- •Stab avulsion tends to result in incomplete avulsions.
- •Ultrasound-guided foam sclerotherapy also tends to result in non-sclerotic vessels.
- •Foam sclerosing agent injected via the sheath covers the whole varicose vein.
- •Transluminal foam sclerotherapy improves VCSS and reduces additional interventions.
Assessment of outcome
|Variable, n (%)||Control||SCL||p value|
|n=50 (44%)||n=63 (56%)|
|Gender (female)||34 (68%)||40 (63%)||.62|
|C2||10 (20%)||7 (11%)|
|C3||2 (4%)||4 (6%)|
|C4a||26 (52%)||41 (65%)|
|C4b||6 (12%)||6 (10%)|
|C5||4 (8%)||5 (8%)|
|C6||2 (4%)||0 (0%)|
|All patients: Etiologic classification, Primary (Ep); Anatomic classification, Superficial (As); Pathophisiologic classification, Reflux (Pr)|
|Target GSV (left/right)||21/29||31/32|
|Target GSV diameter, mm||7.9±1.9||8.0±1.2||.76|
|Procedure success||50 (100%)||63 (100%)|
|Ablation length, cm||42±9||41±7||.59|
|Total laser energy, J||1322±522||1276±316||.57|
|Major complications||0 (0%)||0 (0%)|
|Thrombophlebitis||0 (0%)||2 (3%)||.12|
|Additional sclerotherapy||33 (66%)||2 (3%)||<.0001|
|Assessment of VCSS|
|Changes in VCSS (Post-Pre value)||−3.3±1.7||−4.4±1.0||<.0001|
|p value||HR (95% CI)|
|TLFS||<.0001||−0.96 (−1.4 to −0.58)||<.0001|
CONFLICT OF INTEREST
- Endovenous laser ablation: does standard above-knee great saphenous vein ablation provide optimum results in patients with both above- and below-knee reflux? A randomized controlled trial.J Vasc Surg. 2008; 48: 173-178
- Preliminary experience with a new sclerosing foam in the treatment of varicose veins.Dermatol Surg. 2001; 27: 58-60
- Ambulatory varicosity avulsion later or synchronized (AVULS): a randomized clinical trial.Ann Surg. 2015; 261: 654-661
- Endovenous ablation plus microphlebectomy/sclerotherapy for the treatment of varicose veins: single or two-stage procedure?.Vasc Endovasc Surg. 2010; 44: 545-549
- A comparison of concomitant tributary laser ablation and foam sclerotherapy in patients undergoing truncal endovenous laser ablation for lower limb varicose veins.J Vasc Interv Radiol. 2018; 29: 781-789
- Duplex ultrasound investigation of the veins in chronic venous disease of the lower limbs-UIP consensus document. Part II. Anatomy.Eur J Vasc Endovasc Surg. 2006; 31: 288-299
User LicenseCreative Commons Attribution – NonCommercial – NoDerivs (CC BY-NC-ND 4.0) |
For non-commercial purposes:
- Read, print & download
- Redistribute or republish the final article
- Text & data mine
- Translate the article (private use only, not for distribution)
- Reuse portions or extracts from the article in other works
- Sell or re-use for commercial purposes
- Distribute translations or adaptations of the article
Elsevier's open access license policy
ScienceDirectAccess this article on ScienceDirect
To submit a comment for a journal article, please use the space above and note the following:
- We will review submitted comments as soon as possible, striving for within two business days.
- This forum is intended for constructive dialogue. Comments that are commercial or promotional in nature, pertain to specific medical cases, are not relevant to the article for which they have been submitted, or are otherwise inappropriate will not be posted.
- We require that commenters identify themselves with names and affiliations.
- Comments must be in compliance with our Terms & Conditions.
- Comments are not peer-reviewed.