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Evaluation of liquid or foam sclerotherapy in small varicose veins (ceap c1) with venous clinical severity score
Kaygin, Mehmet Ali; Halici, Umit.
  • Kaygin, Mehmet Ali; University of Health Sciences. Erzurum Regional Traning and Research Hospital. Cardiovascular Surgery Department. Erzurum. TR
  • Halici, Umit; Samsun Traning and Research Hospital. Cardiovascular Surgery Department. Samsun. TR
Rev. Assoc. Med. Bras. (1992) ; 64(12): 1117-1121, Dec. 2018. tab
Article in English | LILACS | ID: biblio-976808
ABSTRACT
SUMMARY

OBJECTIVE:

We aimed to evaluate the efficacy of liquid or foam sclerotherapy of varicose veins using venous clinical severity scores and possible complications.

METHODS:

A total of 318 patients (268 females, 50 males) who were treated with liquid or foam sclerotherapy between January 2012 and December 2012 were included in this study.

RESULTS:

Skin necrosis was observed in only 6 patients (1. 8%), thrombophlebitis in 10 patients (3. 1%), and hyperpigmentation in 18 patients (5. 6%) in this study group. The mean venous clinical severity score was calculated as pain score, 1. 23 ± 0.88; varicose vein score,1.85 ± 0. 8; edema score, 0.64 ± 0.77). Pain and edema decreased at the control examination, 1 month after completion of sclerotherapy sessions. Varicose veins completely disappeared after sclerotherapy. While the decrease in edema in the foam sclerotherapy group was significantly less (P<0.001), the decline in pain showed an increasing trend (P=0.069). While skin necrosis did not develop after foam sclerotherapy, rates of pigmentation and local thrombophlebitis were similar (P>0.05).

CONCLUSION:

In conclusion, we observed that both sclerotherapy methods are effective with a low rate of complications, alleviating the complaints of patients with small varicose veins, and providing considerable improvement in venous clinical severity scores.
RESUMO
RESUMO

OBJETIVO:

Nosso objetivo foi avaliar a eficácia de líquido ou espuma na escleroterapia de varizes por meio de escores de gravidade clínica venosa e possíveis complicações.

MÉTODOS:

Um total de 318 pacientes (268 do sexo feminino, 50 do sexo masculino) tratados com escleroterapia com espuma ou líquido entre janeiro de 2012 e dezembro de 2012 foi incluído neste estudo.

RESULTADOS:

Necrose da pele foi observada em apenas seis pacientes (1,8%), tromboflebite em dez pacientes (3,1%) e hiperpigmentação em 18 pacientes (5,6%) neste grupo de estudo. A média do escore de gravidade clínica venosa foi calculado como dor pontuação 1,23±0,88, veia varicosa pontuação 1,85±0,8, edema pontuação 0,64±0,77. Dor e edema reduzido no exame de controle um mês após a conclusão das sessões de escleroterapia. Varizes desapareceram completamente após a escleroterapia. Enquanto a diminuição do edema no grupo de escleroterapia com espuma foi significativamente menor (P<0,001), o decréscimo do nível de dor mostrou uma tendência a ser maior (P=0,069). Ainda que necrose da pele não tenha se desenvolvido após escleroterapia com espuma, as taxas de pigmentação e tromboflebite local foram semelhantes (P>0,05).

CONCLUSÃO:

Observou-se que ambos os métodos de escleroterapia são eficazes, com baixa taxa de complicações, aliviando as queixas de pacientes com varizes pequenas, e proporcionando uma melhora considerável nos escores de gravidade clínica venosa.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Varicose Veins / Sclerotherapy Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: Turkey Institution/Affiliation country: Samsun Traning and Research Hospital/TR / University of Health Sciences/TR

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Full text: Available Index: LILACS (Americas) Main subject: Varicose Veins / Sclerotherapy Type of study: Observational study / Risk factors Limits: Adolescent / Adult / Female / Humans / Male Language: English Journal: Rev. Assoc. Med. Bras. (1992) Year: 2018 Type: Article Affiliation country: Turkey Institution/Affiliation country: Samsun Traning and Research Hospital/TR / University of Health Sciences/TR