One-shot scleroembolization: a new technique for the treatment of varicose veins disease of lower extremities. Preliminary results.
OBJECTIVE
The aim of this article is to present a new technique for minimally invasive treatment of varicose veins disease of lower extremities.


METHODS
One-shot scleroembolization is a new technique designed for the treatment of varicose veins of the lower extremities, which associates a mechanical interruption of the sapheno-femoral junction to classic sclerotherapy with no need for surgery or anesthesia. This is achieved with the combined use of a coil positioned in the terminal portion of the great saphenous vein and a foamed sclerosant drug.


RESULTS
At three months' follow-up no complications have been observed. The great saphenous vein was still occluded in all patients (nine out of nine).


CONCLUSIONS
One-shot scleroembolization seems to be an effective technique for the treatment of varicose veins disease in outpatients, with the advantage of causing little distress to the patient.
Vascular Surgery Unit, Azienda Ospedaliera Fatebenefratelli, Milan, Italy.
Marco P
MP
Viani
Vita-Salute San Raffaele University, Milan, Italy giacomo.viani@gmail.com.
Giacomo M
GM
Viani
Vita-Salute San Raffaele University, Milan, Italy.
Jessica
J
Sergenti
D000368:Aged; D003131:Combined Modality Therapy; D058128:Compression Bandages; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011092:Polyethylene Glycols / Q000008:administration & dosage / Q000627:therapeutic use*; D011446:Prospective Studies; D012008:Recurrence; D012501:Saphenous Vein / Q000000981:diagnostic imaging; D012597:Sclerosing Solutions / Q000008:administration & dosage / Q000627:therapeutic use*; D015911:Sclerotherapy / Q000379:methods*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D014648:Varicose Veins / Q000000981:diagnostic imaging / Q000628:therapy*
D012597:Sclerosing Solutions; D011092:Polyethylene Glycols
Varicose veins; endovenous technique; foam sclerotherapy