The role of ultrasound guided foam sclerotherapy in treatment of truncal varicose veins

Abstract

Objective: The aim of this study was to evaluate the role of ultrasound guided foam sclerotherapy in the treatment of lower limb truncal varicose veins. Subjects and methods: The study included 30 patients (9 males and 21 females) ranging from 20 to 40 y, with various degrees of varicose veins chosen from the vascular surgery department from April 2013 to April 2014. All patients are evaluated with color Doppler ultrasound system. Results: The study included nine males (30%) and 21 females (70%) with various degrees of varicose veins. Each case had foam injection under duplex guidance. All patients suffered from cosmetic disfigurement, whereas 24 patients (80%) complained of leg pain. In the first phase (after 2 weeks) 28 patients (93.3%) showed complete clinical improvement of the pre-interventional symptoms, while only 2 patients (6.7%) showed no improvement. Four patients (13.3%) suffered from complications in the form of thrombophlebitis. The 2nd phase follow up demonstrated the final patient’s outcomes. 86.7% of the subjected sample (26 patients) showed further improvement. Conclusion: Foam sclerotherapy is an effective, simple and safe technique for the treatment of truncal varicose veins with minimal complications.

Keywords

• US
• Sclerotherapy
• Varicose veins