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Microthrombectomy reduces postsclerotherapy pigmentation: multicenter randomized trial  Anke H Scultetus, MD, J.Leonel Villavicencio, MD, Tzu-Cheg Kao,

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Presentation on theme: "Microthrombectomy reduces postsclerotherapy pigmentation: multicenter randomized trial  Anke H Scultetus, MD, J.Leonel Villavicencio, MD, Tzu-Cheg Kao,"— Presentation transcript:

1 Microthrombectomy reduces postsclerotherapy pigmentation: multicenter randomized trial 
Anke H Scultetus, MD, J.Leonel Villavicencio, MD, Tzu-Cheg Kao, PhD, David L Gillespie, MD, Gary D Ketron, MD, Mark D Iafrati, MD, Emmanouil Pikoulis, MD, Sandra Eifert, MD  Journal of Vascular Surgery  Volume 38, Issue 5, Pages (November 2003) DOI: /S (03)

2 Fig 1 Preinjection photograph of study area of vein in group 2 (<3 mm). Area size was drawn on skin. Label shows patient code and photograph date. Journal of Vascular Surgery  , DOI: ( /S (03) )

3 Fig 2 Microthrombectomy technique. Mini stab incisions were made over thrombosed veins 3 to 5 mm apart, with a No. 65 Beaver blade. Thrombi were extruded between two cotton-tipped swabs. Journal of Vascular Surgery  , DOI: ( /S (03) )

4 Fig 3 Study flow chart. Journal of Vascular Surgery  , DOI: ( /S (03) )

5 Fig 4 Pretreatment (A) and posttreatment (B) photographs of telangiectasias. Microthrombectomy was performed on right side of study area. Three variables used to assess overall clinical improvement were vein disappearance, pigmentation, and neovascularization. In treated area most veins have disappeared. There is minimal pigmentation, as compared with control area, and no neovascularization. Treated area was judged better than control area. Journal of Vascular Surgery  , DOI: ( /S (03) )

6 Fig 5 Pretreatment (A) and posttreatment (B) photographs of veins <3 mm in diameter obtained 18 weeks apart. Microthrombectomy was performed on lower half. Varicosities have completely disappeared. There is pigmentation in about two thirds of vein in control area. Overall clinical improvement in treated area was scored as 10 (excellent). Journal of Vascular Surgery  , DOI: ( /S (03) )

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