Posterolateral Thigh Perforator Varicosities in 12 Patients: A Normal Deep Venous System and Successful Treatment with Ultrasound-Guided Sclerotherapy

Abstract

In patients with PLTP varicosities, USGS is very successful, with very few side effects. No deep venous anomalies were found in our study, which conforms to the literature.

European guidelines for sclerotherapy in chronic venous disorders

“…Tributary varicose veins 12,13 (GRADE 1B); . Incompetent perforating veins 12,[14][15][16] (GRADE 1B); . Reticular varicose veins 7,13,[17][18][19][20][21] (GRADE 1A); .…”

“…Compression can be performed using either a medical compression stockings or compression bandages (GRADE 2C); Table 4. Suggested POL and STS concentrations in foam sclerotherapy 4,7,10,12,14,[16][17][18][19][20][21][22][24][25][26][30][31][32][33][34][35][36][37]39,47,51,129,130 . Wearing of compression stockings (23-32 mmHg) after sclerotherapy of telangiectasias daily for three weeks improves results (GRADE 2B); .…”

Treatment of incompetent perforating veins using the radiofrequency ablation stylet: a pilot study

“…US-guided sclerocompression therapy (UGST) of IPV (with foam) is a straightforward, swift and inexpensive procedure and open clinical studies suggest an efficacy of about 75 -90%. 11,12 The disadvantages of UGST of IPV are the lack of standardization (e.g. percentage and volume of sclerosant and type and duration of compression after treatment) and uncontrollable distribution of the injected sclerosant.…”

Sclerotherapy in the treatment of varicose veins

“…Foam sclerotherapy is also effective for treating new and recurrent varicose veins after previous treatment, varicose saphenous tributaries, other superficial varicose veins and incompetent perforator veins [19,21,23,[31][32][33][34][35]39].…”