Abstract
Objective: To compare the efficacy of Ulrtasound-Guided Foam Sclerotherapy (UGFS) for great saphenous vein (GSV) with sapheno-femoral ligation and without sapheno-femoral ligation, after 1 year follow-up. Materials and methods: HL+ group were treated by sapheno-femoral ligation and UGFS. HL– group were punctured into GSV branch and treated by UGFS. Foam sclerosant was made by Tessari method, consist of 3%Polidocanol and CO2 in the proportion of 1 : 3. Forty-eight patients enrolled in HL+ group and 43 patients enrolled in HL– group. Duplex ultrasonography was performed 1, 3, 6 and 12 months after treatment to assess the occlusion length and reflux of patent area. Results: The occlusion rate of HL+ group was 80.4% after 6 months and 75.5% after 12 months. HL– group was 63.4% and 52.8%, respectively. There were no adverse events such as deep vein thrombosis and visual disturbances in either group. Conclusions: UGFS for GSV were performed safely in each methods. HL– method was significantly lower occlusion rate compared to HL+ methods, but less invasive and effective for short term.
