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[Cryocompression sclerotherapy of reticular veins and teleangiectasias].
Angiol Sosud Khir. 2018; 24(3):92-97.AS

Abstract

Compression serves as an important component for carrying out successful and safe phlebosclerosing treatment. At the same time, the necessity of wearing compression hosiery or bandages is associated with known limitations and objections of patients, especially in a hot season. We comparatively assessed efficacy of usual compression stockings and a short-term pneumatic bandage with cryoelements while carrying out sclerosing treatment of dilated intradermal veins. Our open prospective observational study included a total of fifty 18-to-35-year-old women. After performing standardized sclerotherapy of reticular veins and telangiectasias on the symmetrical portions of the lower limbs, a pneumatic cryocompression bandage with a pressure of 50 mmHg was applied onto one of the limbs for 15 minutes, with a class 2 compression (RAL standard) medical stocking put on the other limb to be worn by the patients at daytime for 10 days. We assessed completeness of obliteration of the target veins, frequency of the development of typical undesirable events (ecchymoses, phlebitides, hyperpigmentation and neovasculogenesis), as well as the composite discomfort score according to an 11-point visual analogue scale. It was determined that using the pneumatic bandage with cryoelements as compared with the traditional compression stockings significantly decreased the frequency of the development of typical undesirable events after phlebosclerosing treatment, such as formation of ecchymoses, phlebitides, hyperpigmentation and neovasculogenesis. Significance of differences was revealed as early as 7 days after sclerotherapy, to be increasing during further dynamic follow up. By convenience for the patients, the use of the short-term pneumatic cryobandage was four times better than wearing the compression stockings. A conclusion was drawn that while carrying out sclerotherapy of reticular veins and telangiectasias short-term pneumatic cryocompression by efficacy and safety was not inferior to the traditional medical stockings (RAL standard) and made it possible to significantly decrease the incidence of the known undesirable events after phlebosclerosing treatment.

Authors+Show Affiliations

Russian National Research Medical University named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.Russian National Research Medical University named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.Russian National Research Medical University named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.Russian National Research Medical University named after N.I. Pirogov under the RF Ministry of Public Health, Moscow, Russia.

Pub Type(s)

Journal Article
Observational Study

Language

rus

PubMed ID

30321152

Citation

Bogachev, V Iu, et al. "[Cryocompression Sclerotherapy of Reticular Veins and Teleangiectasias]." Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery, vol. 24, no. 3, 2018, pp. 92-97.
Bogachev VI, Kuznetsov MR, Lobanov VN, et al. [Cryocompression sclerotherapy of reticular veins and teleangiectasias]. Angiol Sosud Khir. 2018;24(3):92-97.
Bogachev, V. I., Kuznetsov, M. R., Lobanov, V. N., & Turkin, P. I. (2018). [Cryocompression sclerotherapy of reticular veins and teleangiectasias]. Angiologiia I Sosudistaia Khirurgiia = Angiology and Vascular Surgery, 24(3), 92-97.
Bogachev VI, et al. [Cryocompression Sclerotherapy of Reticular Veins and Teleangiectasias]. Angiol Sosud Khir. 2018;24(3):92-97. PubMed PMID: 30321152.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Cryocompression sclerotherapy of reticular veins and teleangiectasias]. AU - Bogachev,V Iu, AU - Kuznetsov,M R, AU - Lobanov,V N, AU - Turkin,P Iu, PY - 2018/10/16/entrez PY - 2018/10/16/pubmed PY - 2018/12/12/medline SP - 92 EP - 97 JF - Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery JO - Angiol Sosud Khir VL - 24 IS - 3 N2 - Compression serves as an important component for carrying out successful and safe phlebosclerosing treatment. At the same time, the necessity of wearing compression hosiery or bandages is associated with known limitations and objections of patients, especially in a hot season. We comparatively assessed efficacy of usual compression stockings and a short-term pneumatic bandage with cryoelements while carrying out sclerosing treatment of dilated intradermal veins. Our open prospective observational study included a total of fifty 18-to-35-year-old women. After performing standardized sclerotherapy of reticular veins and telangiectasias on the symmetrical portions of the lower limbs, a pneumatic cryocompression bandage with a pressure of 50 mmHg was applied onto one of the limbs for 15 minutes, with a class 2 compression (RAL standard) medical stocking put on the other limb to be worn by the patients at daytime for 10 days. We assessed completeness of obliteration of the target veins, frequency of the development of typical undesirable events (ecchymoses, phlebitides, hyperpigmentation and neovasculogenesis), as well as the composite discomfort score according to an 11-point visual analogue scale. It was determined that using the pneumatic bandage with cryoelements as compared with the traditional compression stockings significantly decreased the frequency of the development of typical undesirable events after phlebosclerosing treatment, such as formation of ecchymoses, phlebitides, hyperpigmentation and neovasculogenesis. Significance of differences was revealed as early as 7 days after sclerotherapy, to be increasing during further dynamic follow up. By convenience for the patients, the use of the short-term pneumatic cryobandage was four times better than wearing the compression stockings. A conclusion was drawn that while carrying out sclerotherapy of reticular veins and telangiectasias short-term pneumatic cryocompression by efficacy and safety was not inferior to the traditional medical stockings (RAL standard) and made it possible to significantly decrease the incidence of the known undesirable events after phlebosclerosing treatment. SN - 1027-6661 UR - https://www.unboundmedicine.com/medline/citation/30321152/[Cryocompression_sclerotherapy_of_reticular_veins_and_teleangiectasias]_ L2 - https://medlineplus.gov/varicoseveins.html DB - PRIME DP - Unbound Medicine ER -