Microfoam Ultrasound-Guided Sclerotherapy Treatment for Varicose Veins in a Subgroup with Diameters at the Junction of 10 mm or Greater Compared with a Subgroup of Less Than 10 mm
| Autor: | Bruce Allen, John M. Barrett, Anne Ockelford, Mitchel P. Goldman |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Dermatology Sodium Tetradecyl Sulfate Varicose Veins Surveys and Questionnaires Sclerotherapy Varicose veins Humans Medicine Saphenous Vein Clinical efficacy Ultrasonography Interventional Aged Retrospective Studies Aged 80 and over Leg business.industry Saphenopopliteal junction Ultrasound General Medicine Middle Aged Sclerosing Solutions Ultrasound guided Sodium tetradecyl sulfate Surgery Treatment Outcome Patient Satisfaction Quality of Life Female medicine.symptom business Saphenous veins medicine.drug |
| Zdroj: | Dermatologic Surgery. 30:1386-1390 |
| ISSN: | 1524-4725 1076-0512 |
| Popis: | OBJECTIVE. The objective was to analyze the effectiveness of foam ultrasound-guided sclerotherapy treatment in saphenous veins and tributary veins with a diameter at the saphenofemoral or saphenopopliteal junction of 10mm and compare these results with a subgroup of veins with diameters of o10mm. METHODS.A subgroup of 17 saphenous veins with a diameter at the saphenofemoral or saphenopopliteal junction of 10mm were compared with a subgroup of 98 saphenous veins with a diameter of o10mm at the saphenofemoral or saphenopopliteal junction for clinical efficacy and patient satisfaction at a mean 2-year follow-up. RESULTS. A mean number of 2.15 treatments utilizing an average of 8.37mL of foam sclerosing solution (3% sodium tetradecyl sulfate) were required to close all incompetent varicose veins in the o10-mm group versus a mean of 2.8 treatments and 13.9mL foam (3% sodium tetradecyl sulfate) for the 10-mm group. A total of 27.5% of saphenous veins of o10mm and 37.5% of saphenous veins 10mm required a second treatment at 3 months. One-hundred percent of patients believed that their legs were successfully treated at 2-year follow-up in both groups with 94% of the o10-mm group noting improvements in quality of life and 100% in the 10-mm group. CONCLUSIONS. Ultrasound-guided foam sclerotherapy is effective in treating all sizes of varicose veins with high patient satisfaction and improvement in quality of life. Duplex ultrasound findings demonstrated a small increase in failure to close the saphenofemoral or saphenopopliteal junction with increasing size of junction diameter, but this does not significantly alter the results with respect to clearance of visible varicosities and patient satisfaction with results. |
| Databáze: | OpenAIRE |
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