title: Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil.
abstract: OBJECTIVE
  To portray the initial experience at a public health center of the Federal District of Brazil in the treatment of chronic venous insufficiency with ultrasound-guided foam sclerotherapy in patients in advanced stages of the disease.
  
  
  METHODS
  Eighty-seven reports of patients in C5 and C6 stages, according to CEAP classification, were evaluated for clinical improvements, ulcer-healing rates, and complications of ultrasound-guided foam sclerotherapy. McNemar test was used for statistical analysis with the level of significance set at 5% (P-value, 0.05).
  
  
  RESULTS
  The results showed high rates of ulcer healing (85%) and significant improvement of symptoms after treatment, such as pain, heaviness, fatigue, burning, paresthesia, and itching (P < 0.0001).
  
  
  CONCLUSIONS
  An outpatient, low-cost and high-resolution technique, without the need for hospitalization and use of the operating room showed to be a safe and effective alternative for the treatment of varicose disease associated with severe chronic venous insufficiency.
authors: School of Medicine, Universidade de Brasília, Brasília, Brazil contato@drfelipecoelho.com.br.
authors: F Coelho
authors: FC
authors: Neto
authors: Hospital Regional da Asa Norte, Brasília, Brazil.
authors: G R
authors: GR
authors: de Araújo
authors: School of Medicine, Universidade de Brasília, Brasília, Brazil.
authors: I Moraes
authors: IM
authors: Kessler
authors: School of Medicine, Universidade de Brasília, Brasília, Brazil.
authors: R Fernandes Batista
authors: RF
authors: de Amorim
authors: School of Medicine, Universidade de Brasília, Brasília, Brazil.
authors: D Pinheiro
authors: DP
authors: Falcão
mesh_terms: D000328:Adult; D000368:Aged; D001938:Brazil; D002908:Chronic Disease; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015911:Sclerotherapy / Q000379:methods*; D012720:Severity of Illness Index; D014463:Ultrasonography; D014689:Venous Insufficiency / Q000000981:diagnostic imaging / Q000628:therapy
keywords: Venous disease; sclerotherapy; varicose veins; venous ulceration