Document Detail


Late follow-up of saphenofemoral junction ligation combined with ultrasound-guided foam sclerotherapy in patients with venous ulcers.
MedLine Citation:
PMID:  22944569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Venous ulcers are a frequent complication of venous disease, and a variety of healing methods have been proposed for these lesions. The objective of this study was to provide late follow-up data for a group of patients with venous ulcers who presented with advanced chronic venous insufficiency and were treated with saphenofemoral junction ligation combined with ultrasound-guided foam sclerotherapy.
METHODS: This was a prospective study of 35 patients. Patients were classified as CEAP6 and were followed during a 45- to 68-month period. The following variables were assessed: wound healing, ultrasound findings, and venous clinical severity scores.
RESULTS: The following ultrasound findings were observed: total and partial recanalization in 19 patients (treatment failure) and occlusion in 13 patients (treatment success). Two patients were lost to follow-up, and one patient died. Ulcers healed between 30 and 70 days and remained closed for a mean period of 48 months (Kaplan-Meyer method). The analysis of clinical severity scores (pain, edema, pigmentation, lipodermatosclerosis, and inflammation) revealed significant improvement when comparing pre- and post-treatment results.
CONCLUSION: Our preliminary findings suggest that saphenofemoral junction ligation combined with ultrasound-guided foam sclerotherapy is a feasible and simple palliative treatment method for this group of patients.
Authors:
Marcondes Figueiredo; Salustiano P de Araujo; Matheus Fidélis Figueiredo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of vascular surgery     Volume:  26     ISSN:  1615-5947     ISO Abbreviation:  Ann Vasc Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-09-04     Completed Date:  2013-02-26     Revised Date:  2013-12-03    
Medline Journal Info:
Nlm Unique ID:  8703941     Medline TA:  Ann Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  977-81     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Annals of Vascular Surgery Inc. Published by Elsevier Inc. All rights reserved.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chronic Disease
Female
Femoral Vein / surgery*,  ultrasonography
Follow-Up Studies
Humans
Kaplan-Meier Estimate
Ligation
Male
Middle Aged
Palliative Care
Prospective Studies
Saphenous Vein / surgery*,  ultrasonography
Sclerosing Solutions / administration & dosage*,  adverse effects
Sclerotherapy* / adverse effects
Severity of Illness Index
Time Factors
Treatment Outcome
Ultrasonography, Interventional*
Varicose Ulcer / etiology,  surgery,  therapy*,  ultrasonography
Vascular Surgical Procedures* / adverse effects
Venous Insufficiency / complications,  surgery,  therapy*,  ultrasonography
Wound Healing
Chemical
Reg. No./Substance:
0/Sclerosing Solutions
Comments/Corrections
Comment In:
Ann Vasc Surg. 2013 Nov;27(8):1228   [PMID:  23972637 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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