Modified Tessari Tourbillon technique for making foam sclerotherapy with silicone-free syringes.

Abstract:

:The longevity of foam made using sodium tetradecyl sulphate and gas (air or a CO2:O2 mixture) is increased significantly if silicone-free syringes are used over the normal syringes containing silicone oil lubrication. However, the plungers in silicone-free syringes start sticking after several passages when making foam for sclerotherapy, preventing the smooth injection of the resulting foam. We describe a three syringe technique which allows foam to be made using the Tessari Tourbillon 'three-way stopcock' principle between two syringes, but with the foam ending up in a third syringe which has not undergone multiple passages of the plunger. This allows a smoother injection of the resultant foam, which is particularly useful when injecting small diameter veins under ultrasound control.

journal_name

Phlebology

journal_title

Phlebology

authors

Whiteley MS,Patel SB

doi

10.1177/0268355514554476

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

614-7

issue

9

eissn

0268-3555

issn

1758-1125

pii

0268355514554476

journal_volume

30

pub_type

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