Comparative Study of Duplex‐Guided Foam Sclerotherapy and Duplex‐Guided Liquid Sclerotherapy for the Treatment of Superficial Venous Insufficiency

Purpose. To compare the preliminary results of hemodynamic changes between duplex‐guided foam sclerotherapy and duplex‐guided liquid sclerotherapy. Methods. Seventy Seven limbs in 77 patients with isolated greater saphenous vein incompetence were treated with duplex‐guided sclerotherapy. Thirty Seve...

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Bibliographic Details
Published in:Dermatologic surgery 2004-05, Vol.30 (5), p.718-722
Main Authors: Yamaki, Takashi, Nozaki, Motohiro, Iwasaka, Susumu
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Dosage Forms
Female
Humans
Male
Middle Aged
Plethysmography
Saphenous Vein
Sclerosing Solutions - administration & dosage
Sclerotherapy - methods
Statistics, Nonparametric
Treatment Outcome
Ultrasonography, Doppler, Duplex
Ultrasonography, Interventional
Venous Insufficiency - therapy
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Summary:Purpose. To compare the preliminary results of hemodynamic changes between duplex‐guided foam sclerotherapy and duplex‐guided liquid sclerotherapy. Methods. Seventy Seven limbs in 77 patients with isolated greater saphenous vein incompetence were treated with duplex‐guided sclerotherapy. Thirty Seven limbs were treated with duplex‐guided foam sclerotherapy and the remaining 40 limbs were treated with duplex‐guided liquid sclerotherapy. Pretreatment exam was performed using a color duplex scanner and air plethysmography. The sclerosing foam was produced by Tessari's method using 1% and 3% polidocanol. The varicose vein was injected with 2 mL of 1% polidocanol or 1% polidocanol foam, and then 1 mL of 3% polidocanol or 3% polidocanol foam was injected into the greater saphenous vein under duplex guidance. Venous obstruction and recanalization were screened by serial posttreatment duplex examination, and posttreatment air plethysmography analysis was performed 3, 6, 9, and 12 months after the sclerotherapy. Results. Duplex scanning demonstrated complete occlusion in the greater saphenous vein for duplex‐guided foam sclerotherapy in 25 limbs (67.6%), which was a significantly higher proportion than for the duplex‐guided liquid sclerotherapy (7 limbs, 17.5%, p
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2004.30202.x