Injection sclerotherapy for varicose veins

Tisi, Paul V; Beverley, Catherine; Rees, A

doi:10.1002/14651858.cd001732.pub2

Cited by 64 publications

(35 citation statements)

References 38 publications

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“…Our outcome parameter are similar to those quoted in the literature [2][3][4][5][6] with negligible complication rates and high degree of initial success rates with 15 legs (89%) achieving complete closure with a single injection and all patients achieving closure with two injections.…”

Section: Discussionsupporting

confidence: 85%

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Ultrasound guided foam sclerotherapy for varicose veins using two needle technique — A case series

Solomon

Maurya

2010

Indian J Surg

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Section: Discussionsupporting

confidence: 85%

“…We were able to complete the procedure in all the patients as a day care procedure thus saving cost similar to other studies [4][5][6]. Small sample size and short follow up times are drawbacks.…”

Section: Discussionsupporting

confidence: 60%

Ultrasound guided foam sclerotherapy for varicose veins using two needle technique — A case series

Solomon

Maurya

2010

Indian J Surg

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“…10,11 Use of compression after conventional liquid sclerotherapy has been supported by published evidence. [18][19][20] The use of compression after endothermal treatments is an extrapolation of this idea, although it could be argued that successful occlusion may be less reliant upon its use because the thermal damage to the inner layers of the vein is considerable.…”

Section: Discussionmentioning

confidence: 99%

Compression regimes after endovenous ablation for superficial venous insufficiency – A survey of members of the Vascular Society of Great Britain and Ireland

et al. 2015

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Introduction: The optimal compression regime following ultrasound guided foam sclerotherapy (UGFS), radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) for varicose veins is not known. The aim of this study was to document current practice. Methods: Postal questionnaire sent to 348 consultant members of the Vascular Society of Great Britain and Ireland. Results: Valid replies were received from 41% (n ¼ 141) surgeons representing at least 68 (61%) vascular units. UGFS was used by 74% surgeons, RFA by 70% and EVLA by 32%, but fewer patients received UGFS (median 30) annually, than endothermal treatment (median 50) -P ¼ 0.019. All surgeons prescribed compression: following UGFS for median seven days (range two days to three months) and after endothermal ablation for 10 days (range two days to six weeks) -P ¼ 0.298. Seven different combinations of bandages, pads and compression stockings were reported following UGFS and four after endothermal ablation. Some surgeons advised changing from bandages to stockings from five days (range 1-14) after UGFS. Following endothermal ablation, 71% used bandages only, followed by compression stockings after two days (range 1-14). The majority of surgeons (87%) also treated varicose tributaries: 65% used phlebectomy, the majority (65%) synchronously with endothermal ablation. Concordance of compression regimes between surgeons within vascular units was uncommon. Only seven units using UGFS and six units using endothermal ablation had consistent compression regimes. Conclusion: Compression regimes after treatments for varicose veins vary significantly: more evidence is needed to guide practice.

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“…10 The initial treatment of local injection and compression has been used with mixed enthusiasm and differing indications, with a variety of methods used. 11 Since the introduction of ultrasound-guided techniques and the use of aerated foam, sclerotherapy has become a well-established and widely accepted treatment in the vascular surgical community.…”

Section: Kanwar Hansrani Lees Stansby Trends In Varicose Vein Therapymentioning

confidence: 99%

Trends in varicose vein therapy in England: radical changes in the last decade

Kanwar

Hansrani

Lees

et al. 2010

annals

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INTRODUCTION We aimed to analyse national trends in varicose vein treatment in the UK National Health Service (NHS). SUBJECTS AND METHODS The National Hospital Episode Statistics website () was interrogated for patients treated (1998)(1999)(2000)(2001)(2002)(2003)(2004)(2005)(2006)(2007)(2008) in the NHS for varicose veins. RESULTS There has been a 34% decline in patients presenting for an intervention for varicose veins. For surgical procedures alone, the waiting times have fallen by 59%. In 200759%. In -2008 fewer bed days were used in comparison to 1998; accompanied by a 49% decline in the number of patients undergoing surgery. After a 47% decrease between 1998 and 2001, the number of patients requesting sclerotherapy treatment has increased by a substantial 311% over the subsequent 7 years. Transluminal procedures were used almost twice as often in 2007-2008 as in 2006-2007. CONCLUSIONS There has been a steady decline in the number of patients treated for varicose veins. Fewer patients are undergoing surgery but are being managed more efficiently, with an increase in day cases and a reduction in total bed days. The demand for minimally invasive procedures has increased substantially. These trends will be of great importance for the future planning of vascular surgical services.

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Injection sclerotherapy for varicose veins

Cited by 64 publications

References 38 publications

Ultrasound guided foam sclerotherapy for varicose veins using two needle technique — A case series

Ultrasound guided foam sclerotherapy for varicose veins using two needle technique — A case series

Compression regimes after endovenous ablation for superficial venous insufficiency – A survey of members of the Vascular Society of Great Britain and Ireland

Trends in varicose vein therapy in England: radical changes in the last decade

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