Late Follow-Up of Saphenofemoral Junction Ligation Combined With Ultrasound-Guided Foam Sclerotherapy in Patients With Venous Ulcers

dc.contributor.authorFigueiredo, Marcondes [UNIFESP]
dc.contributor.authorAraujo, Salustiano P. de
dc.contributor.authorFigueiredo, Matheus Fidelis
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionUniversidade Federal de Uberlândia (UFU)
dc.date.accessioned2016-01-24T14:27:50Z
dc.date.available2016-01-24T14:27:50Z
dc.date.issued2012-10-01
dc.description.abstractBackground: Venous ulcers are a frequent complication of venous disease, and a variety of healing methods have been proposed for these lesions. the objective of this study was to provide late follow-up data for a group of patients with venous ulcers who presented with advanced chronic venous insufficiency and were treated with saphenofemoral junction ligation combined with ultrasound-guided foam sclerotherapy.Methods: This was a prospective study of 35 patients. Patients were classified as CEAP6 and were followed during a 45- to 68-month period. the following variables were assessed: wound healing, ultrasound findings, and venous clinical severity scores.Results: the following ultrasound findings were observed: total and partial recanalization in 19 patients (treatment failure) and occlusion in 13 patients (treatment success). Two patients were lost to follow-up, and one patient died. Ulcers healed between 30 and 70 days and remained closed for a mean period of 48 months (Kaplan-Meyer method). the analysis of clinical severity scores (pain, edema, pigmentation, lipodermatosclerosis, and inflammation) revealed significant improvement when comparing pre- and post-treatment results.Conclusion: Our preliminary findings suggest that saphenofemoral junction ligation combined with ultrasound-guided foam sclerotherapy is a feasible and simple palliative treatment method for this group of patients.en
dc.description.affiliationUniversidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.affiliationUniv Fed Uberlandia, Fac Med, Uberlandia, MG, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo UNIFESP, São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent977-981
dc.identifierhttp://dx.doi.org/10.1016/j.avsg.2012.03.013
dc.identifier.citationAnnals of Vascular Surgery. New York: Elsevier B.V., v. 26, n. 7, p. 977-981, 2012.
dc.identifier.doi10.1016/j.avsg.2012.03.013
dc.identifier.issn0890-5096
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35362
dc.identifier.wosWOS:000308852800016
dc.language.isoeng
dc.publisherElsevier B.V.
dc.relation.ispartofAnnals of Vascular Surgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.licensehttp://www.elsevier.com/about/open-access/open-access-policies/article-posting-policy
dc.titleLate Follow-Up of Saphenofemoral Junction Ligation Combined With Ultrasound-Guided Foam Sclerotherapy in Patients With Venous Ulcersen
dc.typeinfo:eu-repo/semantics/article
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