Fill and aspirate foam sclerotherapy (FAFS): a new approach for sclerotherapy of large superficial varicosities concomitant to endovenous laser ablation of truncal vein

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dc.contributor.authorAtasoy, M. M.
dc.date.accessioned2024-07-12T21:45:47Z
dc.date.available2024-07-12T21:45:47Z
dc.date.issued2015en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractAIM: To define and assess the short-term clinical feasibility of fill and aspirate foam sclerotherapy (FAFS) for treating large superficial varicose veins concomitant to endovenous laser ablation (EVLA). MATERIALS AND METHODS: Twenty-seven patients who refused to have phlebectomies with great saphenous vein reflux and large superficial varicosities were included in the study. Both EVLA and FAFS were performed concomitantly. FAFS is a technique in which all or most of the bubbles and blood foam mixture are removed from the targeted large varicose veins immediately after the foam has caused sufficient damage to the endothelial cells. Patients were reviewed 1 month and 6 months after the treatment. Improvement in the clinical, aetiological, anatomical, and pathological classification (CEAP), and clinical severity was graded using the revised venous clinical severity score (rVCSS) and cosmetic results were investigated at the 6 month visit. RESULTS: Ablation of GSV was performed in 27 limbs in 27 patients (19 males, 70.3%; mean age 44 years; range 21-69 years). All patients had a technically successful FAFS treatment. The CEAP classification score, the rVCSS values, and the cosmetic results showed prominent improvement 6 months after the treatment. There were no significant complications, such as stroke, skin burns, necrosis, paresthesia, deep-vein thrombosis, or allergic reaction. None of the patients experienced neurological events. CONCLUSION: FAFS is a promising safe and effective technique for treating large superficial varicosities concomitant to EVLA of the truncal veins with excellent clinical results. Randomized prospective studies with larger series are required to compare the FAFS with ambulatory phlebectomy and standard foam sclerotherapy. (C) 2014 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.crad.2014.09.013
dc.identifier.endpage53en_US
dc.identifier.issn0009-9260
dc.identifier.issn1365-229X
dc.identifier.issue1en_US
dc.identifier.pmid25446324en_US
dc.identifier.scopus2-s2.0-84916626667en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage48en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.crad.2014.09.013
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7856
dc.identifier.volume70en_US
dc.identifier.wosWOS:000347867300007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAtasoy, M. M.
dc.language.isoenen_US
dc.publisherW B SAUNDERS CO LTDen_US
dc.relation.ispartofCLINICAL RADIOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY00515
dc.titleFill and aspirate foam sclerotherapy (FAFS): a new approach for sclerotherapy of large superficial varicosities concomitant to endovenous laser ablation of truncal veinen_US
dc.typeArticle
dspace.entity.typePublication

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