PMID: 22337181Feb 18, 2012Paper

Medium-term results of ultrasonography-guided, catheter-assisted foam sclerotherapy of the long saphenous vein for treatment of varicose veins

Singapore Medical Journal
V K M TanS G Tan

Abstract

We previously reported our technique of ultrasonography-guided, catheter-assisted foam sclerotherapy of the long saphenous vein for treatment of primary varicose veins. In this study, we present the technical results, based on follow-up duplex images, and patient-reported symptom improvement and satisfaction. All patients treated with ultrasonography-guided, catheter-assisted foam sclerotherapy between March 2006 and August 2007 were included in this review. Prospectively collected clinical data and follow-up postoperative duplex examinations at one day, six months and 12 months were reviewed. Telephone interviews with a standard questionnaire were conducted. During the study period, 66 lower limbs in 62 patients were treated using the described technique. The median follow-up period was 12 months (range one day to 38 months). Successful occlusion rate was 98% at six months and 80% at 12 months for patients who attended follow-up duplex imaging. Seven patients underwent a second procedure. Patient satisfaction was good, with 96% reporting symptom improvement. Ultrasonography-guided, catheter-assisted foam sclerotherapy is safe, minimally invasive and yields good medium-term occlusion rates of the treated veins.

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