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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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author
; and
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
2016-04-01 12:01:37
date last changed
2025-10-14 11:06:21
@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}},
  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}},
  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}},
  doi          = {{10.1258/026835507782101681}},
  volume       = {{22}},
  year         = {{2007}},
}