Assessment of techniques to reduce sclerosant foam migration during ultrasound- guided sclerotherapy of the great saphenous vein Douglas Hill, MD, FACPh,

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Presentation transcript:

Assessment of techniques to reduce sclerosant foam migration during ultrasound- guided sclerotherapy of the great saphenous vein Douglas Hill, MD, FACPh, Rhonda Hamilton, RDMS, RDCS, Tak Fung, PhD Journal of Vascular Surgery Volume 48, Issue 4, Pages 934-939 (October 2008) DOI: 10.1016/j.jvs.2008.05.077 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Ultrasound of patient's heart immediately after release of compression at the saphenofemoral junction shows echogenic phenomena filling the right atrium and ventricle. The great saphenous vein had been previously injected with 5.2 mL of sclerosant foam composed of air and 2% sodium tetradecyl sulfate while the leg was horizontal and the junction was compressed. Journal of Vascular Surgery 2008 48, 934-939DOI: (10.1016/j.jvs.2008.05.077) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 Ultrasound taken 14 seconds after release of occlusion at the saphenofemoral junction shows that foam is still present in the left atrium and is clearing from the left ventricle. Journal of Vascular Surgery 2008 48, 934-939DOI: (10.1016/j.jvs.2008.05.077) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 Ultrasound shows that the right heart is clear of foam at 1 minute 45 seconds after release of occlusion at the saphenofemoral junction. Journal of Vascular Surgery 2008 48, 934-939DOI: (10.1016/j.jvs.2008.05.077) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions