This journal is
indexed in Scopus
Year 2017 Vol. 25 No 1
GENERAL & SPECIAL SURGERY
SIDE EFFECTS AND COMPLICATIONS OF MICROFOAM STEM SCLEROOBLITERATION IN VARICOSITY; MEASURES TO PREVENT AND TO ELIMINATE
National Medical Academy of Post-Graduate Education Named After P.L. Shupyk,
Objectives. To study side effects and complications of microfoam stem scleroobliteration and to determine measures of their prevention and elimination.
Methods. The results of microfoam stem scleroobliteration in 603 patients (658 lower limbs) including men and women with the lower limb varicosity (from 2009 to 2015) were analyzed. Reflux along the great saphenous vein (GSV) was found in 607 (92,25%) lower limbs, and along the small saphenous vein (SSV) – in 51 (7,75%) lower limbs. A specificity of microfoam sclerotherapy catheter stem scleroobliteration was its combination of hydrocompression around stem performance and phased application of microfoam. The generalized and local side effects and complications were analyzed during the assessment of medical treatment results. Based on the data received after ultrasonic duplex scanning (3-24 months) after the microfoam scleroobliteration, the presence of GSV/SSV recanalization was registered.
Results. Visual disturbances were registered in 8 (1,33%) out of 603 patients, the transient neurologic symptoms – in 6 (0,99%), a vasovagal reaction – in 1 (0,17%) patient. Among local complications, occurrence of GSV thrombophlebitis (femoral segment) was revealed in 4 (0,61%) cases (658 lower limbs), venous thrombosis – in 2 cases (0,30%). Re-canalization of different length was detected in 62 (9,42%) stem veins within 3-12 months. In 32 cases the repeated microfoam scleroobliteration was involved within those terms. During 12-24 months the repeated microfoam scleroobliteration was carried 19 cases and in 3 cases it was performed for the third time. Re-canalization had no hemodynamic significance in the remaining 11 cases.
Conclusion. The analysis of conducted studies showed that the application of the microfoam sclerotherapy catheter stem scleroobliteration in combination with the hydrocompression around stem and stepwise administration of the microfoam minimizes the occurrence frequency of generalized and local side effects and complications, and leads to reduction of recanalization amount, provides appropriate safety in application of this method.
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04112, Ukraine, Kiev,
Dorogozhytskaya str., 9,
National Medical Academy of Postgraduate Education named after PL Shupyk,
Department of surgery and vascular surgery.
Tel.: +38 050 469-56-15
Valentin A. Hodos
Khodos V.A. MD, Ass. Professor of the surgery and vascular surgery department, National Medical Academy of Postgraduate Education Named After P.L. Shupyk.