Late Follow-Up of Saphenofemoral Junction Ligation Combined With Ultrasound-Guided Foam Sclerotherapy in Patients With Venous Ulcers

Figueiredo, Marcondes; Araújo, Salustiano Pereira de; Figueiredo, Matheus Fidelis

doi:10.1016/j.avsg.2012.03.013

Cited by 12 publications

(6 citation statements)

References 14 publications

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“…DVT and thromboembolism after UGFS is a very rare complication and reported in <1% of the patients. 3,8,9,27,28 No incidence of DVT was noted in this study and also according to Brunken et al 10 and Hamahata et al, 24 Figueiredo et al 12 reported the occurrence of DVT in 9% of their patients.…”

Section: Discussionsupporting

confidence: 65%

“…19 Recurrences associated with UGFS treatment varies from 4.9% to 40% 8,20-23 but there were no recurrences seen in our study. Treatment failures associated with UGFS treatment was 2% 8 and 57%, 12 but there were no failure in our study conducted in SRN Hospital. Anaphylaxis is an established complication of liquid sclerotherapy, but can occur with foam also.…”

Section: Discussioncontrasting

confidence: 55%

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Outcome Following Ultrasound Guided Foam Sclerotherapy Treatment for Varicose Veins in a Tertiary Care Centre

Singh¹,

Kola²,

Katyayan³

et al. 2018

IJCMSR

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Section: Discussionsupporting

confidence: 65%

Section: Discussioncontrasting

confidence: 55%

Outcome Following Ultrasound Guided Foam Sclerotherapy Treatment for Varicose Veins in a Tertiary Care Centre

Singh¹,

Kola²,

Katyayan³

et al. 2018

IJCMSR

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“…An improvement of the C component of CEAP score was seen in all treated patients at 2 months; however, the mean improvement in C score was not significantly different between the two groups. Rates of ulcer healing vary in studies from 21 [13] to 75% [14] with foam sclerotherapy. Healing rates keep improving till 1 year after the procedure.…”

Section: Discussionmentioning

confidence: 99%

Randomized Controlled Clinical Trial of Sclerotherapy Alone Versus Sclerotherapy Plus Saphenofemoral Junction Ligation in Great Saphenous Varicose Vein

et al. 2020

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Varicose veins are a common presentation, and its treatment has been a challenge for surgeons. Many studies have evaluated the efficacy of foam sclerotherapy with a high failure rate. One of the postulated reasons is inadequate obliteration of saphenofemoral junction with foam sclerotherapy. To test this hypothesis we compared whether there is a decrease in reflux with saphenofemoral junction ligation, along with foam sclerotherapy. Forty-eight patients (50 legs) with primary varicosities of the Great saphenous vein system were randomized into two groups: saphenofemoral junction ligation with foam sclerotherapy (SFJL + FS) and foam sclerotherapy alone (FS), and followed up at 2 months. There was complete disappearance of varicose veins in great saphenous vein territory in 96% of patients in SFJL + FS group, and 88% of patients in FS group. Veins ≥ 8 mm in diameter were incompletely occluded with sclerotherapy. Patient satisfaction score was comparable in both the groups. The addition of saphenofemoral junction ligation to foam sclerotherapy offers no additional patient benefit, particularly with regard to disappearance of varicose veins, relief of symptoms, recurrence, and morbidity. However, in large diameter veins (≥ 8 mm), saphenofemoral junction ligation with foam sclerotherapy gives better results.

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“…Figueirdo and colleagues from Brazil followed 35 VLU patients for a mean of almost 5 years (56.3 months) after high ligation and ultrasound guided foam sclerotherapy (3 % Polidocanol) of the great saphenous vein (GSV). Of the 32 patients completing follow up only 6 (19 %) showed complete occlusion of the GSV and recurrence of ulceration was seen at a mean of 48 months (20).…”

Section: Superficial Intervention -Foam Sclerotherapymentioning

confidence: 99%

Venous intervention in chronic venous ulcer treatment and recurrence avoidance

Morrison¹

2016

Phlebologie

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SummaryIn this brief overview I will progress from superficial venous intervention for venous leg ulcers (VLU) to perforator intervention and finally to deep venous intervention. But first there are a number of concepts that must be accepted. We know that 70 % of patients with leg ulcers have a venous component (1), and in at least 40 % of those patients, ulcers will be caused by superficial venous insufficiency alone or in combination with perforator incompetence (2). Such patients will likely benefit from treatment of their superficial venous disease.One of the most important but often overlooked factors in venous ulcers is calf pump failure. Simka has reported that 45 % of patients with venous ulcers have calf pump failure (3).Thorough duplex evaluation of the venous leg ulcer patient is paramount for accurate diagnosis, the differentiation between arterial and venous components (purely arterial, venous, or mixed etiology), and the obstructive and/or incompetent nature and location of venous lesions. In obstructive venous lesions the degree of obstruction as well as how proximal the lesion extends must be known. For venous insufficiency the location (deep and/or superficial venous system) and the extent (segmental or axial) will help determine how much the incompetence contributes to the overall ulcer condition, and what lesions can be safely treated.

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Late Follow-Up of Saphenofemoral Junction Ligation Combined With Ultrasound-Guided Foam Sclerotherapy in Patients With Venous Ulcers

Cited by 12 publications

References 14 publications

Outcome Following Ultrasound Guided Foam Sclerotherapy Treatment for Varicose Veins in a Tertiary Care Centre

Outcome Following Ultrasound Guided Foam Sclerotherapy Treatment for Varicose Veins in a Tertiary Care Centre

Randomized Controlled Clinical Trial of Sclerotherapy Alone Versus Sclerotherapy Plus Saphenofemoral Junction Ligation in Great Saphenous Varicose Vein

Venous intervention in chronic venous ulcer treatment and recurrence avoidance

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