Background: Varicose veins may present a major health problem nowadays, as it has been detected in about 70% of population worldwide. This created a sense of urgency to develop less invasive techniques to manage such a condition.
Aim of Study:The aim of this study was to evaluate the effectiveness and safety of mechano-chemical ablation technique in management of varicose veins using the flebogrif endo-venous occlusion catheter.
Patients and Methods:A total of 30 patients (35 lower limbs) had mechan-ochemical ablation for their varicose veins using the flebogrif endo-venous catheter; 22 for great saphenous vein (GSV) incompetence, 9 bilateral GSV, 3 shorts saphenous vein (SSV), one bilateral SSV and 2 combined unilateral great saphenous vein and SSV. Patients came back for follow-up one week, one month and 3 months post procedure having ultrasound duplex done. Recanalization, pigmentation, intra and post procedural pain were recorded, as postoperative complications.Results: All 35 procedures were under local anaesthesia. Complete occlusion of the treated vein was initially achieved in all the patients, but at 3 months' follow-up, there was only partial recanalization in 2 from 35 (6%) of the veins. Those two were successfully treated with additional complementary ultrasound guided foam sclerotherapy. No significant complications were reported.
Conclusions:Flebogrif is an effective treatment for chronic venous insufficiency of the long and short saphenous veins. Bilateral procedures can be successfully performed and tolerated as can multiple veins in the same setting and same leg.