Catheter-directed foam sclerotherapy for chronic venous leg ulcers.
OBJECTIVE
This study presents the results of catheter-directed foam sclerotherapy (CDS) for chronic venous ulcer refractory to compression treatment, four weeks and one year after treatment.


METHODS
In sum, 31 patients (32 limbs) with refractory chronic venous ulcer and duplex-verified superficial insufficiency were offered CDS. CDS was conducted with 10 ml of sclerosant foam of 3% polidocanol. Four weeks and one year after treatment, the patients were evaluated regarding ulcer healing and ultrasound appearance of the saphenous trunk.


RESULTS
CDS was successfully performed in all patients. After one year, 65% of the ulcers were healed. Only two (6%) recurred. 86% of the treated saphenous trunk were completely occluded, 3% was partly occluded and 10% were recanalised. No serious side effects occurred.


CONCLUSIONS
CDS is one alternative of eliminating superficial venous reflux when treating refractory venous leg ulcers. This study suggests that the treatment is safe and induce a quick ulcer healing.
Department of Surgery and Oncology, Hospital of Halmstad, Sweden.
Caroline
C
Williamsson
Department of Surgery and Oncology, Hospital of Halmstad, Sweden peter.danielsson@regionhalland.se.
Peter
P
Danielsson
Department of Surgery and Oncology, Hospital of Halmstad, Sweden.
Lennart
L
Smith
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002404:Catheterization; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012008:Recurrence; D012501:Saphenous Vein / Q000000981:diagnostic imaging; D012597:Sclerosing Solutions / Q000008:administration & dosage / Q000627:therapeutic use*; D015911:Sclerotherapy / Q000295:instrumentation / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography; D014647:Varicose Ulcer / Q000000981:diagnostic imaging / Q000628:therapy*; D014689:Venous Insufficiency / Q000000981:diagnostic imaging
D012597:Sclerosing Solutions
Chronic venous ulcers; catheter-directed foam sclerotherapy; endovenous technique; polidocanol