Document Detail


Review of published information on foam sclerotherapy.
MedLine Citation:
PMID:  20590705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: New data on foam sclerotherapy of varicose veins has been recently published. OBJECTIVE: To identify the current treatment modalities and their effectiveness in use of foam sclerotherapy. MATERIALS AND METHODS: Review of the recent literature regarding clinical treatment of varicose veins using foam sclerotherapy, with emphasis on safety and efficacy. RESULTS Foam sclerotherapy of the great saphenous vein is more effective than liquid. Higher sclerosant concentrations tend to induce higher occlusion. Catheter-assisted sclerotherapy may further improve occlusion rates. To achieve adequate occlusion, vein diameter and volume of foam must be matched. If a critical foam volume is exceeded, the risk of deep venous thrombosis increases. Foam sclerotherapy offers the possibility of using lower sclerosant concentrations than with liquids. Foam sclerotherapy can also be used in venous malformations and periulcerous tributaries. Side effects are hyperpigmentation, skin necrosis, scotoma, and thromboembolic events. Thromboembolism prophylaxis is necessary only in patients with special risk factors. CONCLUSION: Foam sclerotherapy has significantly better efficacy than liquid. It is essential to select the correct concentration and the correct foam volume. In the hands of an experienced physician, foam sclerotherapy is a safe and effective option for treating varicose veins.
Authors:
Markus Stücker; Stephan Kobus; Peter Altmeyer; Stefanie Reich-Schupke
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  36 Suppl 2     ISSN:  1524-4725     ISO Abbreviation:  Dermatol Surg     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  983-92     Citation Subset:  IM    
Affiliation:
Department of Dermatology and Vascular Surgery, Vein Centre-Ruhr-University Bochum, St Maria-Hilf-Hospital, Bochum, Germany. m.stuecker@derma.de
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MeSH Terms
Descriptor/Qualifier:
Bandages
Catheterization
Humans
Microbubbles
Punctures
Risk Factors
Saphenous Vein*
Sclerosing Solutions / administration & dosage,  adverse effects
Sclerotherapy / adverse effects,  methods*
Varicose Veins / pathology,  therapy*
Chemical
Reg. No./Substance:
0/Sclerosing Solutions

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


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