63 - Freie Mitteilung
16. Mai 2019, 13:45 - 15:15, Sopra Grande, 4. OG
Catheter foam sclerotherapy: A valid and safe alternative for small saphenous vein incontinence
F. Strano, A. Huot, C. Bron, H. Probst, Presenter: A. Huot (Morges)
Endovenous thermal ablation therapy for varicose veins is nowadays a well established alternative to conventional surgery with similar short and medium term results. Catheter foam sclerotherapy (CFS) is also recommended as a safe therapy for incompetent saphenous veins (GRADE 1A). Although this treatment has an higher recurrence rate compared to the other procedures. Adjuncts as intra-saphenous saline irrigation(ISI) and peri-saphenous tumescence (PST) were recently described to improve its outcomes. As small saphenous vein (SSV) treatment is often altered by neurological complications, we consider this new technique in this specific indication.The purpose of this study is to assess the safety and short-term results of this procedure in the SSV treatment.
Retrospective monocentric analysis was carried out between March 2017 and December 2018. 30 consecutive patients with SSV incompetence were enrolled and submitted to CFS, after ISI and PST. By means of peri-operative venous ultrasound (US), Lauromacrogol (400) 1% sclerosant foam was injected directly in SSV trunk through a long introducer. The surgical gesture was completed with phlebectomies. At the end of the procedure each patient worn an elastic bandage and injected subcutaneously low-molecular-weight-heparine for 10 days.Post-operative clinical and duplex US control were performed at 10 days and 6 months.
30 patients were available for follow-up at 10 days and 6 months. The occlusion rate in the respectively periods was 100%. The main complications were bruising and local pain in the areas of phlebectomies treated with NSAI and local cooling. No nervous injuries, no infection neither phlebitis were observed.
CFS applied to small saphenous vein gives promising results as other endovenous procedure in term of safety and occlusion rate at short term.This procedure could be considered a good alternative for SSV incompetence lowering the neurological complication rate.