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Catheter-directed foam sclerotherapy of axial saphenous reflux: early results

Kölbel, Tilo LU ; Hinchliffe, R. J. and Lindblad, Bengt LU (2007) In Phlebology 22(5). p.219-222
Abstract
Objectives: Foam sclerotherapy of the great saphenous vein is a relatively new and promising treatment option for patients with axial reflux. Its usefulness may be limited by low primary occlusion rates. We present a standard technique for catheter-directed foam sclerotherapy, which facilitates foam delivery precisely to its intended site of action and potentially improves occlusion rates. Methods: A consecutive series of 53 patients were treated with foam sclerotherapy using a standard technique for foam delivery at Malmo University Hospital between September 2006 and April 2007. Patients were treated with 3% polidocanol foam through an introducer sheath, which was inserted percutaneously over a guidewire in the great saphenous vein (GSV)... (More)
Objectives: Foam sclerotherapy of the great saphenous vein is a relatively new and promising treatment option for patients with axial reflux. Its usefulness may be limited by low primary occlusion rates. We present a standard technique for catheter-directed foam sclerotherapy, which facilitates foam delivery precisely to its intended site of action and potentially improves occlusion rates. Methods: A consecutive series of 53 patients were treated with foam sclerotherapy using a standard technique for foam delivery at Malmo University Hospital between September 2006 and April 2007. Patients were treated with 3% polidocanol foam through an introducer sheath, which was inserted percutaneously over a guidewire in the great saphenous vein (GSV) All successfully treated patients were examined by colour duplex one week after the procedure. Results: Primary technical success with delivery of foam along the length of the GSV was achieved in 50 of 53 limbs (94%). All treated GSVs were occluded at one week duplex. Conclusion: The use of an enclovascular sheath inserted percutaneously over a guidewire under duplex ultrasound control is feasible in most patients and has resulted in high primary occlusion rates. (Less)
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organization
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type
Contribution to journal
publication status
published
subject
keywords
Sclerotherapy: methods, Varicose Veins: ultrasonography, Varicose Veins: therapy, Sclerotherapy: adverse effects, Sclerosing Solutions: administration & dosage, Polyethylene Glycols: administration & dosage, Saphenous Vein: ultrasonography, Venous Insufficiency: therapy, Venous Insufficiency: ultrasonography
in
Phlebology
volume
22
issue
5
pages
219 - 222
publisher
Springer
external identifiers
  • wos:000251572800005
  • pmid:18269073
  • scopus:39749102368
ISSN
1758-1125
DOI
10.1258/026835507782101681
language
English
LU publication?
yes
id
abf9dd61-1a86-471e-a2b5-95c9e83d55cb (old id 966233)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/18269073?dopt=Abstract
date added to LUP
2008-01-30 08:36:17
date last changed
2017-08-27 04:01:03
@article{abf9dd61-1a86-471e-a2b5-95c9e83d55cb,
  abstract     = {Objectives: Foam sclerotherapy of the great saphenous vein is a relatively new and promising treatment option for patients with axial reflux. Its usefulness may be limited by low primary occlusion rates. We present a standard technique for catheter-directed foam sclerotherapy, which facilitates foam delivery precisely to its intended site of action and potentially improves occlusion rates. Methods: A consecutive series of 53 patients were treated with foam sclerotherapy using a standard technique for foam delivery at Malmo University Hospital between September 2006 and April 2007. Patients were treated with 3% polidocanol foam through an introducer sheath, which was inserted percutaneously over a guidewire in the great saphenous vein (GSV) All successfully treated patients were examined by colour duplex one week after the procedure. Results: Primary technical success with delivery of foam along the length of the GSV was achieved in 50 of 53 limbs (94%). All treated GSVs were occluded at one week duplex. Conclusion: The use of an enclovascular sheath inserted percutaneously over a guidewire under duplex ultrasound control is feasible in most patients and has resulted in high primary occlusion rates.},
  author       = {Kölbel, Tilo and Hinchliffe, R. J. and Lindblad, Bengt},
  issn         = {1758-1125},
  keyword      = {Sclerotherapy: methods,Varicose Veins: ultrasonography,Varicose Veins: therapy,Sclerotherapy: adverse effects,Sclerosing Solutions: administration & dosage,Polyethylene Glycols: administration & dosage,Saphenous Vein: ultrasonography,Venous Insufficiency: therapy,Venous Insufficiency: ultrasonography},
  language     = {eng},
  number       = {5},
  pages        = {219--222},
  publisher    = {Springer},
  series       = {Phlebology},
  title        = {Catheter-directed foam sclerotherapy of axial saphenous reflux: early results},
  url          = {http://dx.doi.org/10.1258/026835507782101681},
  volume       = {22},
  year         = {2007},
}