Initial results of the treatment of superficial venous insufficiency in the Radiology department at HMU hospital

Phan Nhan Hien1, Nguyen Ngoc Cuong1, Nguyen Thai Binh1, Le Tuan Linh1, Doan Tien Luu1, Bui Van Lenh1,
1 Department of Diagnostic Imaging, Hanoi Medical University Hospital

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Abstract

SUMMARY


SVI occurs when the venous valves in the superficial leg veins are not working effectively making it difficult for blood to return to the heart and making the patient uncomfortable. There are a variety of treatment modalities to treat SVI, including surgical approaches, sclerotherapy, laser and RFA. From January
to June 2016 we treated 15 patients SVI: sclerotherapy and endovenous laser ablation therapy (ELA) in 21 limbs, ELA in 7 limbs (4 patients), sclerotherapy in 14 limbs (11 patients), include 6 males (40%) and 9 females (60%). The most of the signs and symptoms of SVI are the feeling of heaviness in legs
(100%); pain legs (66.7%); 73.3% varicose superficial veins; 2 patients with Klippel - Trenaunay syndrome (KLS). Before the
intervention, the CEAP classification was mainly used at C2 and C3. Of 21 limbs treated, 14 limbs (14/21) were classified as C2, 7 limbs (7/21) as C3, VCSs = 5.18 ± 3.52. There were
no complications during and after the intervention. After the intervention, there is a significantly reduced in the VCSS and in
the CEAP clinical class. The GSV (great saphenous veins) occlusion rate was 100% at 30 days after laser treatment, 85.7% limbs without reflux after sclerotherapy.

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References

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