Catheter-directed foam sclerotherapy of incompetent saphenous reflux: early results / 中华外科杂志
Xiao-ping LIU; Wei GUO; Xin JIA; Xin DU; Jiang XIONG; Tai YIN; Hong-peng ZHANG; Meng LIU.
Chinese Journal of Surgery
; (12): 1873-1875, 2009.
Artículo
en Zh
| WPRIM | ID: wpr-291009
<p><b>OBJECTIVE</b>To describe observation of availability of catheter-directed foam sclerotherapy for the great saphenous vein varicosis.</p><p><b>METHODS</b>A selective series of 30 patients of vein varicosis were treated with foam sclerotherapy using a standard technique for foam delivery from April 2008 to August 2008. Patients were treated with 1% polidocanol foam through a catheter, which was inserted percutaneously over a guidewire in the great saphenous vein (GSV). All successfully treated patients were examined by colour duplex two weeks after the procedure.</p><p><b>RESULTS</b>Thirty patients with an insufficiency reflux of the GSV were treated with the catheter-directed foam sclerotherapy. Primary technical success was achieved in all the patients. The concentrations (1.0%) and doses (6 to 8 ml) of polidocanol was mainly we used. Five patients experienced transient scotomas and developed segmental phlebitis of a collateral vein. The intervention was well tolerated in all patients without the occurrence of serious side effects. In 27 of the 30 treated patients (90%), a closure of the GSV was found at control visits 2 weeks, 3 months after treatment.</p><p><b>CONCLUSION</b>The use of an endovascular catheter inserted percutaneously over a guidewire is feasible in most patients and has resulted in high primary occlusion rates.</p>
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