Document Detail

Posterolateral thigh perforator varicosities in 12 patients: a normal deep venous system and successful treatment with ultrasound-guided sclerotherapy.
MedLine Citation:
PMID:  17083586     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To determine whether in patients with posterolateral thigh perforator (PLTP) varicosities ultrasound-guided sclerotherapy (USGS) is successful and to determine any deep venous anomaly. PATIENTS: Twelve consecutive patients with PLTP varicosities were investigated and treated. DESIGN: In this prospective intervention study USGS of the PLTP with polidocanol microfoam 1-2% was performed with a maximal number of three treatments. Clinical pictures and Duplex imaging were performed before and after treatment. Ascending phlebography was performed in 9 patients. RESULTS: Ten patients showed a marked success, defined as no PLTP varicosities visible and no reflux detectable. In 2 patients there was moderate success. The mean number of treatments was 1.58, the mean diameter of the PLTP vein was reduced from 4.06 (range, 2.2-6.1) to 1.97 (range, 0-3.3) mm (p=0.003, Wilcoxon signed rank test). No serious side effects were noted. No deep venous anomaly was found in the phlebographic study. CONCLUSION: In patients with PLTP varicosities, USGS is very successful, with very few side effects. No deep venous anomalies were found in our study, which conforms to the literature.
Pierre van Neer; Joep C J M Veraart; Hamartino Neumann
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  32     ISSN:  1076-0512     ISO Abbreviation:  Dermatol Surg     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-06     Completed Date:  2006-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1346-52; discussion 1351-2     Citation Subset:  IM    
Department of Dermatology, Laurentius Hospital, Roermond, The Netherlands.
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MeSH Terms
Postoperative Complications
Prospective Studies
Regional Blood Flow
Sclerotherapy / methods*
Severity of Illness Index
Treatment Outcome
Ultrasonography, Doppler, Duplex
Ultrasonography, Interventional / methods*
Varicose Veins / pathology,  physiopathology,  surgery*,  ultrasonography
Venous Insufficiency

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