Clinical analysis of digital subtraction angiography-guided foam sclerotherapy for lower limb varicose veins
10.3969/j.issn.1002-1671.2024.09.025
- VernacularTitle:数字减影血管造影引导下泡沫硬化治疗下肢静脉曲张临床分析
- Author:
Weiguang SHEN
1
;
Xiaodong JIANG
;
Qingjie CHI
;
Wenbin DING
Author Information
1. 南通大学第二附属医院介入科,江苏 南通 226001
- Keywords:
digital subtraction angiography;
foam sclerotherapy;
lower limb varicose veins
- From:
Journal of Practical Radiology
2024;40(9):1508-1510,1522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of digital subtraction angiography(DSA)-guided foam sclerotherapy on lower limb varicose veins.Methods The relevant data of patients with lower limb varicose veins treated by DSA-guided foam sclerotherapy were analyzed retrospectively.At the same time,the safety and efficacy were compared before and after operation according to clinical etiology anatomy pathophysiology(CEAP)and clinical symptoms.Results Among the 278 affected limbs treated,2(0.72%)had neurological complications during treatment,8(2.88%)had chest tightness or cough during treatment,7(2.52%)had thrombophlebitis after treatment,and 28(10.07%)had hyperpigmentation after treatment.No serious complications such as skin necrosis,deep vein thrombosis(DVT)or pulmonary embolism(PE)occurred.There were 48 cases of grade C1 and 201 cases of grade C2 before treat-ment,while 244 cases of grade C0 and 26 cases of grade C1 after treatment,and the differences were statistically significant(P<0.05).Conclusion DSA-guided foam sclerotherapy on lower limb varicose veins is a safe and effective minimally invasive treatment with high technical success rate.