Journal «Angiology and Vascular Surgery» • 

2015 • VOLUME 21 • №4

Results of ultrasound-guided foam sclerotherapy of the great saphenous vein according to the improved technique

Baeshko A.A.1,2, Shestak N.G.1, Korytko S.S.3, Kovalevich K.M.1, Vartanyan V.F.1

1) Chair of Operative Surgery and Topographical Anatomy, Byelorussian State Medical University,
2) Medical Centre "Ecomedservice",
3) Republican Centre of Medical Rehabilitation and Balneotherapy, Minsk, Belarus

Foam sclerotherapy is an innovative method of treatment for varicose disease, including its truncal forms, making it possible in outpatient conditions to achieve favourable therapeutic and cosmetic outcomes.

Analysed herein are the results of foam sclerotherapy of the great saphenous vein (GSV) and its tributaries in a total of 326 patients presenting with varicose disease of lower limbs (395 GSVs) according to the improved methodology (elevation of the extremity to 60°, crural bandage, use of a cooled sclerosant solution).

6–14 days after the first session of sclerotherapy, the control ultrasound examination confirmed occlusion of the GSV in its femoral segment with no reflux in 94.9% of cases (375 GSVs). At terms from 1 year to 5 years, occlusion was diagnosed in 91.1% of cases. Besides alterations in the ultrasound image of the venous superficial bed of the limb and reduction of the trunk of the GSV and its affluents, there was positive dynamics of the clinical symptomatology of the disease.

KEY WORDS: varicose disease, foam sclerotherapy, ultrasound guidance, great saphenous vein.

P. 134

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