Literature DB >> 17338683

Outcomes and side effects of duplex-guided sclerotherapy in the treatment of great saphenous veins with 1% versus 3% polidocanol foam: results of a randomized controlled trial with 1-year follow-up.

Roeland P M Ceulen1, Yolande I J M Bullens-Goessens, Sebastien J A Pi-VAN DE Venne, Patty J Nelemans, Joep C J M Veraart, Anja Sommer.   

Abstract

BACKGROUND: Eighty subjects were treated with either 1 or 3% polidocanol foam to compare the efficacy and adverse sequelae of each concentration of polidocanol foam.
OBJECTIVE: The objective was to compare the effects of two different concentrations of polidocanol foam.
MATERIAL AND METHODS: During a 6-month period, we treated 80 consecutive patients with primary incompetent great saphenous veins in combination with saphenofemoral junction incompetence. These patients were treated with foam of either 1 or 3% polidocanol. Duplex analyses were made before treatment and in follow-up visits to determine the presence or absence of reflux.
RESULTS: After 1 year, there was a clinically relevant difference in percentage of patients with occlusion of the treated great saphenous vein between both groups: 69.5% in the 1% foam group versus 80.1% in the 3% foam group; however, this difference was not statistically significant (p=.249). After 1 year of follow-up, patients in the 3% polidocanol group noticed a larger cosmetic improvement than patients in the 1% group.
CONCLUSIONS: In the treatment of primary incompetent greater saphenous veins, 3% polidocanol foam seems to be more effective than 1% polidocanol foam. The side effects were approximately similar in both groups.

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Year:  2007        PMID: 17338683     DOI: 10.1111/j.1524-4725.2007.33062.x

Source DB:  PubMed          Journal:  Dermatol Surg        ISSN: 1076-0512            Impact factor:   3.398


  12 in total

1.  [Treatment of primary varicosis].

Authors:  T Noppeney; H Nüllen
Journal:  Internist (Berl)       Date:  2010-03       Impact factor: 0.743

2.  [Modern varicose vein surgery].

Authors:  G Bruning; B Altmann
Journal:  Hautarzt       Date:  2011-05       Impact factor: 0.751

3.  Compression sclerotherapy for primary valvular insufficiency -from liquid to foam-.

Authors:  Takashi Yamaki
Journal:  Ann Vasc Dis       Date:  2010-07-21

Review 4.  [Guidelines for sclerotherapy of varicose veins : S2k guideline of the German Society of Phlebology (DGP) in cooperation with the following professional associations: DDG, DGA, DDG, BVP. German Version].

Authors:  E Rabe; F X Breu; I Flessenkämper; H Gerlach; S Guggenbichler; B Kahle; R Murena; S Reich-Schupke; T Schwarz; M Stücker; E Valesky; S Werth; F Pannier
Journal:  Hautarzt       Date:  2021-01       Impact factor: 0.751

Review 5.  Injection sclerotherapy for varicose veins.

Authors:  Ricardo de Ávila Oliveira; Rachel Riera; Vladimir Vasconcelos; Jose Cc Baptista-Silva
Journal:  Cochrane Database Syst Rev       Date:  2021-12-10

Review 6.  S2k guidelines: diagnosis and treatment of varicose veins.

Authors:  F Pannier; T Noppeney; J Alm; F X Breu; G Bruning; I Flessenkämper; H Gerlach; K Hartmann; B Kahle; H Kluess; E Mendoza; D Mühlberger; A Mumme; H Nüllen; K Rass; S Reich-Schupke; D Stenger; M Stücker; C G Schmedt; T Schwarz; J Tesmann; J Teßarek; S Werth; E Valesky
Journal:  Hautarzt       Date:  2022-04-19       Impact factor: 1.198

Review 7.  Polidocanol for endovenous microfoam sclerosant therapy.

Authors:  David M Eckmann
Journal:  Expert Opin Investig Drugs       Date:  2009-12       Impact factor: 6.206

8.  Mechanochemical tumescentless endovenous ablation: final results of the initial clinical trial.

Authors:  S Elias; J K Raines
Journal:  Phlebology       Date:  2011-07-29       Impact factor: 1.740

9.  Impact of radiofrequency ablation for patients with varicose veins on the budget of the German statutory health insurance system.

Authors:  Alexander Kuhlmann; Anne Prenzler; Jan Hacker; J-Matthias Graf von der Schulenburg
Journal:  Health Econ Rev       Date:  2013-04-03

10.  The role of clinically-relevant parameters on the cohesiveness of sclerosing foams in a biomimetic vein model.

Authors:  Dario Carugo; Dyan N Ankrett; Vincent O'Byrne; David D I Wright; Andrew L Lewis; Martyn Hill; Xunli Zhang
Journal:  J Mater Sci Mater Med       Date:  2015-10-08       Impact factor: 3.896

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