Values of Ultrasound Guided Foam Sclerotherapy for Primary Lower Limb Varicose Veins Treatment
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- Category: Vol. 85, March 2017
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Values of Ultrasound Guided Foam Sclerotherapy for Primary Lower Limb Varicose Veins Treatment, KAREEM M. EL-ASHRY, AHMED T. AHMED, AZZA A. GAD and TAREK H. KHALIL
Abstract
Purpose: Aimed to describe the values of Color Doppler Ultrasound guided foam sclerotherapy for primary lower limb varicose veins treatment as a curative management.
Patients and Methods: Twenty three patients with primary lower limb varicose veins were subjects in this prospective single centre study and underwent US guided foam sclero-therapy after revision of medical history and color Doppler examination. Duplex examination was performed using a 10- MHz linear array transducer (Philips Medical System-HD 11) and sclerosing agent; Aethoxysklerol 2%. The follow-up regimen was provided for every patient by color duplex examination and subdivided into two phases; the 1st phase (after 3 weeks of interventional therapy) which describes the patient's manifestation (improvement and complications), while the 2nd phase demonstrates the final patient's outcomes after 2 months of interventional therapy.
Results: The radiological success reached 87% during the 1st phase of follow-up in the form of full obliteration of the injected veins, 4.3% partial obliteration without reflux and 8.6% showed partial obliteration with reflux. 91.3% of the subjected sample showed further improvement in the symptoms during the second phase of follow-up while the radiological success of the patients reached 82.7% in the form of full obliteration of the injected veins, 4.3% partial obliter-ation without reflux and 8.7% showed partial obliteration with reflux.
Conclusion: Ultrasonography-guided foam sclerotherapy is safe, minimally invasive and yields good medium-term occlusion rates of the treated veins.