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Fluoroscopy-guided endovenous sclerotherapy using a microcatheter prior to endovenous laser ablation: comparison between liquid and foam sclerotherapy for varicose tributaries.
Korean J Radiol. 2014 Jul-Aug; 15(4):481-7.KJ

Abstract

OBJECTIVE

To compare the efficacy and adverse effects of endovenous foam sclerotherapy (EFS) and liquid sclerotherapy (ELS) using a microcatheter for the treatment of varicose tributaries.

MATERIALS AND METHODS

From December 2007 to January 2009, patients with venous reflux in the saphenous vein were enrolled. The foam or liquid sclerosant was injected through a microcatheter just before endovenous laser ablation (EVLA). Patients were evaluated for the technical success, clinical success, and procedure-related complications during the procedure and follow-up visits.

RESULTS

A total of 94 limbs were included: 48 limbs (great saphenous vein [GSV], 35; small saphenous vein [SSV], 13) were managed using EFS and EVLA (foam group; FG), and 46 limbs (GSV, 37; SSV, 9) were treated by ELS and EVLA (liquid group; LG). Varicose tributaries demonstrated complete sclerosis in 92.7% with FG and in 71.8% with LG (p = 0.014). Bruising (78.7% in FG vs. 73.2% in LG, p > 0.05), pain or tenderness (75.6% in FG vs. 51.2% in LG, p = 0.0237) were noted. Hyperpigmentation (51.2% in FG vs. 46.2% in LG, p > 0.05) was found.

CONCLUSION

Endovenous foam sclerotherapy using a microcatheter is more effective than ELS for eliminating remnant varicose tributaries prior to EVLA. However, EFS is more commonly associated with local complications such as pain or tenderness than ELS. Furthermore, both techniques seem to prolong the duration of hyperpigmentation along with higher costs.

Authors+Show Affiliations

Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Thoracic and Cardiovascular Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.Department of Radiology, Konkuk University Hospital, Konkuk University School of Medicine, Seoul 143-729, Korea.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25053908

Citation

Park, Sang Woo, et al. "Fluoroscopy-guided Endovenous Sclerotherapy Using a Microcatheter Prior to Endovenous Laser Ablation: Comparison Between Liquid and Foam Sclerotherapy for Varicose Tributaries." Korean Journal of Radiology, vol. 15, no. 4, 2014, pp. 481-7.
Park SW, Yun IJ, Hwang JJ, et al. Fluoroscopy-guided endovenous sclerotherapy using a microcatheter prior to endovenous laser ablation: comparison between liquid and foam sclerotherapy for varicose tributaries. Korean J Radiol. 2014;15(4):481-7.
Park, S. W., Yun, I. J., Hwang, J. J., Lee, S. A., Kim, J. S., Chee, H. K., & Chang, I. S. (2014). Fluoroscopy-guided endovenous sclerotherapy using a microcatheter prior to endovenous laser ablation: comparison between liquid and foam sclerotherapy for varicose tributaries. Korean Journal of Radiology, 15(4), 481-7. https://doi.org/10.3348/kjr.2014.15.4.481
Park SW, et al. Fluoroscopy-guided Endovenous Sclerotherapy Using a Microcatheter Prior to Endovenous Laser Ablation: Comparison Between Liquid and Foam Sclerotherapy for Varicose Tributaries. Korean J Radiol. 2014 Jul-Aug;15(4):481-7. PubMed PMID: 25053908.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fluoroscopy-guided endovenous sclerotherapy using a microcatheter prior to endovenous laser ablation: comparison between liquid and foam sclerotherapy for varicose tributaries. AU - Park,Sang Woo, AU - Yun,Ik Jin, AU - Hwang,Jae Joon, AU - Lee,Song Am, AU - Kim,Jun Seok, AU - Chee,Hyun Keun, AU - Chang,Il Soo, Y1 - 2014/07/09/ PY - 2014/01/12/received PY - 2014/04/15/accepted PY - 2014/7/24/entrez PY - 2014/7/24/pubmed PY - 2014/9/27/medline KW - Laser KW - Sclerotherapy KW - Varicose vein SP - 481 EP - 7 JF - Korean journal of radiology JO - Korean J Radiol VL - 15 IS - 4 N2 - OBJECTIVE: To compare the efficacy and adverse effects of endovenous foam sclerotherapy (EFS) and liquid sclerotherapy (ELS) using a microcatheter for the treatment of varicose tributaries. MATERIALS AND METHODS: From December 2007 to January 2009, patients with venous reflux in the saphenous vein were enrolled. The foam or liquid sclerosant was injected through a microcatheter just before endovenous laser ablation (EVLA). Patients were evaluated for the technical success, clinical success, and procedure-related complications during the procedure and follow-up visits. RESULTS: A total of 94 limbs were included: 48 limbs (great saphenous vein [GSV], 35; small saphenous vein [SSV], 13) were managed using EFS and EVLA (foam group; FG), and 46 limbs (GSV, 37; SSV, 9) were treated by ELS and EVLA (liquid group; LG). Varicose tributaries demonstrated complete sclerosis in 92.7% with FG and in 71.8% with LG (p = 0.014). Bruising (78.7% in FG vs. 73.2% in LG, p > 0.05), pain or tenderness (75.6% in FG vs. 51.2% in LG, p = 0.0237) were noted. Hyperpigmentation (51.2% in FG vs. 46.2% in LG, p > 0.05) was found. CONCLUSION: Endovenous foam sclerotherapy using a microcatheter is more effective than ELS for eliminating remnant varicose tributaries prior to EVLA. However, EFS is more commonly associated with local complications such as pain or tenderness than ELS. Furthermore, both techniques seem to prolong the duration of hyperpigmentation along with higher costs. SN - 2005-8330 UR - https://www.unboundmedicine.com/medline/citation/25053908/Fluoroscopy_guided_endovenous_sclerotherapy_using_a_microcatheter_prior_to_endovenous_laser_ablation:_comparison_between_liquid_and_foam_sclerotherapy_for_varicose_tributaries_ L2 - https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2014.15.4.481 DB - PRIME DP - Unbound Medicine ER -