One-shot scleroembolization: a new technique for the treatment of varicose veins disease of lower extremities. Preliminary results

Abstract

Objective

The aim of this article is to present a new technique for minimally invasive treatment of varicose veins disease of lower extremities.

Methods

One-shot scleroembolization is a new technique designed for the treatment of varicose veins of the lower extremities, which associates a mechanical interruption of the sapheno-femoral junction to classic sclerotherapy with no need for surgery or anesthesia. This is achieved with the combined use of a coil positioned in the terminal portion of the great saphenous vein and a foamed sclerosant drug.

Results

At three months’ follow-up no complications have been observed. The great saphenous vein was still occluded in all patients (nine out of nine).

Conclusions

One-shot scleroembolization seems to be an effective technique for the treatment of varicose veins disease in outpatients, with the advantage of causing little distress to the patient.

Keywords

Varicose veins foam sclerotherapy endovenous technique

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References

Tessari

Cavezzi

Frullini

. Preliminary experience with a new sclerosing foam in the treatment of varicose veins. Dermatol Surg 2001; 27: 58–60.

Yamaki

Hamahata

Soejima

. Prospective randomised comparative study of visual foam sclerotherapy alone or in combination with ultrasound-guided foam sclerotherapy for treatment of superficial venous insufficiency: preliminary report. Eur J Vasc Endovasc Surg 2012; 43: 343–347.

Pittaluga

Chastanet

Guex

. Great saphenous vein stripping with preservation of sapheno-femoral confluence: hemodynamic and clinical results. J Vasc Surg 2008; 47: 1300–1304.

Liu

Jia

Guo

. Ultrasound-guided foam sclerotherapy of the great saphenous vein with sapheno-femoral ligation compared to standard stripping: a prospective clinical study. Int Angiol 2011; 30: 321–326.

Kalodiki

Lattimer

Azzam

. Long-term results of a randomized controlled trial on ultrasound-guided foam sclerotherapy combined with sapheno-femoral ligation vs standard surgery for varicose veins. J Vasc Surg 2012; 55: 451–457.