A new strategy in sclerotherapy of varicose veins.
OBJECTIVE
The aim of our study was to evaluate the efficacy of a new method of compression sclerotherapy of GSV and SSV.


METHODS
345 lower extremities with primary varicose veins, with a long reflux of the GSV (C2-6; Ep; As 2, 3; ± p; Pr), have been submitted to sclerotherapy applying the following method: injection of foam (Polidocanol 2%), or liquid sclerosant (iodate solution 4-6% or Polodocanol 3%) in the trunk of the GSV; echoguided compression of sapheno-femoral junction (performed using an inflatable device, the Safeguard); immediate eccentric positive compression on the trunk of the GSV; and short elastic bandage.


RESULTS
The results have shown that applying this method of sclerotherapy the failure rate decreases, independently to physical form of sclerosing agent.


CONCLUSIONS
The use of Safeguard® interrupts reflux to the lower veins, and these can so be well sclerosed and compressed with short elastic bandage.


BACKGROUND
Long compression, Foam, Saphenous vein Sclerotherapy varicose veins.
Francesco
F
Ferrara
Giovanni
G
Ferrara
Ermenegildo
E
Furino
Heinrich
H
Ebner
Gennaro
G
Quarto