DSA-guided foam sclerotherapy of lauromacrogol in treatment of lower extremity varicose veins
10.3969/j.issn.1002-1671.2014.10.030
- VernacularTitle:DSA引导下使用聚桂醇泡沫硬化剂治疗下肢静脉曲张
- Author:
Ruhu YAN
;
Weifu Lü
;
Wangao ZHANG
;
Daqing CHEN
;
Qiancheng WANG
;
Yunpeng XU
;
Yuanyuan WU
- Publication Type:Journal Article
- Keywords:
digital subtraction angiography;
varicose vein;
foam sclerotherapy;
lauromacrogol
- From:
Journal of Practical Radiology
2014;(10):1719-1722,1726
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effect of DSA-guided foam sclerotherapy for lower extremity varicose veins.Methods A total of 41 legs in 26 patients with lower extremity varicose veins were treated with foam sclerosing agent of lauromacrogol un-der DSA guidance.4 cases with venous return disorder (3 in iliac vein and 1 in inferior vena cava)were treated with balloon dilatation first,and then lauromacrogol foam sclerotherapy after 24 hours.For injection method,2 patients were injected sclerosing agent through a catheter inserted in the trunk of great saphenous vein of sick limb with retrograde catheterization,and the others were in-j ected sclerosing agent directly in the varicose veins.Results The sclerotherapy was successfully accomplished in all affected limbs of 26 patients.The average dose of lauromacrogol for each patient was 5.88 mL.No serious complications occurred during and after operation.In 1 to 12-month follow-up,varicose veins disappeared in 24 patients (92.3%),the soreness,fatigue and pigmentations disappeared in all patients,the ulcer healed in all limbs.Conclusion DSA-guided foam sclerotherapy is a micro-invasive,safe and ef-fective treatment for lower extremity varicose veins.
