scholarly journals EVLT with foam sclerotherapy for varicose veins: a single unit study

2018 ◽  
Vol 5 (7) ◽  
pp. 2437
Author(s):  
Wasim M. D. ◽  
Azeez Pasha ◽  
U. Vasudeva Rao ◽  
Venkatesh Reddy ◽  
Sai Shruthi Rai ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Effective Means ◽  
Operating Time ◽  
Surrounding Tissue ◽  
Foam Sclerotherapy ◽  
Male Predominance ◽  
True Incidence ◽  
Endovenous Laser Therapy ◽  
Left Limb

Background: The true incidence of varicose veins in our country is not known as majority of patients with mild to moderate varicosities do not report to the physicians and only patients with complication like eczema, ulceration and bleeding are seen in clinics and hospitals. The search for a more effective means of prevention and for the perfect cure for this common condition continues. The aim of this study was to assess feasibility of Endovenous laser therapy with foam sclerotherapy for varicose veins with SFJ/SPJ incompetence.Methods: Out of two hundred and fifty (n = 250), the most common age group was between 31-40 years. 68% were females. Left limb was more affected. The patients presented with varied symptoms, out of which painless dilated and tortuous veins was most common. Long Saphenous system was the most common venous system affected by varicosity. The median operating time for one system was 35 mins. Visual analog scale for pain (VAS) was median 1 at 24 hours. 25 patients had pain for 2 weeks, 30 patients had ecchymosis, 45 patients had neuralgia, 35 patients had pain, none of the patients had skin burns and one (1) patient developed DVT. Mean hospital stay was 1 day. Follow up at 3 months showed, no pain and no scar.Results: In this retrospective study, we found that incidence of colorectal carcinoma is more between 40-60 years of age with male predominance; lymph node metastasis is more than metastasis in any other sites. CT scan can diagnose lymphatic metastasis and infiltration in surrounding tissue more accurately. Percentage of sphincter saving procedure were low in rectal malignancies in our study.Conclusions: At present, endovenous laser ablation with Foam Sclerotherapy of both the GSV and SSV shows considerable promise in the treatment of varicose veins. Avulsion is not required. The advantages of this procedure include ease, safety, cosmesis and durability.

scholarly journals ClariVein® – Early results from a large single-centre series of mechanochemical endovenous ablation for varicose veins

2016 ◽  
Vol 32 (1) ◽  
pp. 6-12 ◽  
Author(s):  
TY Tang ◽  
JW Kam ◽  
ME Gaunt
Keyword(s):  
Saphenous Vein ◽  
Great Saphenous Vein ◽  
Varicose Veins ◽  
Duplex Ultrasound ◽  
Single Centre ◽  
Foam Sclerotherapy ◽  
Early Results ◽  
Endovenous Ablation ◽  
The Uk

Objectives This study assessed the effectiveness and patient experience of the ClariVein® endovenous occlusion catheter for varicose veins from a large single-centre series in the UK. Methods A total of 300 patients (371 legs) underwent ClariVein® treatment for their varicose veins; 184 for great saphenous vein (GSV) incompetence, 62 bilateral GSV, 23 short saphenous vein (SSV), 6 bilateral SSV and 25 combined unilateral great saphenous vein and SSV. Patients were reviewed at an interval of two months post procedure and underwent Duplex ultrasound assessment. Postoperative complications were recorded along with patient satisfaction. Results All 393 procedures were completed successfully under local anaesthetic. Complete occlusion of the treated vein was initially achieved in all the patients, but at eight weeks’ follow-up, there was only partial obliteration in 13/393 (3.3%) veins. These were all successfully treated with ultrasound-guided foam sclerotherapy. Procedures were well tolerated with a mean pain score of 0.8 (0–10). No significant complications were reported. Conclusions ClariVein® can be used to ablate long and short saphenous varicose veins on a walk-in–walk-out basis. Bilateral procedures can be successfully performed, and these are well tolerated as can multiple veins in the same leg. Early results are promising but further evaluation and longer term follow-up are required.

scholarly journals Endovenous laser therapy (EVLT) in the treatment of short saphenous (SSV) varicose veins (VVS) – Long term follow up

2016 ◽  
Vol 36 ◽  
pp. S132
Author(s):  
J. Lewis ◽  
A. Sheel ◽  
J. Murray ◽  
S. Grahamslaw ◽  
K. Hawkins ◽  
...  
Keyword(s):  
Laser Therapy ◽  
Varicose Veins ◽  
Endovenous Laser Therapy ◽  
Long Term Follow Up

Diagnosis and Follow-up of Varicose Veins with Duplex Ultrasound: How and Why?

2012 ◽  
Vol 27 (1_suppl) ◽  
pp. 10-15 ◽  
Author(s):  
R D Malgor ◽  
N Labropoulos
Keyword(s):  
Varicose Veins ◽  
Financial Burden ◽  
Disease Process ◽  
Duplex Ultrasound ◽  
Chronic Venous Disease ◽  
Venous Disease ◽  
Foam Sclerotherapy ◽  
Non Invasive ◽  
Work Up

Chronic venous disease (CVD) is very prevalent and causes a significant financial burden in Western societies. Accurate diagnosis is mandatory to define the anatomy and pathophysiology involved in the disease process. Duplex ultrasound (DU) is a well-established non-invasive tool used for varicose veins work-up that, most recently, has also been utilized for follow-up after endovenous procedures such as endovenous laser or radiofrequency ablation and foam sclerotherapy. Insightful information on how DU is performed during varicose veins work-up and the rationale of DU utilization for endovenous procedures are discussed.

Transient adverse events positively associated with patent foramen ovale after ultrasound-guided foam sclerotherapy

2009 ◽  
Vol 24 (3) ◽  
pp. 114-119 ◽  
Author(s):  
Pauline Raymond-Martimbeau
Keyword(s):  
Adverse Events ◽  
Sensitivity And Specificity ◽  
Patent Foramen Ovale ◽  
Varicose Veins ◽  
High Sensitivity ◽  
Foramen Ovale ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
Phone Calls

Objectives To prospectively study the association between patent foramen ovale (PFO) detected by contrast transcranial Doppler (cTCD) and adverse events (AEs) reported by patients after ultrasound-guided foam sclerotherapy (UGFS) for the treatment of varicose veins. Methods All patients reporting AEs after UGFS were studied using cTCD directed at the middle cerebral artery to determine the Spencer grading score by counting high-intensity transient signals. Agitated saline was used as the contrast medium. The Spencer grading score determined the presence or absence of PFO. All patients undergoing UGFS received follow-up phone calls within 24 hours and again two weeks after the procedure. Results Of the 3259 patients who underwent UGFS, AEs were reported by seven (0.21%) patients at their first session. These included visual disturbance, migraine and chest discomfort. Five (71.4%) of these seven patients tested positive for PFO by cTCD. The two-week follow-up confirmed no permanent symptoms. Published studies show high sensitivity and specificity for cTCD when compared with contrast transesophageal echocardiography (cTEE). Conclusions The overall rate of AEs reported is consistent with published results. The presence of a PFO was detected in most patients reporting AEs after undergoing UGFS. While PFO screening with high sensitivity and specificity can be performed efficiently in the clinic setting, based on the literature, further investigation is warranted.

scholarly journals Foam Sclerotherapy and Laser Ablation of Varicose Veins: Newer Option in Bangladesh Perspective

2018 ◽  
Vol 10 (2) ◽  
pp. 140-144
Author(s):  
Motiur Rahman Sarkar ◽  
Nazmul Hosain ◽  
Fazle Maruf ◽  
MA Quaiyum Chowdhury ◽  
Anisuzzaman ◽  
...  
Keyword(s):  
Laser Ablation ◽  
Saphenous Vein ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Adult Population ◽  
Leg Pain ◽  
High Ligation ◽  
Foam Sclerotherapy ◽  
Effective Treatment Option

Background: Varicose vein is one of the most common vascular conditions in the adult population. These are conventionally treated with surgical high ligation of Sapheno-femoral junction and stripping of Great Saphenous Vein (GSV) with multiple phlebectomy. The aim of this study was to highlight the technical considerations in performing endovenous laser ablation of varicose vein, understanding the importance and role of Duplex Machine and Tumescent anesthesia with evaluation of outcome.Methods: In this retrospective study we examined the records of 297 limbs of 220 patients operated at Vascular Care Centre at Dhaka, Bangladesh between October 2013 and October 2015. Among them 1 year follow up was performed in 118 patients. Patients were contacted through telephone calls and mobile SMSs with requests for follow up.Results: Vast majority of the patients had a smooth recovery. Significant pain was present in only 10% of patients for 1week after laser therapy and 3% of patients noted bruising in thigh for 2 weeks. Among the 118 patients who reported for follow up at 12 months, 113 (96%) showed effective persistent occlusion of GSV.Conclusion: EVLA of varicose vein is gaining popularity day by day in Bangladesh. It has become established as a safe and effective treatment option for varicosities caused by GSV incompetence. Foam sclerotherapy with Sodium tetradecyl sulphate replacing the multiple phlebectomy may be a suitable adjunct. Quick return to normal activities, fewer wound infections, less leg pain and leg bruising are strongly associated with these endovenous techniques compared with Saphenous vein stripping.Cardiovasc. j. 2018; 10(2): 140-144

scholarly journals Short Term Outcome of Adjunct Foam Sclerotherapy for Varicose Veins in Patients Subjected to RFA at Dhulikhel Hospital, Nepal

2019 ◽  
Vol 2019 ◽  
pp. 1-4 ◽  
Author(s):  
R. M. Karmacharya ◽  
B. Shrestha ◽  
A. Singh ◽  
N. Chandi ◽  
N. Bhandari
Keyword(s):  
Radio Frequency ◽  
Varicose Veins ◽  
Radio Frequency Ablation ◽  
Lower Limbs ◽  
Short Term ◽  
Foam Sclerotherapy ◽  
Term Outcome ◽  
Endovenous Laser Ablation ◽  
Short Term Outcome

Background. Varicose veins are dilated, tortuous, superficial veins usually seen on lower limbs. Various surgical modalities are available for varicose veins including open surgery (Trendelenburg operation), Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA) and Sclerotherapy. The aim of this study is to look for the outcome of adjunct sclerotherapy for varicose veins done as an adjunct with Radio Frequency Ablation. Objective. To know the possible outcome regarding benefits and complications of adjunct sclerotherapy with Radio Frequency Ablation. Methodology. We combined Radio Frequency Ablation of varicose veins with necessary phlebectomy and perforator ligation and performed adjunct sclerotherapy for residual significant varicosities with polidocanol (2%) mixed with 2 ml NS and 2 cc of air (Tessari method) to patients undergoing varicose vein surgery in between 2016 and 2017. Records on complications were enquired immediately following surgery and on 1st follow up done within 3–5 days of the procedure. Results. Among 256 limbs subjected to varicose veins surgery 51 limbs were given adjunct sclerotherapy. Among them, five limbs had perivenous spillage with some localized swelling while there was allergic reaction in one patient as immediate postprocedural complication. Nine limbs had painful thrombosed veins during early follow-up. Conclusions. Adjunct sclerotherapy showed complication rate of roughly one tenth and one fifth of the treated cases in immediate and early postoperative follow-up.

Management of venous malformations in Klippel–Trenaunay syndrome with ultrasound-guided foam sclerotherapy

2005 ◽  
Vol 20 (2) ◽  
pp. 63-81 ◽  
Author(s):  
B McDonagh ◽  
S Sorenson ◽  
A Cohen ◽  
T Eaton ◽  
D E Huntley ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Venous Malformation ◽  
Limb Lengthening ◽  
Venous Malformations ◽  
Ultrasound Guided ◽  
Foam Sclerotherapy ◽  
History Of ◽  
Deep Vein ◽  
Klippel Trenaunay Syndrome

Objective: To study the clinical profile of Klippel–Trenaunay syndrome (KTS) and the management of venous malformations (VMs) with ultrasound-guided foam sclerotherapy using the compass technique. Methods: In this open prospective series, 11 consecutive patients with KTS seeking therapy at a phlebology group practice were included. Seven (64%) of them were post-surgical recurrences. Results: Pain was the commonest presenting complaint (100%), accompanied with VMs/ varicose veins in all except one (91%). Chronic venous insufficiency (CVI) was seen in seven (64%). Soft tissue and bone deformity was present in all (100%). Limb lengthening was frequent and detected in eight (73%), thickening in six (54%); unusually, one patient (9%) presented with severe thinning and shortening of the leg. Venous malformation was the primary vascular problem in nine patients (82%), with capillary malformation (CM)/port wine stain in seven (64%) and isolated lymphatic malformation (LM) in two (18%). The lateral embryonic/Klippel–Trenaunay (KT) vein was detected in 10 patients (91%). Deep vein deformity was not detected in any of them. All the deformities were of the lower limb (100%), while two (18%) had deformities of the thorax and one (9%) had gastrointestinal (GI) malformation. None of the patients gave family history of KTS, while five (45%) had history of varicosities in the family. Eight patients (73%) completed the therapeutic plan with a mean follow-up of 5±3.9 years. An excellent to good type result could be documented in six of the eight cases (75%). These patients had an event-free, good quality of life. Follow-up duplex studies revealed the evolving refluxing tracts requiring sequential therapies. Conclusions: The results in this series demonstrate the utility of foam sclerotherapy using the compass technique in the management of KTS. Chronicity of the VMs in KTS necessitates strict clinical monitoring and sequential therapies.

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