Balloon control of the saphenofemoral junction during foam sclerotherapy: Proposed innovation Anamay Bidwai, MBBS, Timothy Beresford, MBBS, Michael Dialynas,

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Presentation transcript:

Balloon control of the saphenofemoral junction during foam sclerotherapy: Proposed innovation Anamay Bidwai, MBBS, Timothy Beresford, MBBS, Michael Dialynas, FRCS, John Prionidis, FRCS, Yiannis Panayiotopoulos, MD, PhD, Tom F. Browne, FRCS Journal of Vascular Surgery Volume 46, Issue 1, Pages 145-147 (July 2007) DOI: 10.1016/j.jvs.2007.03.020 Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 1 Drawing demonstrates the tip of V18 wire (Boston Scientific, Natick, Mass) at the saphenofemoral junction (SFJ), the clipped perforators, long sheath, and introducer in the great saphenous vein (GSV), and the over-the-wire Fogarty being threaded over the V18 wire. Journal of Vascular Surgery 2007 46, 145-147DOI: (10.1016/j.jvs.2007.03.020) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 2 Drawing demonstrates the inflated balloon of the over-the-wire Fogarty catheter occluding the saphenofemoral junction. Journal of Vascular Surgery 2007 46, 145-147DOI: (10.1016/j.jvs.2007.03.020) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 3 Drawing demonstrates the foam being injected (inset) from the side channel of long sheath, the Fogarty balloon occluding the saphenofemoral junction (SFJ), and the sheath being gradually withdrawn to expose the distal end of great saphenous vein to foam. Journal of Vascular Surgery 2007 46, 145-147DOI: (10.1016/j.jvs.2007.03.020) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions

Fig 4 Drawing demonstrates the completed procedure but does not show the compression. Collapsed balloon of the-over-the wire Fogarty is being pulled out, and the sheath is almost out. Journal of Vascular Surgery 2007 46, 145-147DOI: (10.1016/j.jvs.2007.03.020) Copyright © 2007 The Society for Vascular Surgery Terms and Conditions