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Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein

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Last updated: 03 Jan 2025

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Abstract

Background: Varicose veins is a common health problem, with an estimated prevalence of greater than 20% (range 21.8% to 29.4%). Approximately 5% (range 3.6% to 8.6%) have venous oedema, skin changes or ulceration. Chronic venous disease (CVD) is the most common venous disorder. It is caused by venous hypertension due to either reflux, outflow obstruction or both. Aim of the Work: The aim of the work was to review the feasibility and efficacy of catheter-directed foam sclerotherapy in treatment of saphenous vein incompetence. Patients and Methods: This clinical trial was conducted at vascular surgery department at Al Azhar University Hospital. The study included 25 patients suffering from primary varicose vein. All patients were belonging to class C2 to C4 Ep as Pr according to CEAP classification. This mean: C2 to C4 clinically stage to stage venous disease in which there were uncomplicated, moderate to severe varicosities. Ep etiologically the disease was primary with well functioning deep system. Anatomically, the varicosities affected the superficial system mainly the great saphenous vein. Results: Between March 2017 and March 2018, 25 patients (25 limbs) were treated with CDFS at vascular department ā€“ Al-Azhar University hospitals. Demographic data and severity of venous disease are shown in Table below. Conclusion: The use of this catheter based technique facilitated foam sclerotherapy with a high primary and acceptable short-term occlusion rates, and low numbers of complications. Further studies are required to evaluate how the migration of foam into the common femoral vein can be diminished and whether the techniques used in this study of leg elevation and manual compression provide any advantage.

DOI

10.21608/ejhm.2018.9136

Keywords

Catheter Directed Foam Sclerotherapy, Tumescent Local Anesthesia, Axial Varicose Vein

Authors

First Name

Mohamed Atef

Last Name

Bayoumi

MiddleName

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Affiliation

Vascular Surgery Department, Faculty of Medicine, Al-Azhar University

Email

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Orcid

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First Name

Mohamed Yahia

Last Name

Zakaria

MiddleName

-

Affiliation

Vascular Surgery Department, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

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First Name

Foad Mohamed

Last Name

Ahmed

MiddleName

-

Affiliation

Vascular Surgery Department, Faculty of Medicine, Al-Azhar University

Email

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City

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Orcid

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Volume

72

Article Issue

3

Related Issue

1778

Issue Date

2018-07-01

Receive Date

2018-07-15

Publish Date

2018-07-01

Page Start

4,185

Page End

4,188

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 72_Issue 3_Pages 4185-4188.pdf

PDF . 280.7kB

Link

https://ejhm.journals.ekb.eg/article_9136.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=9136

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24

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Feasibility and Safety of Catheter Directed Foam Sclerotherapy Combined with Tumescent Local Anesthesia for Treatment of Axial Varicose Vein

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Article

Created At

22 Jan 2023