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International Journal of Cardiovascular ResearchISSN: 2324-8602

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Research Article, Int J Cardiovas Res Vol: 5 Issue: 4

Ultrasound Guided Foam Sclerotherapy in the Treatment of Great Saphenous Primary Varicose Veins

Osama Lamie Nakhla1*, Khaled Helmy El Khaffas2, Walid Ali El Baz3, Ahmed Sayed Abd El Basset4
1Department of Radiology, Faculty of Medicine, Beni Sueif University, Egypt.
2Department of Radiology, Faculty of Medicine, Cairo University, Egypt
3Department of General and Vascular Surgery, Faculty of Medicine, Beni Sueif University, Egypt.
4Department of Radiology, Faculty of Medicine, Beni Sueif Uni
Corresponding author : Osama Lamie Nakhla
Beni Suef University Faculty of Medicine, Beni Suef, Egypt
E-mail: [email protected]
Received: April 06, 2016 Accepted: July 08, 2016 Published: July 14, 2016
Citation: Nakhla OL, Khaffas KHE, Baz WAE, Basset ASAE (2016) Ultrasound Guided Foam Sclerotherapy in the Treatment of Great Saphenous Primary Varicose Veins. Int J Cardiovasc Res 5:4. doi:10.4172/2324-8602.1000276

Abstract

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.

Keywords: Ultrasound guided foam sclerotherapy; Great saphenous varicose veins; Endovenous laser ablation; Radiofrequency ablation

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