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Foam sclerotherapy for lower-limb varicose veins: impact on saphenous vein diameter

我爱微笑添加于 2018-12-31 21:52 | 1012 次阅读 | 0 个评论

作者
de Oliveira RG, de Morais Filho D, Engelhorn CA, Kessler IM, Coelho Neto F
摘要
Objective: To assess changes in the great saphenous vein (GSV) after foam sclerotherapy for varicose veins. Materials and Methods: This was a prospective study of 33 patients who were treated with polidocanol foam sclerotherapy after having had varicose veins with a clinical severity-etiology-anatomy-pathophysiology classification of C4-C6 for three months. The patients were evaluated by ultrasound before, during, and after the procedure (on post-procedure days 7, 15, 30, 60, and 90). The GSV diameter, the rate of venous occlusion, and the rate of reflux elimination were determined. Two patients were excluded for having a history of deep vein thrombosis history, and one was excluded for having bronchial asthma. Results: Thirty patients (26 females and 4 males, with mean age of 62 years) completed the protocol. The mean pre-procedure GSV diameter was 6.0 +/- 0.32 mm (range, 3.6-11.2 mm). During the sclerotherapy, the mean GSV diameter was reduced to 1.9 +/- 0.15 mm (range, 0.6-3.8 mm). On post-procedure day 7, the mean GSV diameter increased to 6.3 +/- 0.28 mm (range, 3.9-9.7 mm). On post-procedure day 90, the mean GSV diameter was 4.0 +/- 0.22 mm (range, 1.9-8.2 mm). The rate of GSV reflux was significantly lower in the assessment performed on post-procedure day 90 than in the pre-procedure assessment (p < 0.0028). Conclusion: On the basis of our ultrasound analysis, we can conclude that foam sclerotherapy for varicose veins results in a significant reduction in GSV diameter, as well as in the elimination of GSV reflux.
详细资料
- 关键词: Saphenous vein; Sclerotherapy; Ultrasonography; Varicose veins; Venous insufficiency
- 文献种类: Journal Article
- 期刊名称: Radiologia Brasileira
- 期刊缩写: Radiol Bras
- 期卷页: 2018年第51卷第6期 372-376页
- 地址: Pontificia Universidade Catolica do Parana (PUC-PR), Curitiba, PR, Brazil
- ISBN: 0100-3984
学科领域生物医药 » 临床医学
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