Background: For many years, varicose veins have been one of the most frequently treated venous issues. In the treatment of superficial venous insufficiency, endovenous laser ablation (EVLA) and concurrent ultrasound-guided foam sclerotherapy have recently emerged as viable alternatives to surgery. Aim: This study aimed to compare between outcome of EVLA below the knee with and without foam sclerotherapy in great saphenous vein (GSV) varicosity. Patients and methods: This study involved 160 patients presented by primary GSV varicosities of the lower limb (LL). Patients were split evenly between two groups; Patients in group (A) received EVLA only below the knee. However, Patients in group (B) had combined full EVLA and sclerotherapy (chemical ablation) below the knee. In the present investigation, the Venous Clinical Severity Score (VCSS) and Visual Analogue Scales (VAS) were used both before and after the therapy. Results: After one week of interventions, combined EVLA and chemical ablation group has a higher occlusion rate (100%) compared to (97.5%) for EVLA only group where complete occlusion was more prominent than partial occlusion, however, two patients (2.5%) have a recanalization in EVLA only group with significant difference between both groups regarding complete and partial occlusion (p=0.015 and 0.038). Also, after six months of interventions, percent of complete occlusion increased with one patient has a recanalization in EVLA only group with significant difference between both groups regarding complete and partial occlusion (p<0.001 and 0.028). Conclusion: Combining EVLA and sclerotherapy (chemical ablation) for below-the-knee long saphenous varicosities offers a very successful method to extend the treatment down to the foot, decrease the prevalence of saphenous nerve injury, and reduce the number of treatment session and recurrence.
Background: After femoral artery catheterization, pseudoaneurysms are linked with considerable morbidity. Recently, percutaneous ultrasound-guided thrombin injection has become a possible first-line therapy.Objectives: This study aimed to compare the efficacy and safety of ultrasound-guided compression repair vs ultrasoundguided thrombin injection in treating post-catheterization femoral artery pseudoaneurysms were compared. Methods: One hundred patients with femoral pseudoaneurysms were randomised to receive either an ultrasound-guided compression or ultrasound-guided thrombin injection in this interventional study. Results: Success rates for ultrasound-guided thrombin injection were one hundred percent, whereas those for ultrasound-guided compression repair were only eighty percent, perhaps because of anticoagulant medication, hypertension, and aneurysms greater than six centimeters in size. Nevertheless, neither of these elements had an impact on how well thrombin injections worked. Conclusion:The success rate of ultrasound-guided thrombin administration is quite high and is simple procedure that were accepted and tolerated well by the patients.
Background A rather common side effect of using prosthetic grafts is infection of the groin area. Infections in the groin may be avoided by performing arterial bypass tenneling via the obturator foramen during lower extremity revascularization. This study aimed to evaluate the safety and efficacy of extra-anatomical bypass obturator in patients with groin infection. Methods This cohort included a convenient sample of 100 patients with groin infections who planned to do an extra-anatomical obturator bypass. All patients were subjected to history taking and clinical assessment. Ultrasonography with duplex screening is a good initial technique to assess groin masses. Combination of computed tomography (CT) or magnetic resonance imaging (MRI) with indium-labeled leucocyte scintigraphy can also play a role in the diagnosis. Results Inflow from the already-existing graft limb was used in 54% of obturator canal bypass (OCB) procedures, with 32 limbs coming from the main iliac (27.3%) and 6 limbs from the infrarenal aorta (5.1%). The distal superficial femoral artery was used in 21 limbs (17.9%), while the above-knee popliteal artery was selected as the outflow artery in 82% of cases. Primary aided patency was 68% at 24 months, according to Kaplan-Meier analysis, whereas primary patency was 63% at that time. At 24 months, the secondary patency of the OCB was 83%. Conclusion In case of groin infections, an excellent option to restore flow is an obturator bypass graft. This graft is strong, reliable, and safe. As a result of its high patency rate, it may be the first choice in certain circumstances.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.