Factors affecting the risk of deep venous occlusion after ultrasound-guided sclerotherapy for varicose veins

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
K A Myers, D Jolley

Abstract

To determine which covariates predisposed to deep venous occlusion (DVO) after ultrasound-guided sclerotherapy (UGS) for varicose veins. Ultrasound scans before and at 3 to 7 days after UGS to detect post-procedure deep venous occlusion. A consecutive series of 1931 treatment sessions in 852 patients treated by a technique for UGS. Ultrasound examination of the full length of axial deep veins above and below knee before and soon after every procedure. Crude chi(2) analysis of all covariates allowed selection of those that showed apparent significant influence. Logistic regression analysis of these then determined which independently predisposed to post-procedure deep venous occlusion. Deep venous occlusion was only observed after UGS using foamed sclerosant and occurred following 28 treatment sessions. No significant difference for risk of deep venous occlusion was observed for patient characteristics or which veins were treated. Logistic regression analysis showed significant independent increased risk in a limb from using highly diluted or undiluted sclerosant (OR 0.55; 95% CI 0.19 to 1.59 for 0.6-1.0% solution, OR 10.45; 95% CI 3.12 to 34.99 for 2-2.3% and OR 0.36; 95% CI 0.07 to 1.74 for 3% solution), treating veins >or=5mm...Continue Reading

References

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Oct 28, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K A MyersJ Kirwan
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Jun 3, 2008·VASA. Zeitschrift für Gefässkrankheiten·F X BreuUNKNOWN Second European Consensus Meeting on Foam Sclerotherapy

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Citations

Jul 16, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Eberhard Rabe, Felizitas Pannier
Dec 3, 2014·Journal des maladies vasculaires·P GiordanaUNKNOWN Société française de médecine vasculaire
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