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DOI: 10.12687/phleb2359-2-2017
Ultrasound-guided foam sclero -therapy of the small saphenous vein
More than just an alternative treatment? Article in several languages: English | deutschPublication History
Received:
07 February 2017
Accepted:
08 February 2017
Publication Date:
04 January 2018 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00034913/201702/lookinside/thumbnails/10-12687-phleb2359-2-2017_en-1.jpg)
Summary
Ultrasound guided sclerotherapy (UGFS) of varicose veins is a worldwide spread method, in many countries recognized by guidelines. Important for the outcome is the patients history, clinical investigation and a detailed colour coded ultrasound mapping previous to UGFS.
In previous studies varicose small saphenous vein (SSV) treatment with UGFS were reported to have worse results compared to GSV. Other studies report good outcome after UGFS of SSV varicose veins up to 12 months follow up.
In my experience UGFS of insufficient SSV is safe and effective with high patient‘s satisfaction, good longterm results and improvement in quality of life. UGFS can be used in all age groups. UGFS has the additional benefit that repeated treatments are easy to perform if needed and that this method is very cost effective. Treatment sessions last 20 to 30 minutes so that patients do not need significant time off work.
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References
- 1 Gillet J, Guedes J, Guex JJ, Hamel-Desnos C, Scha-deck M, Lausecker M, Allaert F. Side-effects and complications of foam sclerotherapy of the great and small saphenous veins :a controlled multi-centre prospective study including 1025 patients. Phlebology 2009; 24: 131-138.
- 2 Cavezzi A, Frullini A, Ricci S, Tessari L. Treatment of varicose veins by foam sclerotherapy: two clinical series. Phlebology 2002; 17: 13-18.
- 3 Coleridge-Smith P. Chronic venous disease treated by ultrasound guided foam sclerotherapy. Eur J Vasc Endovasc Surg 2006; 32: 577-583.
- 4 Darke SG, Baker SJA. Ultrasound guided sclero-therapy for the treatment of varicose veins. BJS 2006; 93: 969-974.
- 5 Wildenhues B. Endovenöse kathetergestützte Schaumsklerosierung. Phlebologie 2005; 3: 165-170.
- 6 Breu FX, Guggenbichler S, Wollmann JC. 2nd European consensus meeting on foam sclerotherapy 2006. Tegernsee, Germany. VASA 2008; 37: 3-29.
- 7 Guex JJ, Allaert FA, Gillet JL, Chleir F. Immediate and midterm complications of sclerotherapy : report of a prospective multicenter registry of 12,173 sclerotherapy sessions. Dermatol Surg 2005; 31: 123-128.
- 8 Meyers KA. et al. Outcome of Ultrasound-guided Sclerotherapy for Varicose veins. Eur J Vasc Endovasc Surg 2007; 33: 116-121.
- 9 Schadeck M. Sclérose de la petite veine saphène: comment éviter les mauvais résultats?. Phlébologie 2004; 57: 165-169.
- 10 Darvall KA, Batz GR, Silvermann SH, Adam DJ, Bradbury AW. Medium-term results of ultra-sound-guided foam sclerotherapy for small saphenous varicose veins. British J of Surg 2009; 96: 1268-1273.
- 11 Cavezzi A, Parsi K. Complications of foam sclero-therapy. Phlebology 2012; 27 (Suppl. 01) 46-51.
- 12 Rabe E, Breu F, Cavezzi A. et al. European guidelines for sclerotherapy in chronic venous disorders. Phlebology. 4.4.2013 published online.
- 13 Paravastu SCV, Horne M, Dodd PDF. Endovenous ablation therapy or foam sclerotherapy versus conventional surgical repair for short saphenous varicose veins (Review). Cochrane library 2016, Issue 11 Art. No. CD010878.
- 14 Rasmussen LH, Lawaetz M, Bjoern L, Vennits B, Blemings A, Eklof B. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. British Journal of Surgery 2011; 98: 1079-1087.
- 15 Cavezzi A. et al. Duplex Ultrasound Investigation of the Veins in Chronic Venous Disease of the Lower Limbs – UIP Consensus Document. Part II. Anatomy. European Journal of Vascular and Endovascular Surgery 2006; 31: 288-299.
- 16 Bradbury A. et al. Ultrasound-guided foam sclero-therapy is a safe and clinically effective treatment for superficial venous reflux. J Vasc Surg 2010; 52: 939-945.
- 17 Darvall KA, Sam RC, Bate GR, Silverman SH, Adam DJ, Bradbury AW. Changes in health-related quality of life after ultrasound-guided foam sclero-therapy for great and small saphenous varicose veins. J Vasc Surg 2010; 51: 913-920.
- 18 Almgren B, Eriksson E. Valvular incompetence in superficial, deep and perforator veins of limbs with varicose veins. Acta Chirug Scand 1990; 156: 69-74.
- 19 Tellings S, Ceulen R, Sommer A. Surgery and endovenous techniques for the treatment of small saphenous varicose veins: a review of the literature. Phlebology 2011; 26: 179-184.
- 20 Wollmann JC. Herstellung und Eigenschaften von Sklerosierungsschaum. Vasomed 2004; 16: 24.
- 21 Anton LA. et al. The surgical anatomy of the small saphenous vein and adjacent nerves in relation to endovenous thermal ablation. J Vasc Surg 2012; 56: 181-188.
- 22 O’Hare JL, Vandenbroeck CP, Whitman B, Campbell B, Heather BP, Earnshaw JJ. Joint Vascular Research Group.. A prospective evaluation of the outcome after small saphenous varicose vein surgery with one-year follow-up. J Vasc Surg 2008; 48: 669-673.
- 23 Tong Y. et al. Recurrent varicose veins after short saphenous vein surgery: a duplex ultrasound study. Cardiovasc Surg 1996; 4: 364-367.
- 24 Kerver A. et al. The surgical anatomy of the small saphenous vein and adjacent nerves in relation to endovenous thermal ablation. J Vasc Surg 2012; 56: 181-188.
- 25 Mendoza E. Duplexsonographie der oberfläch-lichen Beinvenen. Heidelberg: Springer, 2. Auflage; 2013
- 26 Murena-Schmidt R. UIP Boston 2013, Poster.