Hahn M, Schulz T, Jünger M
Dermatology Private Practice, Rottweil, Germany.
Vasa. 2010 Feb;39(1):108-10. doi: 10.1024/0301-1526/a000013.
Foam sclerotherapy is a safe, effective and increasingly widespread method of treating varicose veins. A case of ischemic stroke is described with reversible symptoms five days after polidocanol foam sclerotherapy was repeated in a 48-year-old female patient with a patent foramen ovale that was undetected at the time of sclerotherapy. The first foam sclerotherapy treatment had been tolerated well without complications. While acute neurological events immediately after sclerotherapy for varicose veins have been described repeatedly in the literature, this report is only the third case described worldwide of paradoxical embolism as a possible late complication of foam sclerotherapy for varicose veins.
泡沫硬化疗法是一种安全、有效且应用日益广泛的治疗静脉曲张的方法。本文描述了一例48岁女性患者的缺血性中风病例，该患者患有卵圆孔未闭，在泡沫硬化疗法时未被发现，在重复使用聚多卡醇泡沫硬化疗法五天后出现了可逆性症状。首次泡沫硬化疗法耐受性良好，未出现并发症。虽然文献中多次描述了静脉曲张硬化疗法后立即出现的急性神经事件，但本报告是世界范围内描述的第三例将反常栓塞作为静脉曲张泡沫硬化疗法可能的晚期并发症的病例。
