Medium-and long-term effects of DSA-guided foam sclerotherapy for lower extremity varicosities
10.13929/j.issn.1672-8475.2020.11.005
- VernacularTitle: DSA引导泡沫硬化治疗下肢静脉曲张中长期效果
- Author:
Xuxia HE
1
Author Information
1. Department of Medical Imaging Center, Shunde Hospital Guangzhou University of Traditional Chinese Medicine
- Publication Type:Journal Article
- Keywords:
Embolization, therapeutic;
Foam sclerotherapy;
Lower extremity;
Radiology, interventional;
Varicose veins
- From:
Chinese Journal of Interventional Imaging and Therapy
2020;17(11):659-662
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To observe the effect of DSA-guided foam sclerotherapy for lower extremity varicose veins and its influence on patients' quality of life. Methods: Totally 573 patients (744 limbs) with lower extremity varicosities were treated with DSA-guided foam sclerotherapy and were followed up for 4 years. The health survey short form 12 (SF-12) and venous clinical severity score (VCSS) were counted before treatment and 1, 2, 3 and 4 years after treatment. The expectation for efficacy and treatment satisfaction were collected through filling questionnaires for the lower extremity symptom improvement 4 years after treatment. Results: All the limbs were successfully treated, the average usage of the foam was (21.62±10.83) ml/limb, and no severe side effects such as deep venous thrombosis or pulmonary embolism happened during or after procedures. Both physical component summary (PCS) score and mental component summary (MCS) score in SF-12 scale increased 1, 2, 3 and 4 years after treatment compared with that before treatment (all P<0.05), while VCSS decreased compared with that before treatment (all P<0.01). Upon the time of 4-year follow-up, the proportions of patients' expectations for improvement of appearance, pain, itching, swelling and heaviness of the affected limbs exceeded expectations + reached expectations were 100% (91/91), 100% (36/36), 93.55% (29/31), 88.46% (23/26) and 91.38% (53/58), respectively. The patients' overall satisfaction on the treatment was 100% (72/72). Conclusion: The medium- and long-term efficacy of DSA-guided foam sclerotherapy for lower extremity varicose veins were good, and the quality of life was improved.
