One-shot scleroembolization: a new technique for the treatment of varicose veins disease of lower extremities. Preliminary results

Abstract

Objective: The aim of this article is to present a new technique for minimally invasive treatment of varicose veins disease of lower extremities.

Methods: One-shot scleroembolization is a new technique designed for the treatment of varicose veins of the lower extremities, which associates a mechanical interruption of the sapheno-femoral junction to classic sclerotherapy with no need for surgery or anesthesia. This is achieved with the combined use of a coil positioned in the terminal portion of the great saphenous vein and a foamed sclerosant drug.

Results: At three months' follow-up no complications have been observed. The great saphenous vein was still occluded in all patients (nine out of nine).

Conclusions: One-shot scleroembolization seems to be an effective technique for the treatment of varicose veins disease in outpatients, with the advantage of causing little distress to the patient.

Keywords: Varicose veins; endovenous technique; foam sclerotherapy.