Ultrasound-guided foam sclerotherapy is safe and effective in the management of superficial venous insufficiency of the lower extremity

Cartee, Todd V.; Wirth, Paul; Greene, Amrit; Straight, Chelsey; Friedmann, Daniel P.; Pittman, Chris; Daugherty, Stephen F.; Blebea, John; Meissner, Mark H.; Schul, Marlin; Mishra, Vineet

doi:10.1016/j.jvsv.2021.03.020

Cited by 14 publications

(6 citation statements)

References 82 publications

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“… 12 , 30 The heightened perception of pain after sclerotherapy in the sample may be related to the effects of polidocanol, which can induce phlebitis due to local inflammatory reactions. 31 …”

Section: Discussionmentioning

confidence: 99%

Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery

Sakugawa,

Portela,

Louzada

et al. 2024

Clinics

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Section: Discussionmentioning

confidence: 99%

Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery

Sakugawa,

Portela,

Louzada

et al. 2024

Clinics

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“…However, other modes of treatment have garnered interest in the area, such as foam sclerotherapy or even endovenous laser. [157][158][159][160][161][162][163][164][165][166][167][168][169][170][171][172][173][174] Recommendation 22 The outpatient phlebectomy procedure was first described many years ago and has changed little over time. It reigned for many years as the standard treatment technique for tributary veins.…”

Section: Treatment Of Tributary Veinsmentioning

confidence: 99%

“…It can use a wide range of concentrations, both in liquid and foam mode, and is effective. 168,170,171 However, its most common adverse event, superficial thrombophlebitis, is extremely unpleasant, and increases the risk of pigmentation.…”

Section: Treatment Of Tributary Veinsmentioning

confidence: 99%

Brazilian guidelines on chronic venous disease of the Brazilian Society of Angiology and Vascular Surgery

Kikuchi,

Nhuch,

Drummond

et al. 2023

J. vasc. bras.

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The Brazilian Society of Angiology and Vascular Surgery has set up a committee to provide new evidence-based recommendations for patient care associated with chronic venous insufficiency. Topics were divided in five groups: 1. Classification, 2. Diagnosis, 3. Conservative or non-invasive treatment, 4. Invasive treatment and 5. Treatment of small vessels. This last series is closely related to the activities of Brazilian angiologists and vascular surgeons, who are heavily involved in the treatment of small superficial veins. These guidelines are intended to assist in clinical decision-making for attending physicians and health managers. The decision to follow a guideline recommendation should be made by the responsible physician on a case-by-case basis taking into account the patient's specific condition, as well as local resources, regulations, laws, and clinical practice recommendations.

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“…1 Optimal results of this technique are usually achieved via long-catheters while the insertion of venous cannulae for antegrade foam injection in the lower leg can be prohibited in case of significant skin lesions. 2,3 We present a modification of the technique to perform FS in challenging cases combining effectively a sheath-directed foam injection and retrograde cannulation of the GSV below the knee.…”

Section: Introductionmentioning

confidence: 99%

Sheath-Based Combined Foam Sclerotherapy to Promote Management of Extensive Insufficiency of the Great Saphenous Vein in Venous Ulcers

Georgakarakos

Dimitriadis

2023

Vasc Endovascular Surg

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Background: Foam sclerotherapy is considered an acceptable method to treat great saphenous vein (GSV) insufficiency, promoting occlusion of its trunk and eradicating reflux. Various modalities and techniques have been described, varying form foam infusion through multiple short cannulae along the GSV to catheter-directed techniques in order to facilitate complete proximal GSV occlusion and improve technical and clinical success. Purpose: To present a modification of the sclerotherapy tehcnique where the presence of venous ulcers poses an extra challenge to the treatment of GSV treatment. Technique: We describe a technical proposal of single foam perfusion through a 11 cm 5F sheath placed at the knee level combined with simultaneous retrograde infusion below the knee. Perivenous tumescent segmental infiltration with cold normal saline at 4°C is applied initially to reduce the diameter in those GSV >6-7 mm. Conclusions: This combination avoids multiple vein cannulation in the GSV along the thigh as well as the need for antegrade infusion when GSV cannulation at the lower tibia is prohibited by a large ulcer area.

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Ultrasound-guided foam sclerotherapy is safe and effective in the management of superficial venous insufficiency of the lower extremity

Cited by 14 publications

References 82 publications

Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery

Polidocanol-foam treatment of varicose veins: Quality-of-life impact compared to conventional surgery

Brazilian guidelines on chronic venous disease of the Brazilian Society of Angiology and Vascular Surgery

Sheath-Based Combined Foam Sclerotherapy to Promote Management of Extensive Insufficiency of the Great Saphenous Vein in Venous Ulcers

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