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A Journal on Phlebology

Official Journal of the Italian College of Phlebology
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Acta Phlebologica 2002 April;3(1):11-9

language: English

Prospective study of echosclerotherapy in the superficial venous system (systemic and non systemic)

Spano V. S., Segura J.

Fundec, Buenos Aires, Argentina


BACKGROUND: Ultrasound guided sclerotherapy (UGS) in the treat­ment of the superficial venous system.
METHODS: Between 1999 and 2000, 100 ­patients ­were treat­ed, ­with an aver­age of 56 ­years, ­with ­severe ­reflux (­same or high­er dura­tion ­than 4 sec­) at the superficial vernous system, comunicate and/or perforator system and no systemic var­i­cose ­veins. One hundred and thirty-nine UGS ­were per­formed: 125 in long saphenous vein (LSV) and 14 in short saphenous vein (SSV); the sclerosat ­employed was Polydocanol in a 3% and 4% con­cen­tra­tion, ­using 3 cc dos­ag­es (per ses­sion). The clin­i­cal and ultra­sound fol­low-up ­were at: 7, 14 and 28 ­days and 3 and 6 ­months, respec­tive­ly. One and 4 ses­sions ­with inter­vals of 3 and 4 ­weeks ­were nec­es­sary.
RESULTS: 1) Subjective impression:
— great improve­ment: LSV 113, SSV 11;
— light improve­ment: LSV 10, SSV 3;
— no improve­ment: LSV 2, SSV 0.
2) Objective Impression (Duplex scan­ning):
— whole occlu­sion (100%): LSV 108, SSV 12;
— partial occlu­sion (50-75%); LSV 15, SSV 2;
— without occlu­sion: LSV 2; SSV 0.
CONCLUSIONS: UGS ­were effec­tive in 90% of the ­patients, ­with a 2 ­year ­long fol­low-up.

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