scholarly journals The incidence of deep vein thrombosis following ultrasound-guided foam sclerotherapy

2009 ◽  
Vol 96 (S1) ◽  
pp. 10-10 ◽  
Author(s):  
R. J. Winterborn ◽  
F. Taiwo ◽  
F. J. A. Slim ◽  
M. R. Whyman ◽  
K. R. Poskitt
Keyword(s):  
Deep Vein Thrombosis ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
Vein Thrombosis ◽  
Deep Vein

The incidence and characterization of deep vein thrombosis following ultrasound-guided foam sclerotherapy in 1000 legs with superficial venous reflux

2013 ◽  
Vol 1 (3) ◽  
pp. 231-238 ◽  
Author(s):  
Sachin R. Kulkarni ◽  
David E. Messenger ◽  
Fiona J.A. Slim ◽  
Lorraine G. Emerson ◽  
Richard A. Bulbulia ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Venous Reflux ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
Vein Thrombosis ◽  
Deep Vein

Duplex sonography phlebologically accentuated

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 139-151
Author(s):  
M. Marshall
Keyword(s):  
Medical Education ◽  
Deep Vein Thrombosis ◽  
Doppler Sonography ◽  
Duplex Sonography ◽  
Disease Course ◽  
Foam Sclerotherapy ◽  
Optimal Position ◽  
Vein Thrombosis ◽  
Colour Duplex Sonography ◽  
Deep Vein

SummaryWithout any doubt colour duplex sonography was an enormous progress in angiological and/or phlebological diagnostics. Starting with the directional Doppler sonography, the large spectrum of phlebological diagnostics by colour duplex sonography is presented. Colour duplex sonography is used for a) the fundamental, morphologically and haemodynamically based diagnostics of deep vein thrombosis, of the insufficiency of subfascial and epifascial veins and for differential diagnostic delimitations (of arterial disorders, lip- and lymphedema, Baker-cysts, haematomas and so on), b) intrainterventional controls (steering of endovenous catheters and of foam sclerotherapy), c) the postinterventional assessment of results and disease course (definitively successful elimination of refluxes, relapses, complications as deep vein thrombosis and so on). Finally, the optimal position of the patient for duplex examination – supine or standing – is discussed, and methodical developments of the angiologic-phlebological diagnostics with ultrasound devices are described. Conclusion: In many cases duplexsonography avoids invasive examinations. It is part of the obligatory medical education in the field of phlebology.

scholarly journals A Case of Deep Vein Thrombosis Following Ultrasound-Guided Compression of a Pseudoaneurysm

2013 ◽  
Vol 85 (6) ◽  
pp. 614
Author(s):  
You Shin Kim ◽  
Byung Sihk Kim ◽  
Sang-Ki Lee ◽  
Jae gon Lee ◽  
Yonggu Lee ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Ultrasound Guided ◽  
Vein Thrombosis ◽  
Deep Vein

Ultrasound-guided “Low Approach” Femoral Vein Catheterization in Critical Care Patients Results in High Incidence of Deep Vein Thrombosis

2007 ◽  
Vol 107 (1) ◽  
pp. 181-182 ◽  
Author(s):  
Dimitrios Karakitsos ◽  
Theodosios Saranteas ◽  
Alexandros P. Patrianakos ◽  
Nicolaos Labropoulos ◽  
Andreas Karabinis
Keyword(s):  
Critical Care ◽  
Deep Vein Thrombosis ◽  
Femoral Vein ◽  
Ultrasound Guided ◽  
Vein Thrombosis ◽  
High Incidence ◽  
Deep Vein ◽  
Critical Care Patients ◽  
Vein Catheterization

scholarly journals ULTRASOUND GUIDED FOAM SCLEROTHERAPY AS A PREFERRED TREATMENT OPTION FOR VARICOSE VEINS IN TERMS OF SAFETY, EFFICACY AND COST EFFECTIVENESS

2021 ◽  
Vol 71 (4) ◽  
pp. 1332-35
Author(s):  
Muhammad Jamil ◽  
Rashid Usman ◽  
Muhammad Irfan Khan ◽  
Muhammad Afzal Randhawa ◽  
Aaiza Aman ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Varicose Veins ◽  
Duplex Ultrasound ◽  
Military Hospital ◽  
Venous Reflux ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
Vein Thrombosis ◽  
Ceap Classification ◽  
Deep Vein

Objective: To assess the safety, efficacy and cost effectiveness of ultrasound-guided foam sclerotherapy in superficial venous reflux in Clinical, Etiological, Anatomical and Pathological (CEAP) classification grade 2-6 disease. Study Design: Retrospective observational study. Place and Duration of Study: Combined Military Hospital Rawalpindi, from Sep 2018 to Feb 2020. Methodology: One thousand and sixty-seven patients (1312 legs) with varicose veins were treated by ultrasound-guided foam sclerotherapy using 3% sodium tetradecyl sulphate for truncal veins and 1% for smaller veins in 1:4 ratio with air. After 7 days, leg was assessed clinically and radiologically with Duplex ultrasound for occlusion of veins and complications. Second, third and fourth sclerotherapy sessions were performed for residual/recurrence/new varicosities. Compression bandage was used for at least 3 months after treatment. Results: The overall eradication of superficial venous reflux and healing of ulcers, was seen in 92.1% (1208 legs). It was 83.5% (1095 legs) after 1st session of UGFS. Second, 3rd and 4th session of UGFS further increases this percentage of benefitted patients Deep vein thrombosis developed post procedure in 2 (0.18%) patients and pulmonary embolus in one patient. Three (0.28%) patients had transient visual disturbances within half an hour of treatment. Retreatment was required due to formation of new superficial venous reflux in 39 (2.9%) legs and recurrence in 93 (7.1%) legs. Conclusion: Ultrasound guided foam sclerotherapy is a better option of treatment in varicose veins in terms of safety, efficacy and cost effectiveness.

Deep vein sclerosis following sclerotherapy: Ultrasonic and d-dimer criteria

2019 ◽  
Vol 35 (5) ◽  
pp. 325-336
Author(s):  
Kurosh Parsi ◽  
Brydon Panozzo ◽  
Alison Bull ◽  
Anes Yang ◽  
Mina Kang ◽  
...  
Keyword(s):  
Deep Vein Thrombosis ◽  
Laser Ablation ◽  
Ultrasound Guided ◽  
Endovenous Laser Ablation ◽  
Ultrasound Studies ◽  
Vein Thrombosis ◽  
Increased Risk ◽  
Deep Vein ◽  
D Dimer

Objectives The aim of sclerotherapy is to induce fibrosclerosis of superficial veins. We postulated that inadvertent entry of sclerosants into deep veins can result in sclerotic occlusion, deep vein sclerosis, a non-thrombotic process distinct from spontaneous deep vein thrombosis. The aim of this study was to assess the role of d-dimer in differentiating between deep vein sclerosis and deep vein thrombosis. Methods Proximal trunks of great and small saphenous veins were treated with endovenous laser ablation. Venous tributaries and perforators were treated with foam ultrasound guided sclerotherapy. Ultrasound studies of lower limb deep veins were performed before and one week after the procedures, to detect deep vein occlusions (DVOs). d-dimer levels were measured for DVOs and long-term ultrasound studies monitored the recanalisation rates. Results In a six-year period, 9143 procedures were performed in 1325 patients for bilateral varicose veins. This included 1124 endovenous laser ablation and 8019 foam ultrasound guided sclerotherapy procedures. A total of 259 DVOs (2.83%) were identified on ultrasound which included 251 deep vein sclerosis (2.74%), seven deep vein thrombosis (0.07%) and one endovenous heat-induced thrombosis (EHIT, 0.08%). d-dimer values <0.5 µg/mL excluded deep vein thrombosis s, 0.5–1.0 µg/mL were more likely to be associated with deep vein sclerosis and >1.0 µg/mL were a more likely to be associated with deep vein thrombosis. Lower sclerosant concentrations and higher foam volumes were associated with increased risk of DVO ( p <  .0001). No significant relationship was found between DVO and gender or thrombophilia. Deep vein thrombosis and EHIT cases but not deep vein sclerosis patients were anticoagulated. None had thromboembolic complications. Patients were followed up for a median of 299 days (37–1994 days). Recanalisation rates were 71.1% for deep vein sclerosis (92.3% competent) and 71.4% for deep vein thrombosis (60.0% competent). Conclusions Deep vein sclerosis is a relatively benign clinical entity distinct from deep vein thrombosis and does not require anticoagulation. Majority of affected veins on long-term follow-up regain patency and competence. d-dimer can be used to assist in differentiating deep vein sclerosis from deep vein thrombosis.

Intravascular ultrasound-guided mechanical thrombectomy using the INARI ClotTriever device of an iatrogenic deep venous thrombosis

2020 ◽  
Vol 13 (7) ◽  
pp. e235464
Author(s):  
Osama Abdel-Hafez ◽  
Mohammed Salih ◽  
Feras Aloka ◽  
Kirit Patel
Keyword(s):  
Deep Vein Thrombosis ◽  
Management Strategy ◽  
Mechanical Thrombectomy ◽  
Iliac Vein ◽  
Interesting Case ◽  
Mechanical Obstruction ◽  
Significant Morbidity ◽  
Ultrasound Guided ◽  
Vein Thrombosis ◽  
Deep Vein

Deep vein thrombosis (DVT) is a common disorder affecting 1 to 2 per 1000 Americans annually, resulting in significant morbidity and mortality. Anticoagulation is the mainstay management strategy for DVT. However, this could prove insufficient in cases where a mechanical obstruction is responsible for the DVT. We are presenting an interesting case of iatrogenic DVT incurred after Prolene suturing of lacerated iliac vein and the management employed for this challenging case with a successful and significant improvement in the clinical outcome.

scholarly journals Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

2017 ◽  
Vol 4 (2) ◽  
pp. 751
Author(s):  
Madhu B. S. ◽  
Shashi Kumar H. B. ◽  
Naveen Kumar Reddy M. ◽  
Sangeetha Kalabhairav ◽  
Abilash Reddy V.
Keyword(s):  
Varicose Veins ◽  
Single Session ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
Medical College ◽  
Vein Thrombosis ◽  
Post Surgery ◽  
Sodium Tetradecyl Sulphate ◽  
Deep Vein ◽  
Symptoms And Signs

Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treatment varicose veins. It is a relatively safe, effective inexpensive method in limited, small varicose veins.This study aims to assess the safety and efficacy of UGFS using sodium tetradecyl sulphate (setrol) in patients presenting with minor varicosities and residual varicosities of lower limb.Methods: 78 patients with minor varicosities or residual varicosities post-surgery who presented between January2015 and June2016 at KR hospital attached to Mysore Medical College and Research Institute, Mysuru, underwent ultrasound-guided foam sclerotherapy with 0.5ml (at a single session) setrol prepared as a foam by Tessari technique. The efficacy criterion was the disappearance of the varicosities and improvement in symptoms and signs: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up.Results: Decrease or withdrawal of complaints was reported in 96% of cases (74 patients). Disappearance or decrease of varicose veins was observed in all patients (100%). Phlebitis and pigmentation as a complication was noted in 5 (7%) and 9 (11.5%) cases respectively. Major complications, such as deep vein thrombosis, pulmonary embolism, dyspnoea, anaphylaxis, or neurological abnormalities, were not reported.Conclusions: Ultrasound-guided foam sclerotherapy for minor varicosities and residual varicosities with sodium tetra decyl sulphate is a safe and satisfactory method of treatment of minor and residual varicosities.

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