الفهرس | Only 14 pages are availabe for public view |
Abstract Varicose veins is a very common problem all over the world. Surgery has been the gold standard treatment for many years, however now other less invasive options are available and sometimes more efficient. The aim of this study was to present the technical aspect of the DGFS, and evaluate its efficiency in the management of GSV varicosities. In this study 50 patients presenting to Sednawy Health Inssurance Hospital with Great saphenous vein varicosities were treated by DGFS Under local anethesia Veins were cannulated under ultrasound vision with a 16 G needle. Foam was generated by the Tessari method mixing 1 ml 3% Policonadol with 3 ml air via a three-way tap. Then foam injected catheter directed along great saphenous vein. The treated limb was wrapped by a layer of cotton followed by crepe bandage. One week, month, and 6 months post intervention follow up using clinical examination and duplex scanning was used to asses outcome and detect complications.After 6 months period all the patients showed clinical improvement evident by significant improvement of the venous severity score. On duplex scanning 86% of the patients showed complete obliteration of the GSV and 8 % showed partial occlusion with no evidence of reflux. However12% of patients needed direct reinjection during this period for one or more times to achieve this result. No major complications were detected in this study however 24% of patients had some skin pigmentation and only 3 patients (6%) had thrombophlebitis one of them had posterior tibial vein thrombosis. In this study DGFS proved to be a safe and efficient way for treating GSV varicosities however repeated sessions might be needed and long-term outcome and cost effectiveness is yet to be evaluated. |