them was performed. Within 3 weeks after the procedure, a good result was recorded in 94.7% of cases in the form of complete occlusion of sclerotized veins with the absence of reflux in them. Only in one observation incomplete occlusion of the sclerotized vein on the hip was noted, which required a repeated procedure. Long-term results were studied in 19 patients, in 94.7% of who complete obliteration of sclerotized veins and improvement of the clinical course of chronic venous disease were recorded. Conclusion. Mechanochemical scleroobliteration has proven to be an effective method of treatment for lower extremity VVD being a minimally invasive procedure.

show abstract

Sclerotherapy for Varicose Vein

Ogawa

2023

Jpn J Phlebol

View full text Add to dashboard Cite

Sclerotherapy for varicose vein has longer history compared to other treatment options, is indicated for various type of varicose veins, and low cost, repeatable treatment without complicated medical equipment. Sclerotherapy is often performed with additional treatments for better outcome. The optimal form of sclerosants (liquid or foam) depends on the type of varicose veins. The usefulness of sclerotherapy should be evaluated from not only anatomical vein occlusion but also costs and patients QOL although the recanalization is not rare after sclerotherapy. The opportunity of performing sclerotherapy as main procedures for saphenous varicose veins decreased because catheter endovenous ablation is preferred for interruption of saphenous vein reflux. However, sclerotherapy is applied for residual varicose veins, recurrent varicose veins and special cases which is hard to be applied catheter endovenous ablation. Therefore, physicians perform the treatment for varicose veins should obtain the knowledge and techniques of sclerotherapy.

show abstract

Evidence of Foam Sclerotherapy in the Treatment of Recurrent Varicose Veins

Cited by 3 publications

References 43 publications

Strategien zur Therapie der Rezidivvarikose

Strategien zur Therapie der Rezidivvarikose

Experience of application of mechanochemical scleroobliteration in treatment for recurrence of lower extremity varicose vein disease

Sclerotherapy for Varicose Vein

Contact Info

Product

Resources

About