Ultrasound-guided foam sclerotherapy is a safe and clinically effective treatment for superficial venous reflux

Journal of Vascular Surgery
Andrew W BradburyDonald J Adam

Abstract

To test the hypothesis that ultrasound-guided foam sclerotherapy (UGFS) is a safe and durable treatment for superficial venous reflux (SVR) associated with CEAP clinical grade 2-6 disease. This was an interrogation of a prospectively gathered computerized database. Between March 23, 2004 and December 31, 2009, 977 patients (1252 legs) underwent UGFS for unilateral (702 legs) or bilateral (550 legs) SVR in association with CEAP clinical grade 2-3 (n = 868), 4 (n = 232), or 5/6 (n = 152) disease. The following reflux in 1417 venous segments was treated: primary great saphenous vein (GSV) (n = 745); recurrent GSV (n = 286), primary small saphenous vein (SSV) (n = 189), recurrent SSV (n = 50); primary anterior accessory saphenous vein (AASV) (n = 93); recurrent AASV (n = 46); vein of the popliteal fossa (VOPF) (n = 5), and Giacomini vein (GV) (n = 3). Three hundred forty-eight legs (27.8%) had undergone previous surgery. Three patients suffered post-UGFS deep vein thrombosis (DVT) and one a pulmonary embolus (PE), all within the first month (0.4% venous thrombo-embolic complication rate). Five patients (0.5%) had transient visual disturbance at the time of, or shortly after, treatment. No other neurologic or serious complications w...Continue Reading

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Citations

Jul 1, 2013·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Sachin R KulkarniKeith R Poskitt
Jan 23, 2016·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M S WhiteleyJ M Li
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May 3, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T BeckittS Ashley
Sep 30, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K H PangA W Bradbury
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Jan 17, 2015·International Surgery·Fan LinPeng Liu
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Oct 7, 2020·Phlebology·Eduardo T de AguiarDanielle D Carvalho

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