title: Retrograde mechanico-chemical endovenous ablation of infrageniculate great saphenous vein for persistent venous stasis ulcers.
abstract: OBJECTIVE
  To present the use of retrograde mechanico-chemical endovenous ablation for ablating the remaining below-knee great saphenous vein in patients with venous stasis ulcers persisting after above-knee great saphenous vein ablation.
  
  
  METHODS
  This small study includes six patients with persistent C6EpAsPr ulcers following above-knee great saphenous vein ablation with no incompetent perforators. They were treated using retrograde mechanico-chemical endovenous ablation approach followed by Unna therapy, followed up on post op days 3 and 30 with ultrasound, and subsequent weekly visits until the wound healed.
  
  
  RESULTS
  Six patients (four men and two women), have average ulcer size of 4.1 cm(2). There was no nerve injury or other complications after mechanico-chemical endovenous ablation. These patients had an average of 28 ± 11 days healing time, compared with a mean of five months in traditional method.
  
  
  CONCLUSIONS
  Mechanico-chemical endovenous ablation can be safe and effective in the treatment of patients with below-knee great saphenous vein insufficiency with venous ulcers.
authors: St. Elizabeth Medical Center, NY, USA leoandtina@aol.com.
authors: Leo P
authors: LP
authors: Sullivan
authors: Touro College of Osteopathic Medicine, NY, USA.
authors: Giang
authors: G
authors: Quach
authors: Surgical Associates of Utica, NY, USA.
authors: Tina
authors: T
authors: Chapman
mesh_terms: D017115:Catheter Ablation / Q000379:methods*; D003131:Combined Modality Therapy; D003646:Debridement; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000601:surgery*; D012597:Sclerosing Solutions / Q000008:administration & dosage; D015911:Sclerotherapy / Q000379:methods*; D017768:Skin, Artificial; D053828:Stockings, Compression; D014463:Ultrasonography; D014647:Varicose Ulcer / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D014945:Wound Healing
chemical_list: D012597:Sclerosing Solutions
keywords: Retrograde mechanico-chemical endovenous ablation; ablation of great saphenous vein; infrageniculate great saphenous vein ablation; modified mechanico-chemical endovenous ablation; venous stasis ulcers