Prospective Comparison of Effect of Ligation and Foam Sclerotherapy with Foam Sclerotherapy Alone for Varicose Veins

Li, Xin; Yang, Bo; Li, Xianlun; Ren, Shiyan

doi:10.1016/j.avsg.2018.01.004

Cited by 12 publications

(15 citation statements)

References 17 publications

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“…In the study done by Kulkarni et al, it was found that injection into truncal varicosities will have higher chances of DVT in comparison to injection in tributaries [31]. Similarly the recanalisation rate at six months was 8.5% in foam sclerotherapy alone [29]. Although none of the patients in our study had recanalisation, details on the recanalisation can be ascertained in longer follow up.…”

Section: Discussionmentioning

confidence: 47%

“…In order to minimise the risks and decrease the chances of recurrence, adjunct sclerotherapy during surgical procedure is a good option [9, 29]. Some of the immediate complications after foam sclerotherapy for varicose veins are extravasation, pain, visual disturbance, and chest pain while delayed complications include pigmentation, painful thrombosed veins and deep vein thrombosis [30].…”

Section: Discussionmentioning

confidence: 99%

“…One of the worrisome complication of sclerotherapy is deep vein thrombosis which occurs in about 1–3%[31, 32]. This complication can be reduced by including the procedure during ablative surgery like radiofrequency ablation [29, 31]. In the study done by Kulkarni et al, it was found that injection into truncal varicosities will have higher chances of DVT in comparison to injection in tributaries [31].…”

Section: Discussionmentioning

confidence: 99%

“…Most common complication noted in our series is painful thrombosed veins noted in nine patients (17.64%). In the study done by Li et al, varicose veins treated by sclerotherapy alone had higher incidence of painful thrombosed veins(14.9%) compared to foam sclerotherapy as adjunct to surgery (1.1%) [29]. Another study showed this as second most common complication occurring in about one-fifth of the cases treated with UGFS [11].…”

Section: Discussionmentioning

confidence: 99%

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Short Term Outcome of Adjunct Foam Sclerotherapy for Varicose Veins in Patients Subjected to RFA at Dhulikhel Hospital, Nepal

Karmacharya

Shrestha

Singh

et al. 2019

International Journal of Vascular Medicine

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Background Varicose veins are dilated, tortuous, superficial veins usually seen on lower limbs. Various surgical modalities are available for varicose veins including open surgery (Trendelenburg operation), Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA) and Sclerotherapy. The aim of this study is to look for the outcome of adjunct sclerotherapy for varicose veins done as an adjunct with Radio Frequency Ablation. Objective To know the possible outcome regarding benefits and complications of adjunct sclerotherapy with Radio Frequency Ablation. MethodologyWe combined Radio Frequency Ablation of varicose veins with necessary phlebectomy and perforator ligation and performed adjunct sclerotherapy for residual significant varicosities with polidocanol (2%) mixed with 2 ml NS and 2 cc of air (Tessari method) to patients undergoing varicose vein surgery in between 2016 and 2017. Records on complications were enquired immediately following surgery and on 1st follow up done within 3–5 days of the procedure. ResultsAmong 256 limbs subjected to varicose veins surgery 51 limbs were given adjunct sclerotherapy. Among them, five limbs had perivenous spillage with some localized swelling while there was allergic reaction in one patient as immediate postprocedural complication. Nine limbs had painful thrombosed veins during early follow-up. ConclusionsAdjunct sclerotherapy showed complication rate of roughly one tenth and one fifth of the treated cases in immediate and early postoperative follow-up.

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Section: Discussionmentioning

confidence: 47%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Short Term Outcome of Adjunct Foam Sclerotherapy for Varicose Veins in Patients Subjected to RFA at Dhulikhel Hospital, Nepal

Karmacharya

Shrestha

Singh

et al. 2019

International Journal of Vascular Medicine

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“…After full text evaluation, 62 studies discussing sclerotherapy management of varicose veins were included involving 3689 patients (CDFS 789 and FS 2900). 11,16,19,20,28–84 Of these, there were 48 studies for UGFS and 15 studies for CDFS. There was only one randomized controlled trial directly comparing these two alternatives.…”

Section: Resultsmentioning

confidence: 99%

Catheter-directed foam sclerotherapy, an alternative to ultrasound-guided foam sclerotherapy for varicose vein treatment: A systematic review and meta-analysis

et al. 2020

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Purpose Catheter-directed foam sclerotherapy is a new addition to the treatment modalities available for varicose veins. As a modification of ultrasound-guided foam sclerotherapy, catheter-directed foam sclerotherapy has been purported to offer higher complete ablation rates and an improved safety profile. The aim of this study is to appraise the current literature on the outcomes of catheter-directed foam sclerotherapy compared to ultrasound-guided foam sclerotherapy in chronic venous insufficiency. Methods The review of the literature was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Data from studies that reported the outcomes of catheter-directed foam sclerotherapy and ultrasound-guided foam sclerotherapy were extracted, to determine the pooled proportion of complete ablation rates, using a random effect meta-analysis model. Results A total of 62 studies, involving 3689 patients, were included in the systematic review. Higher rates of complete ablation were reported in catheter-directed foam sclerotherapy compared to ultrasound-guided foam sclerotherapy during the short- and medium-term follow-ups (Relative Risk = 1.06, Relative Risk = 1.15, Relative Risk = 1.19, p < 0.05). Fewer major and minor complications were also reported in patients who underwent catheter-directed foam sclerotherapy (Relative Risk = 0.23, Relative Risk= 0.43–0.76, p < 0.05). Conclusion Catheter-directed foam sclerotherapy has been demonstrated to have many advantages over ultrasound-guided foam sclerotherapy, offering superior complete ablation rates in the short-, medium- and long-term follow-ups. It also has a better safety profile, conferring a lower risk of major and minor complications. The conclusions should however be viewed in the context of significant limitations imposed by limited study data.

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A systematic review of routine post operative screening duplex ultrasound after thermal and non-thermal endovenous ablation.

Suarez

Alnahhal²,

Salehi³

et al. 2023

Journal of Vascular Surgery: Venous and Lymphatic Disorders

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Prospective Comparison of Effect of Ligation and Foam Sclerotherapy with Foam Sclerotherapy Alone for Varicose Veins

Cited by 12 publications

References 17 publications

Short Term Outcome of Adjunct Foam Sclerotherapy for Varicose Veins in Patients Subjected to RFA at Dhulikhel Hospital, Nepal

Short Term Outcome of Adjunct Foam Sclerotherapy for Varicose Veins in Patients Subjected to RFA at Dhulikhel Hospital, Nepal

Catheter-directed foam sclerotherapy, an alternative to ultrasound-guided foam sclerotherapy for varicose vein treatment: A systematic review and meta-analysis

A systematic review of routine post operative screening duplex ultrasound after thermal and non-thermal endovenous ablation.

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