Clinical outcome of short-term compression after sclerotherapy for telangiectatic varicose veins.
Chronic Disease
Combined Modality Therapy
Germany
Humans
Injections, Intravenous
Polidocanol
/ administration & dosage
Prospective Studies
Sclerosing Solutions
/ administration & dosage
Sclerotherapy
/ adverse effects
Stockings, Compression
/ adverse effects
Telangiectasis
/ diagnostic imaging
Time Factors
Treatment Outcome
Varicose Veins
/ diagnostic imaging
Venous Insufficiency
/ diagnostic imaging
Ompression therapy
Sclerotherapy
Telangiectatic veins
Journal
Journal of vascular surgery. Venous and lymphatic disorders
ISSN: 2213-3348
Titre abrégé: J Vasc Surg Venous Lymphat Disord
Pays: United States
ID NLM: 101607771
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
05
03
2020
accepted:
22
05
2020
pubmed:
6
6
2020
medline:
29
4
2021
entrez:
6
6
2020
Statut:
ppublish
Résumé
Sclerotherapy is considered to be the method of choice for the treatment of telangiectatic varicose veins (C1 veins). Whereas the use of compression stockings after sclerotherapy is recommended, little is known about the impact of compression on the outcome of sclerotherapy. The aim of this study was to assess the influence of compression on the outcome of injection sclerotherapy of C1 varicose veins. There were 100 legs of 50 consecutive patients with chronic venous insufficiency (C1) included. After randomization per patient, both legs were treated with sclerotherapy in a predefined area of the thigh (measuring 100 cm There was no discernible difference between the groups in terms of clinical outcome or side effects after 4 weeks. Whereas inter-rater reliability was high, there was no correlation between the raters and patients in terms of outcome. In 55% of the treated legs, the patients deemed the result of the treatment to be good; in 27% of the treated legs, fair; and in 18%, poor. Postprocedure hyperpigmentation occurred in 13% of patients and was comparable in both groups. Compression therapy was found to be comfortable by the majority (58%) of patients. One week of postinterventional compression therapy had no clinical benefit compared with no compression.
Sections du résumé
BACKGROUND
Sclerotherapy is considered to be the method of choice for the treatment of telangiectatic varicose veins (C1 veins). Whereas the use of compression stockings after sclerotherapy is recommended, little is known about the impact of compression on the outcome of sclerotherapy. The aim of this study was to assess the influence of compression on the outcome of injection sclerotherapy of C1 varicose veins.
METHODS
There were 100 legs of 50 consecutive patients with chronic venous insufficiency (C1) included. After randomization per patient, both legs were treated with sclerotherapy in a predefined area of the thigh (measuring 100 cm
RESULTS
There was no discernible difference between the groups in terms of clinical outcome or side effects after 4 weeks. Whereas inter-rater reliability was high, there was no correlation between the raters and patients in terms of outcome. In 55% of the treated legs, the patients deemed the result of the treatment to be good; in 27% of the treated legs, fair; and in 18%, poor. Postprocedure hyperpigmentation occurred in 13% of patients and was comparable in both groups. Compression therapy was found to be comfortable by the majority (58%) of patients.
CONCLUSIONS
One week of postinterventional compression therapy had no clinical benefit compared with no compression.
Identifiants
pubmed: 32502730
pii: S2213-333X(20)30323-1
doi: 10.1016/j.jvsv.2020.05.015
pii:
doi:
Substances chimiques
Sclerosing Solutions
0
Polidocanol
0AWH8BFG9A
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
435-443Informations de copyright
Copyright © 2020 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.