Ecoescleroterapia com microespuma em varizes tronculares primárias

Figueiredo, Marcondes; Araújo, Salustiano Pereira de; Penha-Silva, Nilson

doi:10.1590/s1677-54492006000300005

Cited by 10 publications

(8 citation statements)

References 12 publications

(10 reference statements)

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“…These are outpatients procedures performed with tumescent local anesthesia and do not require hospital admission or medical leave and many studies have demonstrated their safety and efficacy for elimination of venous reflux. [7][8][9][10] Ultrasound-guided foam sclerotherapy produces good clinical results, as has been shown in studies conducted in Brazil by Figueiredo et al, 11 Silva et al…”

Section: Discussionmentioning

confidence: 56%

Fístula arteriovenosa após escleroterapia com espuma guiada por ultrassom: relato de caso

Neto

Kessler

Araújo³

2015

J. vasc. bras.

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Ultrasound-guided foam sclerotherapy has become widespread in the treatment of chronic venous insufficiency secondary to varicose veins. It is a low-cost, outpatient procedure that does not require medical leave. It has demonstrated good clinical results, especially in the more advanced stages of the disease. When employed correctly, it results in low rates of major complications. However, the technique exhibits high recanalization rates over mid and long-term follow up. Additionally, the recanalization mechanism has not yet been explained. This article describes an arteriovenous fistula in a recanalized segment of great saphenous vein previously treated with ultrasound-guided foam sclerotherapy that was detected during post-procedure follow-up with ultrasound.Keywords: varicose veins; arteriovenous fistula; sclerotherapy; sclerosing solutions; surgery; ultrasonography interventional. ResumoA escleroterapia com espuma guiada por ultrassom tem ganhado espaço no tratamento da insuficiência venosa crônica secundária a varizes dos membros inferiores. Trata-se de procedimento ambulatorial, de baixo custo e sem necessidade de afastamento das atividades habituais. Apresenta bons resultados clínicos, especialmente nos estágios mais avançados da doença. Quando bem aplicada, apresenta baixas taxas de complicações maiores. Porém, a técnica apresenta altas taxas de recanalização no médio e longo prazo, e seu mecanismo ainda não é totalmente compreendido. O presente artigo descreve um caso de fístula arteriovenosa em segmento de recanalização de veia

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Section: Discussionmentioning

confidence: 56%

Fístula arteriovenosa após escleroterapia com espuma guiada por ultrassom: relato de caso

Neto

Kessler

Araújo³

2015

J. vasc. bras.

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“…The mean number of punctures required per patient was 3.96 (3)(4)(5)(6)(7), the mean number of sessions was 1.4 (1-3) and the mean volume of foam per session was 8.5 mL (10-23 mL).…”

Section: Resultsmentioning

confidence: 99%

“…3 There are several studies of UGFS treatment for CVI reporting good clinical results and high rates of venous trunk occlusion assessed by vascular echography. 4,5 However, few publications have confirmed the clinical results obtained with UGFS using objective parameters, such as the hemodynamic variations provoked by the treatment.…”

mentioning

confidence: 99%

Evaluation of quality of life and photoplethysmography in patients with chronic venous insufficiency treated with foam sclerotherapy

Neto

Araújo²,

Kessler

2015

J. vasc. bras.

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Background: Ultrasound-guided foam sclerotherapy plays a major role in treatment of chronic venous insufficiency, providing clinical and hemodynamic improvement to patients undergoing treatment. Objectives: To examine the relationships between venous refilling time and impact of venous disease on quality of life and between changes in venous refilling time and improvement of symptoms after ultrasound-guided foam sclerotherapy for chronic venous insufficiency. Methods: Thirty-two patients classified as C4, C5 or C6 answered a questionnaire on quality of life and symptoms and their venous filling time was measured using photoplethysmography before and 45 days after treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy. Results: Statistically significant improvements were observed in quality of life scores and in venous filling time and in the following symptoms: aching, heavy legs, restless legs, swelling, burning sensations, and throbbing (p<0.0001). A similar improvement was also seen in the work and social domains of quality of life (p<0.0001). Conclusions: As confirmed by questionnaire scores and venous refilling times, ultrasound-guided foam sclerotherapy demonstrated efficacy and resulted in high satisfaction levels and low rates of major complications.

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“…9 O'Hare JL et al, demonstrated total occlusion of 74% and partial occlusion of 10%, six months after ultrasound guided foam sclerotherapy. 10 The choice of a better treatment option depends on various factors: stage of the venous disease as per CEAP classification, site of the lesion, complaints, comorbid diseases and obesity, resumption to work, cost of the treatment, prejudice against some methods of treatment or their complications, etc.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

et al. 2017

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Background: Ultrasound-guided foam sclerotherapy (UGFS) is becoming an accepted standard of treatment varicose veins. It is a relatively safe, effective inexpensive method in limited, small varicose veins.This study aims to assess the safety and efficacy of UGFS using sodium tetradecyl sulphate (setrol) in patients presenting with minor varicosities and residual varicosities of lower limb.Methods: 78 patients with minor varicosities or residual varicosities post-surgery who presented between January2015 and June2016 at KR hospital attached to Mysore Medical College and Research Institute, Mysuru, underwent ultrasound-guided foam sclerotherapy with 0.5ml (at a single session) setrol prepared as a foam by Tessari technique. The efficacy criterion was the disappearance of the varicosities and improvement in symptoms and signs: 1 week, and 1, 3, 6 and 12 months after the treatment. Complications of sclerotherapy were reported during follow-up.Results: Decrease or withdrawal of complaints was reported in 96% of cases (74 patients). Disappearance or decrease of varicose veins was observed in all patients (100%). Phlebitis and pigmentation as a complication was noted in 5 (7%) and 9 (11.5%) cases respectively. Major complications, such as deep vein thrombosis, pulmonary embolism, dyspnoea, anaphylaxis, or neurological abnormalities, were not reported.Conclusions: Ultrasound-guided foam sclerotherapy for minor varicosities and residual varicosities with sodium tetra decyl sulphate is a safe and satisfactory method of treatment of minor and residual varicosities.

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Ecoescleroterapia com microespuma em varizes tronculares primárias

Cited by 10 publications

References 12 publications

Fístula arteriovenosa após escleroterapia com espuma guiada por ultrassom: relato de caso

Fístula arteriovenosa após escleroterapia com espuma guiada por ultrassom: relato de caso

Evaluation of quality of life and photoplethysmography in patients with chronic venous insufficiency treated with foam sclerotherapy

Efficacy and safety of ultrasound guided foam sclerotherapy with sodium tetradecyl sulphate for residual and minor varicosities

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