Phlebologie 2014; 43(04): 180-182
DOI: 10.12687/phleb2208-4-2014
Case Report
Schattauer GmbH

Sourcing: Which varicose vein is relevant to the ulcer?

Article in several languages: English | deutsch
M. Niemer
1   Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Lübeck/Germany
,
A. Miesel
1   Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Lübeck/Germany
,
B. Kahle
1   Klinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Schleswig-Holstein, Lübeck/Germany
› Author Affiliations
Further Information

Publication History

Received: 25 May 2014

Accepted: 26 May 2014

Publication Date:
04 January 2018 (online)

Summary

Sourcing allowed the small saphenous vein to be identified as the relevant varicose vein in a 41-year-old patient with a pretibial ulcer. Foam sclerotherapy was carried out, reducing the size of the ulcer within a week.

 
  • Literatur

  • 1 Rabe E, Pannier-Fischer F, Bromen K. et al. Bonner Venenstudie der Deutschen Gesellschaft für Phlebologie. Epidemiologische Untersuchung zur Frage der Häufigkeit und Ausprägung von chronischen Venenkrankheiten in der städtischen und ländlichen Wohnbevölkerung. Phlebologie 2003; 32: 1-14.
  • 2 Nicolaides AN, Allegra C, Bergan J. et al. Management of chronic venous disorders of the lower limbs: guidelines according to scientific evidence. Int Angiol 2008; 27: 1-59.
  • 3 Guarnera G, Tinelli G, Abeni D. et al. Pain and quality of life in patients with vascular leg ulcers: an Italian multicentre study. J Wound Care 2007; 16: 347-351.
  • 4 Obermayer A, Garzon K. Identifying the source of superficial reflux in venous leg ulcers using duplex ultrasound. J Vasc Surg 2010; 52: 1255-1261.
  • 5 Rabe E, Breu F, Cavezzi A. et al. European guidelines for sclerotherapy in chronic venous disorders. Phlebology. 2013
  • 6 O’Meara S, Cullum N, Nelson EA. et al. Compression for venous leg ulcers. Cochrane Database Syst Rev. 2012; 11: CD000265. [Epub ahead of print]
  • 7 Kahle B, Hermanns HJ, Gallenkemper G. Evidence-based treatment of chronic leg ulcers. Dtsch Arztebl Int 2011; 108: 231-237.
  • 8 Tellings SS, Ceulen RP, Sommer A. Surgery and endovenous techniques for the treatment of small saphenous varicose veins: a review of the literature. Phlebology 2011; 26: 179-184.
  • 9 Darvall KA, Bate GR, Silverman SH. et al. Medium-term results of ultrasound-guided foam sclerotherapy for small saphenous varicose veins. Br J Surg 2009; 96: 1268-1273.
  • 10 Rasmussen LH, Lawaetz M, Bjoern L. et al. Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins. Br J Surg 2011; 98: 1079-1087.
  • 11 Biemans AA, Kockaert M, Akkersdijk GP. et al. Comparing endovenous laser ablation, foam sclerotherapy, and conventional surgery for great saphenous varicose veins. J Vasc Surg 2013; 58: 727-734.