Journal «Angiology and Vascular Surgery» • 

2001 • VOLUME 7 • №2

PHLEBOSCLEROTIC THERAPY OF VARICOSE VEINS AND TELEANGIECTASIAS

Yu.M. Stojko, E.V. Shajdakov, V.V. Sabelnikov
Russian Military Medical Academy,
St-Petersburg, Russia

The aim of the study was to evaluate the appropriateness and effectiveness of various sclerotherapy methods for lower limb varicose veins. Materials and methods: after preliminary ultrasonic duplex scanning of lower limb veins in 187 patients with segmental varices without pathological veno-venous dumping and in 24 patients with segmental varices and solitary perforant refluxes sclerotherapy was carried out according to Fegan technique. The potential and effectiveness of sclerotherapy for communicating veins, teleangiectasias and reticular varices was also considered. Conclusion: sclerotherapy appeared to be a competent therapeutic modality for varicose veins. While surgical correction of phlebodynamics at special stages of chronic lower limb venous insufficiency is preferable, sclerotherapy can be used in combination with other methods for treatment of different disease manifestations. Long-term sclerotherapy outcomes showed high effectiveness of sodium tetradecylsulphate. Accounting allergological reactivity, the use of safe injection technique and adequate postinjectional compression can help to avoid possible special sclerotherapy complications in most of cases.

KEY WORDS: varicose veins, compression, sclerotherapy.

P. 52

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