Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://repositorio.unifesp.br/handle/11600/31957 http://dx.doi.org/10.1016/j.ejvs.2009.07.015 |
Resumo: | Objective: This study aims to compare venous clinical severity scores in patients with heated venous ulcers due to varicose veins of the tower limbs (the clinical, etiologic, anatomic, and pathophysiologic data (CEAP) classification: C(5) EpAsPr) treated by saphenous stripping and phlebectomy or by ultrasound-guided foam sclerotherapy.Method: Sixty patients were included: 29 underwent saphenous stripping and phlebectomy for varices in saphenous tributaries and 27 were treated by ultrasound-guided foam sclerotherapy; four cases were lost to follow-up. the main outcome measure was venous clinical severity scores (pain, oedema, inflammation, hyperpigmentation and lipodermatosclerosis). An ultrasound examination was carried out prior to treatment and 30, 60 and 180 days after the procedure to assess the relative efficacy of the methods in obliterating the saphenous trunk.Results: the mean venous clinical severity scores measured before and after 180 days were as follows: Surgery group - pain: before 1.97 standard deviation (SD) 0.19, 180 days 0.72 SD 0,53; oedema: before 1.66 SD 0.48, 180 days 0.55 SD 0.63; inflammation: before 1.55 SD 0.63, 180 days 0.72 SD 0.45. Foam sclerotherapy group - pain: before 1.81 SD 0.40, 180 days 0.56 SD 0.51; oedema: before 1.70 SD 0.47, 180 days 0.48 SD 0.64; inflammation: before 1.67 SD 0.68, after 0.89 SD 0.32. All scores showed statistically significant reductions in both patient groups. the saphenous vein had been obliterated, 180 days after treatment, in 78% of the surgery group, compared with 90% in the foam sclerotherapy group.Conclusions: Ultrasound-guided foam sclerotherapy is a safe and effective option for patients with chronic venous disorders. Crown Copyright (C) 2009 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. All rights reserved. |
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Figueiredo, Marcondes [UNIFESP]Araujo, Salustiano PereiraBarros Junior, Newton de [UNIFESP]Miranda Junior, Fausto [UNIFESP]Universidade Federal de São Paulo (UNIFESP)2016-01-24T13:58:56Z2016-01-24T13:58:56Z2009-12-01European Journal of Vascular and Endovascular Surgery. London: W B Saunders Co Ltd, v. 38, n. 6, p. 758-763, 2009.1078-5884http://repositorio.unifesp.br/handle/11600/31957http://dx.doi.org/10.1016/j.ejvs.2009.07.015WOS000273143400016.pdf10.1016/j.ejvs.2009.07.015WOS:000273143400016Objective: This study aims to compare venous clinical severity scores in patients with heated venous ulcers due to varicose veins of the tower limbs (the clinical, etiologic, anatomic, and pathophysiologic data (CEAP) classification: C(5) EpAsPr) treated by saphenous stripping and phlebectomy or by ultrasound-guided foam sclerotherapy.Method: Sixty patients were included: 29 underwent saphenous stripping and phlebectomy for varices in saphenous tributaries and 27 were treated by ultrasound-guided foam sclerotherapy; four cases were lost to follow-up. the main outcome measure was venous clinical severity scores (pain, oedema, inflammation, hyperpigmentation and lipodermatosclerosis). An ultrasound examination was carried out prior to treatment and 30, 60 and 180 days after the procedure to assess the relative efficacy of the methods in obliterating the saphenous trunk.Results: the mean venous clinical severity scores measured before and after 180 days were as follows: Surgery group - pain: before 1.97 standard deviation (SD) 0.19, 180 days 0.72 SD 0,53; oedema: before 1.66 SD 0.48, 180 days 0.55 SD 0.63; inflammation: before 1.55 SD 0.63, 180 days 0.72 SD 0.45. Foam sclerotherapy group - pain: before 1.81 SD 0.40, 180 days 0.56 SD 0.51; oedema: before 1.70 SD 0.47, 180 days 0.48 SD 0.64; inflammation: before 1.67 SD 0.68, after 0.89 SD 0.32. All scores showed statistically significant reductions in both patient groups. the saphenous vein had been obliterated, 180 days after treatment, in 78% of the surgery group, compared with 90% in the foam sclerotherapy group.Conclusions: Ultrasound-guided foam sclerotherapy is a safe and effective option for patients with chronic venous disorders. Crown Copyright (C) 2009 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. All rights reserved.Universidade Federal de São Paulo, Dept Surg, Vasc Sect, São Paulo, BrazilUniversidade Federal de São Paulo, Dept Surg, Vasc Sect, São Paulo, BrazilWeb of Science758-763engW B Saunders Co LtdEuropean Journal of Vascular and Endovascular SurgeryVaricose vein ultrasonographyVaricose vein surgeryUltrasound-guided foam sclerotherapyPolidocanolResults of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESPORIGINALWOS000273143400016.pdfapplication/pdf187917${dspace.ui.url}/bitstream/11600/31957/1/WOS000273143400016.pdf3d716b34107fbac99c258163b45ff77eMD51open accessTEXTWOS000273143400016.pdf.txtWOS000273143400016.pdf.txtExtracted texttext/plain28014${dspace.ui.url}/bitstream/11600/31957/2/WOS000273143400016.pdf.txt32befc37fc50b0f5359a4de07c6d0031MD52open access11600/319572022-11-04 15:45:38.928open accessoai:repositorio.unifesp.br:11600/31957Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-11-04T18:45:38Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.en.fl_str_mv |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
title |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
spellingShingle |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study Figueiredo, Marcondes [UNIFESP] Varicose vein ultrasonography Varicose vein surgery Ultrasound-guided foam sclerotherapy Polidocanol |
title_short |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
title_full |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
title_fullStr |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
title_full_unstemmed |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
title_sort |
Results of Surgical Treatment Compared with Ultrasound-Guided Foam Sclerotherapy in Patients with Varicose Veins: A Prospective Randomised Study |
author |
Figueiredo, Marcondes [UNIFESP] |
author_facet |
Figueiredo, Marcondes [UNIFESP] Araujo, Salustiano Pereira Barros Junior, Newton de [UNIFESP] Miranda Junior, Fausto [UNIFESP] |
author_role |
author |
author2 |
Araujo, Salustiano Pereira Barros Junior, Newton de [UNIFESP] Miranda Junior, Fausto [UNIFESP] |
author2_role |
author author author |
dc.contributor.institution.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Figueiredo, Marcondes [UNIFESP] Araujo, Salustiano Pereira Barros Junior, Newton de [UNIFESP] Miranda Junior, Fausto [UNIFESP] |
dc.subject.eng.fl_str_mv |
Varicose vein ultrasonography Varicose vein surgery Ultrasound-guided foam sclerotherapy Polidocanol |
topic |
Varicose vein ultrasonography Varicose vein surgery Ultrasound-guided foam sclerotherapy Polidocanol |
description |
Objective: This study aims to compare venous clinical severity scores in patients with heated venous ulcers due to varicose veins of the tower limbs (the clinical, etiologic, anatomic, and pathophysiologic data (CEAP) classification: C(5) EpAsPr) treated by saphenous stripping and phlebectomy or by ultrasound-guided foam sclerotherapy.Method: Sixty patients were included: 29 underwent saphenous stripping and phlebectomy for varices in saphenous tributaries and 27 were treated by ultrasound-guided foam sclerotherapy; four cases were lost to follow-up. the main outcome measure was venous clinical severity scores (pain, oedema, inflammation, hyperpigmentation and lipodermatosclerosis). An ultrasound examination was carried out prior to treatment and 30, 60 and 180 days after the procedure to assess the relative efficacy of the methods in obliterating the saphenous trunk.Results: the mean venous clinical severity scores measured before and after 180 days were as follows: Surgery group - pain: before 1.97 standard deviation (SD) 0.19, 180 days 0.72 SD 0,53; oedema: before 1.66 SD 0.48, 180 days 0.55 SD 0.63; inflammation: before 1.55 SD 0.63, 180 days 0.72 SD 0.45. Foam sclerotherapy group - pain: before 1.81 SD 0.40, 180 days 0.56 SD 0.51; oedema: before 1.70 SD 0.47, 180 days 0.48 SD 0.64; inflammation: before 1.67 SD 0.68, after 0.89 SD 0.32. All scores showed statistically significant reductions in both patient groups. the saphenous vein had been obliterated, 180 days after treatment, in 78% of the surgery group, compared with 90% in the foam sclerotherapy group.Conclusions: Ultrasound-guided foam sclerotherapy is a safe and effective option for patients with chronic venous disorders. Crown Copyright (C) 2009 Published by Elsevier Ltd on behalf of European Society for Vascular Surgery. All rights reserved. |
publishDate |
2009 |
dc.date.issued.fl_str_mv |
2009-12-01 |
dc.date.accessioned.fl_str_mv |
2016-01-24T13:58:56Z |
dc.date.available.fl_str_mv |
2016-01-24T13:58:56Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
European Journal of Vascular and Endovascular Surgery. London: W B Saunders Co Ltd, v. 38, n. 6, p. 758-763, 2009. |
dc.identifier.uri.fl_str_mv |
http://repositorio.unifesp.br/handle/11600/31957 http://dx.doi.org/10.1016/j.ejvs.2009.07.015 |
dc.identifier.issn.none.fl_str_mv |
1078-5884 |
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WOS000273143400016.pdf |
dc.identifier.doi.none.fl_str_mv |
10.1016/j.ejvs.2009.07.015 |
dc.identifier.wos.none.fl_str_mv |
WOS:000273143400016 |
identifier_str_mv |
European Journal of Vascular and Endovascular Surgery. London: W B Saunders Co Ltd, v. 38, n. 6, p. 758-763, 2009. 1078-5884 WOS000273143400016.pdf 10.1016/j.ejvs.2009.07.015 WOS:000273143400016 |
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http://repositorio.unifesp.br/handle/11600/31957 http://dx.doi.org/10.1016/j.ejvs.2009.07.015 |
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eng |
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European Journal of Vascular and Endovascular Surgery |
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openAccess |
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W B Saunders Co Ltd |
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W B Saunders Co Ltd |
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