Phlebologie 2017; 46(02): 60-62
DOI: 10.12687/phleb2359-2-2017
Focus sclerotherapy: Review article
Schattauer GmbH

Ultrasound-guided foam sclero -therapy of the small saphenous vein

More than just an alternative treatment? Article in several languages: English | deutsch
R. D. Murena-Schmidt
Further Information

Publication History

Received: 07 February 2017

Accepted: 08 February 2017

Publication Date:
04 January 2018 (online)

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Summary

Ultrasound guided sclerotherapy (UGFS) of varicose veins is a worldwide spread method, in many countries recognized by guidelines. Important for the outcome is the patients history, clinical investigation and a detailed colour coded ultrasound mapping previous to UGFS.

In previous studies varicose small saphenous vein (SSV) treatment with UGFS were reported to have worse results compared to GSV. Other studies report good outcome after UGFS of SSV varicose veins up to 12 months follow up.

In my experience UGFS of insufficient SSV is safe and effective with high patient‘s satisfaction, good longterm results and improvement in quality of life. UGFS can be used in all age groups. UGFS has the additional benefit that repeated treatments are easy to perform if needed and that this method is very cost effective. Treatment sessions last 20 to 30 minutes so that patients do not need significant time off work.