Safety and efficiency of perilesional sclerotherapy in leg ulcer patients with postthrombotic syndrome and/or oral anticoagulation with phenprocoumon

Stücker, Markus; Reich, Stefanie; Hermes, Nico; Altmeyer, Peter

doi:10.1111/j.1610-0387.2006.06085.x

Cited by 40 publications

(25 citation statements)

References 15 publications

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“…[38][39][40][41][42][43][44] Sclerotherapy of varices in the region of venous ulcers improves the healing rate. [45][46][47][48] (GRADE 1B). Recently catheter-directed foam sclerotherapy for chronic venous leg ulcers showed a good healing rate in a prospective case-control study.…”

Section: Assessment Of the Outcome After Sclerotherapymentioning

confidence: 99%

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

Pannier

Rabe

2014

Phlebology

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Section: Assessment Of the Outcome After Sclerotherapymentioning

confidence: 99%

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

Pannier

Rabe

2014

Phlebology

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“…Here, either surgical ("vein stripping") or endoluminal techniques may be employed. Foam sclerotherapy of (periulcerous) insufficient veins is worthwhile, particularly when contraindications to surgery exist [6].…”

Section: Venous Leg Ulcermentioning

confidence: 99%

Differential diagnosis and therapy of leg ulcers

Meyer

Kerk

Meyer

et al. 2011

JDDG: Journal Der Deutschen Dermatologischen Gesellschaft

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A leg ulcer is a symptom and the treating physician needs to find out its origin by differential diagnostic approaches and procedures. The correct diagnosis leads to a specific therapy that ideally accelerates the healing of the ulceration. Identifying the pathogenesis of a leg ulcer is the first and main step towards healing. Although vascular diseases are the major causes of leg ulcers, one needs to consider, in addition to venous and arterial disorders, autoimmune, infectious, metabolic and neoplastic causes. The simple truth that one can only make a diagnosis that was considered holds particularly true in leg ulcers. The differential diagnostic considerations presented here appear in the daily routine of a dermatologist and the article provides help in diagnostic approaches and therapeutic decisions.

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“…"Nährvenen" durch eine Sklerosierungstherapie ermöglicht eine si gnifikante Verkürzung der Heilungsdau er [16]. Die periulzeröse Sklerosierungs therapie ist dabei auch bei Patienten mit postthrombotischem Syndrom und unter laufender oraler Antikoagulation möglich [20]. Die Sklerosierungstherapie kann da bei sowohl mit flüssigen als auch mit auf geschäumten Sklerosierungsmitteln erfol gen. Das einzige in Deutschland zugelas sene Sklerosierungsmittel mit dem Wirk stoff Polidocanol ist seit Ende 2009 in bei den Varianten als Medikation zugelassen.…”

Section: Kausale Therapie Nicht Vernachlässigenunclassified

Therapie des Ulcus cruris venosum

2011

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Venous leg ulcers are the most severe complication of chronic venous insufficiency. Based on the pathogenesis and the clinical evidence, the first step in treating a venous leg ulcer should be the treatment of the venous insufficiency. According to the guidelines of the German Society of Phlebology, several methods are available: the surgical or interventional therapy of varicosities, the stenting of stenotic pelvic veins in a post-thrombotic syndrome, direct surgical intervention at the ulcer as excision, debridement or fasciotomy. In the case of an arthrogenic venous stasis syndrome, physical therapy can be helpful. Additionally wound dressings, medicinal therapy and reduction of pain are relevant.There is a good level of evidence only for sufficient compression therapy and elimination of varicosities by surgery or sclerotherapy.

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Safety and efficiency of perilesional sclerotherapy in leg ulcer patients with postthrombotic syndrome and/or oral anticoagulation with phenprocoumon

Abstract: Perilesional sclerotherapy with foam is a safe and efficient therapy for patients with chronic venous leg ulcers even with postthrombotic syndrome and/ or ongoing anticoagulation.

Cited by 40 publications

References 15 publications

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

Results from RCTs in Sclerotherapy: European Guidelines for Sclerotherapy in Chronic Venous Disorders*

Differential diagnosis and therapy of leg ulcers

Therapie des Ulcus cruris venosum

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