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Fluoroscopy-Guided Endovenous Foam Sclerotherapy Using a Microcatheter in Varicose Tributaries Followed by Endovenous Laser Treatment of Incompetent Saphenous Veins: Technical Feasibility and Early Results

Authors
Park, Sang WooYun, Ik JinHwang, Jae JoonLee, Song AmKim, Jun SeokChang, Seong-HwanChee, Hyun KeunKim, Ho ChulSun, KyungPark, Sang Joon
Issue Date
May-2009
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
DERMATOLOGIC SURGERY, v.35, no.5, pp 804 - 812
Pages
9
Indexed
SCIE
SCOPUS
Journal Title
DERMATOLOGIC SURGERY
Volume
35
Number
5
Start Page
804
End Page
812
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/120119
DOI
10.1111/j.1524-4725.2009.01136.x
ISSN
1076-0512
1524-4725
Abstract
To evaluate the technical feasibility and preliminary results of endovenous foam sclerotherapy using a microcatheter in varicose tributaries followed by endovenous laser treatment (EVLT) of incompetent saphenous veins. From July 2005 to August 2006, 312 patients (M:F=139:173, mean age 45.8) who presented with varicose veins with reflux in the saphenofemoral, saphenopopliteal junction or tributaries were enrolled. Under ultrasound or fluoroscopy guidance, selective microcatheterization and endovenous foam slcerotherapy were first performed in varicose tributaries, followed by EVLT (980 nm) of incompetent saphenous veins. Follow-up at 1-week and 1-, 3-, and 6-month intervals was done. Technical success was seen in 410 of 411 limbs (99%). Continued closure of the saphenous veins and the complete sclerosis of varicose tributaries were noted in 332 of 373 limbs (89%) at the 1-month follow-up, all 307 limbs (100%) at the 3-month follow-up, and all 274 limbs (100%) at the 6-month follow-up. No serious complication was noted. Endovenous foam sclerotherapy using a microcatheter in varicose tributaries followed by EVLT in incompetent saphenous veins is a safe, effective, and technically feasible treatment for varicose veins. It not only reduces additional sclerotherapy and technical failure, but also makes multiple therapeutic sessions unnecessary. The authors have indicated no significant interest with commercial supporters.
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