Ultrasound Guided Foam Sclerotherapy in the Treatment of Great Saphenous Primary Varicose Veins
Purpose: To present the technical aspect of the UGFS, and evaluate its efficiency in the management of GSV varicosities. Patients and methods: 100 patients (57 female and 43 male with age ranges from 16 to 55 years) with great saphenous vein primary varicosities were treated by UGFS on outpatient basis. Foam was generated by the Tessari method using Policonadol 2% and 3% as sclerosent material. One week, one month and 6months post intervention follow up using clinical examination and duplex scanning was used to asses outcome and detect complications. Results: After 6 months period ,On duplex scanning 88% of the patients showed successful Injection (83%) showed complete obliteration of the GSV and (5%) showed partial occlusion with no evidence of reflux) yet 12 % showed partial occlusion with reflux. 28% of patients needed re-injection during this period for one or more times to achieve this result. No major complications in this study, however 19% of patients had some skin pigmentation and 5 % had thrombophlebitis. Conclusion: This study showed that UGFS is safe, repeatable an effective mean of treating primary varicosities of the GSV.