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Foam sclerotherapy for reticular veins and nontruncal varicose veins of the legs: a retrospective review of outcomes and adverse effects.
Dermatol Surg. 2010 Jun; 36 Suppl 2:1026-33.DS

Abstract

BACKGROUND

Sclerotherapy is the criterion standard of treatment for reticular veins. Foam sclerotherapy is safe and effective, although current guidelines limit the volume of foam used per session.

OBJECTIVE

To demonstrate the safety and efficacy of large-volume foam sclerotherapy for the treatment of reticular and nontruncal leg veins.

METHODS & MATERIALS

A retrospective review was conducted on all patients undergoing sclerotherapy from 2003 to 2009. Contacted patients graded side effect severity and the degree of vein resolution on a 4-point scale (0-3). The occurrence of cardiovascular or pulmonary events was also recorded. Sclerosant volumes were retrieved from patient records.

RESULTS

One thousand one hundred eighty-seven patients underwent sclerotherapy; 419 were successfully contacted of whom 325 had received foam sclerotherapy. The average volume of foam used per session was 16.9 mL. The average rating of adverse events was minimal to mild for all categories including hyperpigmentation (0.35), ulceration (0.06), pain (0.22), and matting or new vessel formation (0.70). The average improvement score was 1.94 (moderate improvement). No serious adverse events occurred.

CONCLUSION

Large-volume foam sclerotherapy appears to be safe and effective in the treatment of intracutaneous leg varicosities. Serious adverse events are a rare occurrence, even with sclerosant treatment volumes exceeding current guidelines.

Authors+Show Affiliations

Dermatology/Cosmetic Laser Associates of La Jolla Inc, San Diego, California 92121, USA. melanie.palm@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20590709

Citation

Palm, Melanie D., et al. "Foam Sclerotherapy for Reticular Veins and Nontruncal Varicose Veins of the Legs: a Retrospective Review of Outcomes and Adverse Effects." Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], vol. 36 Suppl 2, 2010, pp. 1026-33.
Palm MD, Guiha IC, Goldman MP. Foam sclerotherapy for reticular veins and nontruncal varicose veins of the legs: a retrospective review of outcomes and adverse effects. Dermatol Surg. 2010;36 Suppl 2:1026-33.
Palm, M. D., Guiha, I. C., & Goldman, M. P. (2010). Foam sclerotherapy for reticular veins and nontruncal varicose veins of the legs: a retrospective review of outcomes and adverse effects. Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.], 36 Suppl 2, 1026-33. https://doi.org/10.1111/j.1524-4725.2010.01496.x
Palm MD, Guiha IC, Goldman MP. Foam Sclerotherapy for Reticular Veins and Nontruncal Varicose Veins of the Legs: a Retrospective Review of Outcomes and Adverse Effects. Dermatol Surg. 2010;36 Suppl 2:1026-33. PubMed PMID: 20590709.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Foam sclerotherapy for reticular veins and nontruncal varicose veins of the legs: a retrospective review of outcomes and adverse effects. AU - Palm,Melanie D, AU - Guiha,Isabella C, AU - Goldman,Mitchel P, PY - 2010/7/2/entrez PY - 2010/7/16/pubmed PY - 2010/8/13/medline SP - 1026 EP - 33 JF - Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] JO - Dermatol Surg VL - 36 Suppl 2 N2 - BACKGROUND: Sclerotherapy is the criterion standard of treatment for reticular veins. Foam sclerotherapy is safe and effective, although current guidelines limit the volume of foam used per session. OBJECTIVE: To demonstrate the safety and efficacy of large-volume foam sclerotherapy for the treatment of reticular and nontruncal leg veins. METHODS & MATERIALS: A retrospective review was conducted on all patients undergoing sclerotherapy from 2003 to 2009. Contacted patients graded side effect severity and the degree of vein resolution on a 4-point scale (0-3). The occurrence of cardiovascular or pulmonary events was also recorded. Sclerosant volumes were retrieved from patient records. RESULTS: One thousand one hundred eighty-seven patients underwent sclerotherapy; 419 were successfully contacted of whom 325 had received foam sclerotherapy. The average volume of foam used per session was 16.9 mL. The average rating of adverse events was minimal to mild for all categories including hyperpigmentation (0.35), ulceration (0.06), pain (0.22), and matting or new vessel formation (0.70). The average improvement score was 1.94 (moderate improvement). No serious adverse events occurred. CONCLUSION: Large-volume foam sclerotherapy appears to be safe and effective in the treatment of intracutaneous leg varicosities. Serious adverse events are a rare occurrence, even with sclerosant treatment volumes exceeding current guidelines. SN - 1524-4725 UR - https://www.unboundmedicine.com/medline/citation/20590709/Foam_sclerotherapy_for_reticular_veins_and_nontruncal_varicose_veins_of_the_legs:_a_retrospective_review_of_outcomes_and_adverse_effects_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1076-0512&date=2010&volume=36&issue=&spage=1026 DB - PRIME DP - Unbound Medicine ER -