Bayoumi, M., Zakaria, M., Ahmed, F. (2018). Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein. The Egyptian Journal of Hospital Medicine, 72(3), 4185-4188. doi: 10.21608/ejhm.2018.9136
Mohamed Atef Bayoumi; Mohamed Yahia Zakaria; Foad Mohamed Ahmed. "Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein". The Egyptian Journal of Hospital Medicine, 72, 3, 2018, 4185-4188. doi: 10.21608/ejhm.2018.9136
Bayoumi, M., Zakaria, M., Ahmed, F. (2018). 'Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein', The Egyptian Journal of Hospital Medicine, 72(3), pp. 4185-4188. doi: 10.21608/ejhm.2018.9136
Bayoumi, M., Zakaria, M., Ahmed, F. Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein. The Egyptian Journal of Hospital Medicine, 2018; 72(3): 4185-4188. doi: 10.21608/ejhm.2018.9136
Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein
Vascular Surgery Department, Faculty of Medicine, Al-Azhar University
Abstract
Background: Varicose veins is a common health problem, with an estimated prevalence of greater than 20% (range 21.8% to 29.4%). Approximately 5% (range 3.6% to 8.6%) have venous oedema, skin changes or ulceration. Chronic venous disease (CVD) is the most common venous disorder. It is caused by venous hypertension due to either reflux, outflow obstruction or both. Aim of the Work: The aim of the work was to review the feasibility and efficacy of catheter-directed foam sclerotherapy in treatment of saphenous vein incompetence. Patients and Methods: This clinical trial was conducted at vascular surgery department at Al Azhar University Hospital. The study included 25 patients suffering from primary varicose vein. All patients were belonging to class C2 to C4 Ep as Pr according to CEAP classification. This mean: C2 to C4 clinically stage to stage venous disease in which there were uncomplicated, moderate to severe varicosities. Ep etiologically the disease was primary with well functioning deep system. Anatomically, the varicosities affected the superficial system mainly the great saphenous vein. Results: Between March 2017 and March 2018, 25 patients (25 limbs) were treated with CDFS at vascular department – Al-Azhar University hospitals. Demographic data and severity of venous disease are shown in Table below. Conclusion: The use of this catheter based technique facilitated foam sclerotherapy with a high primary and acceptable short-term occlusion rates, and low numbers of complications. Further studies are required to evaluate how the migration of foam into the common femoral vein can be diminished and whether the techniques used in this study of leg elevation and manual compression provide any advantage.
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