Kurdal A T, Yildirim F, Ozbakkaloglu A, Iskesen I, Tetik O
Department of Cardiovascular Surgery Celal Bayar University Medical Faculty Manisa, Turkey -
Minerva Chir. 2015 Feb;70(1):33-6.
The problem of varicose veins in the lower leg is a common disease and associated with long-term morbidity. It has usually been treated using high ligation with stripping and endovenous ablation surgery of the great saphenous vein. The aim of this paper is to report our own series of patients treated by ultrasound guided catheter directed foam sclerotherapy for the chemical ablation of great saphenous vein.
The study involved 108 legs with symptomatic varicose veins (C2-4) secondary to great saphenous vein insufficiency. The great saphenous vein was accessed at knee level. With the method of Tessari sclerosant foam was made (2 mL 3% polidocanol and 8 mL air) and delivered along the great saphenous vein while the catheter was withdrawn. At two and fifty two weeks after treatment the patients were evaluated.
Catheter-directed foam sclerotheraphy was successfully performed in all of the patients. Venous Clinic Severity Score was reduced significantly (P<0.05). Eighty nine percent of the GSV were completely occluded, 4% were partly occluded and 7% were recanalized. No serious side-effects occurred.
Catheter-directed foam sclerotheraphy is a safe, simple and minimally invasive procedure. Patient satisfaction was good and the occlusion rate is promising after a single treatment.
小腿静脉曲张问题是一种常见疾病，且与长期发病相关。其通常采用大隐静脉高位结扎剥脱术及腔内消融手术进行治疗。本文旨在报告我们采用超声引导下导管定向泡沫硬化疗法对大隐静脉进行化学消融治疗的一系列病例。
该研究纳入了108条因大隐静脉功能不全导致有症状静脉曲张（C2 - 4级）的下肢。在膝关节水平进入大隐静脉。采用泰萨里方法制作硬化剂泡沫（2毫升3%聚多卡醇和8毫升空气），并在导管回撤时沿大隐静脉注入。在治疗后2周和52周对患者进行评估。
所有患者均成功进行了导管定向泡沫硬化治疗。静脉临床严重程度评分显著降低（P<0.05）。89%的大隐静脉完全闭塞，4%部分闭塞，7%再通。未发生严重副作用。
导管定向泡沫硬化治疗是一种安全、简单且微创的手术。患者满意度良好，单次治疗后的闭塞率前景可观。
