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

Abstract:

BACKGROUND: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). METHODS:A 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. RESULTS:Twenty-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. CONCLUSIONS:Coil embolization and foam sclerotherapy are a novel and effective treatment for VVs that uses existing and readily available angiographic equipment.

journal_name

Ann Vasc Surg

authors

Kayssi A,Oreopoulos G,Tan KT,Jaskolka J

doi

10.1016/j.avsg.2016.05.101

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

293-297

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(16)30624-0

journal_volume

38

pub_type

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