Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.

Abstract

OBJECTIVES:

To portray the initial experience at a public health center of the Federal District of Brazil in the treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy in patients in advanced stages of the disease.

METHOD:

Eighty-seven reports of patients in C5 and C6 stages, according to CEAP classification, were evaluated for clinical improvements, ulcer-healing rates, and complications of ultrasound-guided foam sclerotherapy. McNemar test was used for statistical analysis with the level of significance set at 5% (P-value, 0.05).

RESULTS:

The results showed high rates of ulcer healing (85%) and significant improvement of symptoms after treatment, such as pain, heaviness, fatigue, burning, paresthesia, and itching (P < 0.0001).

CONCLUSIONS:

An outpatient, low-cost and high-resolution technique, without the need for hospitalization and use of the operating room showed to be a safe and effective alternative for the treatment of varicose disease associated with severe chronic venous insufficiency.

• Authors: F Coelho Neto, G R de Araújo, I Moraes Kessler, R Fernandes Batista de Amorim, D Pinheiro Falcão
• Journal: Phlebology (Phlebology) Vol. 30 Issue 2 Pg. 113-8 (Mar 2015) ISSN: 1758-1125 [Electronic] England
• PMID: 24335090 (Publication Type: Clinical Trial, Journal Article)
• Copyright: © The Author(s) 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Topics

• Adult
• Aged
• Brazil
• Chronic Disease
• Female
• Humans
• Male
• Middle Aged
• Retrospective Studies
• Sclerotherapy (methods)
• Severity of Illness Index
• Ultrasonography
• Venous Insufficiency (diagnostic imaging, therapy)