Combined Coil Embolization and Foam Sclerotherapy for the Management of Varicose Veins

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• 作者：Ahmed Kayssi¹ ; ^{ahmed.kayssi@mail.utoronto.ca} ; George Oreopoulos¹ ; ² ; Kong T. Tan² ; Jeffrey Jaskolka²
• 刊名：Annals of Vascular Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：38
• 期：Complete
• 页码：293-297
• 全文大小：422 K
• 卷排序：38

文摘

We propose a novel technique for endovenous treatment of varicose veins (VVs) using combined coil embolization and foam sclerotherapy of the great saphenous vein (GSV).MethodsA retrospective case-series analysis on patients undergoing fluoroscopically guided coil embolization of the GSV and foam sclerotherapy of the GSV and below-knee varices at a single Canadian center.ResultsTwenty-two patients underwent the procedure on 23 legs. Most patients (78.3%) presented for follow-up 57.2 ± 21.9 days postoperatively. Doppler studies demonstrated complete GSV occlusion in all patients. While 3 patients (13.6%) noted skin discoloration overlying the treated VVs, none complained of pain on follow-up or developed leg numbness, deep vein thrombosis, or pulmonary emboli.ConclusionsCoil embolization and foam sclerotherapy are a novel and effective treatment for VVs that uses existing and readily available angiographic equipment.