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KMID : 0980120090080010009
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Annals of Phlebology
2009 Volume.8 No. 1 p.9 ~ p.11
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Small Saphenous Vein Treated by Ultrasound Guided Foam Sclerotherapy
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Kang Se-Hoon
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Abstract
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Purpose: To report the outcome of a series of patients with small saphenous vein due to incompetent saphenous trunks and varices of small saphenous vein managed by ultrasound guided foam sclerotherapy (UFS).
Method: A group of 201 patients comprise this series. CEAP clinical class for limbs was C1: 0%, C2: 97.2%, C3: 0.7%, C4: 2.1%, C5: 0%, C6: 0%. UFS using 3% sodium tetradecyl (287 limbs) was employed to treat incompetent small saphenous vein. In patients with unilateral varices 1 treatment was required in 42% of patients and 2 treatments in 49% of patients to obliterate incompetent saphenous trunks and varices of small saphenous veins. For bilateral varices 2 treatments were required in 41% of patients and 3 treatments in 45% of cases. The clinical outcome and patency of treated veins on duplex ultrasonography was assessed at a mean follow-up interval of 11 months.
Result: A total of 287 limbs were available for assessment at a follow-up interval of 6 months or greater. The CEAP clinical stage was C1: 0, C2: 279, C3: 2, C4: 6, C5: 0, C6: 0. The SSV had remained obliterated in 82% of limbs. Incompetent saphenous trunks and varices of small saphenous was effectively treated by UFS.
Conclusion: This technique is useful in the management of incompetent small saphenous vein alternative to surgery.
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KEYWORD
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Small saphenous vein, Foam sclerotherpaty
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