Role of Catheter-directed Foam Sclerotherapy in Treatment of Lower Limbs Primary Varicose Vein

Gamal, Waleed Mohammed; Hassaballah, Ayman Elsaed; Monofy, Abdelrahman Gamal; Mohammed, Abdelraheem Fathy

doi:10.21608/svuijm.2024.252821.1751

Role of Catheter-directed Foam Sclerotherapy in Treatment of Lower Limbs Primary Varicose Vein

Document Type : Original research articles

Authors

¹ Department of Vascular Surgery ,Faculty of Medicine , South Valley University, Qena, Egypt.

² Department of Vascular Surgery, Faculty of Medicine, Assuit University, Assiut, Egypt.

10.21608/svuijm.2024.252821.1751

Abstract

Background: Spider telangiectasias, reticular veins, and true varicosities are all common kinds of varicose veins. If spider telangiectasias and reticular veins are included, it affects 80% of men and 85% of women. Varicose veins affect 22 million women and 11 million men between the ages of 40 and 80.
Objectives: Evaluate the role of Catheter-directed Foam Sclerotherapy in Treatment of Lower Limbs Primary Varicose Vein
Patients and methods: This randomized controlled clinical trial included patients from Qena University Hospital, South Valley University's vascular surgery outpatient clinics. 60 patients had catheter-directed foam sclerotherapy and were monitored clinically by CEAP classification, venous clinical severity score, and venous duplex.
Results: The study included 24 males, 36 females (average age 34.45±7.243). Most had left saphenous vein incompetence (65.0%). Preoperative GSV diameter: 4-9 (mean 6.27±1.103). After one week, 75.0% had GSV obstruction (63.3% after one year). Partial GSV recanalization without reflux: 16.7% after one year. After one week, 8.3% had partial GSV reflux recanalization, 13.3% after one year. GSV reflux recanalization: 1.7% after one week, 6.7% after one year. Technical success: 80.0% after one year (down from 90.0% after one week). Hyperpigmentation: 6.7%, thrombophlebitis: 3.3%. CEAP classification pre-treatment: C2(50.0%), C3(40.0%), C4(10.0%). After one year: C0(60.0%), C1(31.6%), C2(3.3%), C3(5.0%). Pre-procedure VCSS: 2-9 (mean 4.75±1.46), decreased to 1.39±1.41 after one year.
Conclusion: Catheter-directed Foam sclerotherapy is safe , effective available method to manage lower limbs varicose veins with the advantage of shorter time of admission with less complication than traditional method.

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