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Phlebology. 2014 Dec;29(10):688-93. doi: 10.1177/0268355513505506. Epub 2013 Sep 26.

Catheter-directed foam sclerotherapy for chronic venous leg ulcers.

Author information

1
Department of Surgery and Oncology, Hospital of Halmstad, Sweden.
2
Department of Surgery and Oncology, Hospital of Halmstad, Sweden peter.danielsson@regionhalland.se.

Abstract

OBJECTIVES:

This study presents the results of catheter-directed foam sclerotherapy (CDS) for chronic venous ulcer refractory to compression treatment, four weeks and one year after treatment.

METHODS:

In sum, 31 patients (32 limbs) with refractory chronic venous ulcer and duplex-verified superficial insufficiency were offered CDS. CDS was conducted with 10 ml of sclerosant foam of 3% polidocanol. Four weeks and one year after treatment, the patients were evaluated regarding ulcer healing and ultrasound appearance of the saphenous trunk.

RESULTS:

CDS was successfully performed in all patients. After one year, 65% of the ulcers were healed. Only two (6%) recurred. 86% of the treated saphenous trunk were completely occluded, 3% was partly occluded and 10% were recanalised. No serious side effects occurred.

CONCLUSIONS:

CDS is one alternative of eliminating superficial venous reflux when treating refractory venous leg ulcers. This study suggests that the treatment is safe and induce a quick ulcer healing.

KEYWORDS:

Chronic venous ulcers; catheter-directed foam sclerotherapy; endovenous technique; polidocanol

PMID:
24072751
DOI:
10.1177/0268355513505506
[Indexed for MEDLINE]

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