鞘管联合泡沫硬化治疗促进静脉溃疡大隐静脉广泛性功能不全的治疗。

IF 0.7 4区 医学 Q4 PERIPHERAL VASCULAR DISEASE
Vascular and Endovascular Surgery Pub Date : 2023-10-01 Epub Date: 2023-04-20 DOI:10.1177/15385744231171753
Efstratios Georgakarakos, Konstantinos Dimitriadis
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引用次数: 0

摘要

背景:泡沫硬化疗法被认为是治疗大隐静脉(GSV)功能不全、促进其主干闭塞和消除反流的一种可接受的方法。已经描述了各种模式和技术,从沿着GSV通过多个短套管的不同形式的泡沫输注到导管导向的技术,以促进近端GSV的完全闭塞并提高技术和临床成功率。目的:提出一种硬化治疗技术的改进方案,其中静脉溃疡的存在对GSV治疗提出了额外的挑战。技术:我们描述了一项技术方案,即通过放置在膝盖水平的11cm 5F鞘进行单次泡沫灌注,同时在膝盖以下逆行灌注。最初在4°C下用冷生理盐水进行静脉周围肿胀节段浸润,以减小GSV>6-7mm的直径。结论:这种组合避免了GSV沿大腿的多个静脉插管,以及在大溃疡区域禁止在胫骨下部插管时需要顺行输注。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sheath-Based Combined Foam Sclerotherapy to Promote Management of Extensive Insufficiency of the Great Saphenous Vein in Venous Ulcers.

Background: Foam sclerotherapy is considered an acceptable method to treat great saphenous vein (GSV) insufficiency, promoting occlusion of its trunk and eradicating reflux. Various modalities and techniques have been described, varying form foam infusion through multiple short cannulae along the GSV to catheter-directed techniques in order to facilitate complete proximal GSV occlusion and improve technical and clinical success. Purpose: To present a modification of the sclerotherapy tehcnique where the presence of venous ulcers poses an extra challenge to the treatment of GSV treatment. Technique: We describe a technical proposal of single foam perfusion through a 11 cm 5F sheath placed at the knee level combined with simultaneous retrograde infusion below the knee. Perivenous tumescent segmental infiltration with cold normal saline at 4°C is applied initially to reduce the diameter in those GSV >6-7 mm. Conclusions: This combination avoids multiple vein cannulation in the GSV along the thigh as well as the need for antegrade infusion when GSV cannulation at the lower tibia is prohibited by a large ulcer area.

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来源期刊
Vascular and Endovascular Surgery
Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE
CiteScore
1.70
自引率
11.10%
发文量
132
审稿时长
4-8 weeks
期刊介绍: Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).
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