Letter regarding article titled ‘Microembolism during foam sclerotherapy                of varicose veins’ in the <i>New England Journal of                   Medicine</i>

Jj, Guex; Raymond‐Martimbeau, Pauline; Simka, Marian; Passariello, Fausto

doi:10.1258/phleb.2008.008031

Cited by 6 publications

(3 citation statements)

References 6 publications

(6 reference statements)

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“…33-36 Importantly, it seems that these cases were associated with some deviations in qualification of the patient or in the procedure protocol. 37,38 Most likely, these neurologic complications were related to migration of injected gas bubbles to the cerebral circulation. Interestingly, these adverse events are alike those infrequent complications seen after liquid sclerotherapy using the “air-block” technique.…”

Section: Adverse Events Related To Foam Sclerotherapymentioning

confidence: 99%

Principles and Technique of Foam Sclerotherapy and Its Specific Use in the Treatment of Venous Leg Ulcers

Simka¹

2011

The International Journal of Lower Extremity Wounds

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Invention of foam sclerotherapy has significantly changed the current phlebological practice. Compared with liquid sclerosants, obliterating foam is more efficient, especially for the closure of larger veins. This review discusses clinical aspects of foam sclerotherapy with a focus on its use for the treatment of venous leg ulceration, including the rationale for its use in the treatment of these chronic wounds, physicochemical mechanisms responsible for stability and disintegration of sclerosant foam, pathomechanism of neurologic adverse events seen after foam sclerotherapy, and techniques that can increase efficacy of this procedure and lower frequency of adverse events.

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Section: Adverse Events Related To Foam Sclerotherapymentioning

confidence: 99%

Principles and Technique of Foam Sclerotherapy and Its Specific Use in the Treatment of Venous Leg Ulcers

Simka¹

2011

The International Journal of Lower Extremity Wounds

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“…42,43 Extensive, ascending thrombophlebitis following foam sclerotherapy has been suggested as an indication to investigate for malignancy. 44 Bubbles, not necessarily sclerosing foam, 45,46 travel to the deep system despite leg positioning, leg immobility, or volume of foam injected. Bubbles consistently reach the right chambers of the heart and may traverse to the left chambers in patients with patent foramen ovale or right-toleft pulmonary shunts (Fig.…”

Section: Discussionmentioning

confidence: 99%

Incidence of Side Effects Using Carbon Dioxide–Oxygen Foam for Chemical Ablation of Superficial Veins of the Lower Extremity

Morrison

Neuhardt

Rogers

et al. 2010

European Journal of Vascular and Endovascular Surgery

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“…Paradoxical embolism of foam or bubbles through a PFO or ASA or its functional analogues (A–V anastomoses in chronic obstructive pulmonary disease) 13–17 is hypothesized to be the cause of the NAE and bubbles can be effectively visualized, and tracked from veins to central and cerebral circulation. 18…”

Section: Discussionmentioning

confidence: 99%

A severe neurological event during a local anaesthesia phlebectomy

Passariello¹,

Farina²,

Neuhardt

2010

Phlebology

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A 58 year old female patient underwent an intervention of phlebectomy below the knee. The patient gradually developed a severe neurological event and the Glasgow Coma Score decreased dramatically. After two and a half hours from onset, general conditions gradually improved and recovered completely. Lidocaine neurotoxicity was excluded. A right side motor deficit strongly suggests a transient ischaemic attack. As to invasivity, phlebectomy can be compared with liquid and foam sclerotherapy so that the simple question arises of also comparing their adverse effects. We have the strong conviction that this case may only be a co-incidental association.

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Letter regarding article titled ‘Microembolism during foam sclerotherapy of varicose veins’ in the New England Journal of Medicine

Cited by 6 publications

References 6 publications

Principles and Technique of Foam Sclerotherapy and Its Specific Use in the Treatment of Venous Leg Ulcers

Principles and Technique of Foam Sclerotherapy and Its Specific Use in the Treatment of Venous Leg Ulcers

Incidence of Side Effects Using Carbon Dioxide–Oxygen Foam for Chemical Ablation of Superficial Veins of the Lower Extremity

A severe neurological event during a local anaesthesia phlebectomy

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