[The use of echo-Foam-sclerotherapy for pathological refluxes in patients with lower limb varicose veins: early and long-term results]

The paper presents the results of non-surgical outpatient treatment of 528 patients with lower limb varicose veins (C2-C6 CEAP classes) by echo-Foam-sclerotherapy and compression therapy. Patients were divided into 3 groups (1) patients with vertical veno-venous refluxes: total 315 echo-Foam-sclerotherapy procedures were fulfilled on 202 great saphenous veins (GSV) and 113 lesser saphenous veins (LSV) - occlusion was achieved in 305 cases (96.8%); (2) patients with recurrent varices or after crossectomy (separation of sapheno-popliteal junction): 265 echo-Foam-sclerotherapies on GSVs and/or LSVs - occlusion was achieved in 262 cases (98.9%); (3) 147 thigh or shin incompetent perforating veins - occlusion was achieved in 142 cases (96.6%). Follow-up lasted up to 2 years. Hemodynamically sound recanalization was revealed in 18 (14.4%) from 125 sclerosed veins in the first group; in 1 (2.1%) from 48 veins in the second group and in 5 (10.6%) from 47 perforating veins in the third group. In general, positive long-term effect was achieved in 89.1% cases of echo-Foam-sclerotherapy. In order to assess the feasibility of additional phlebotropic therapy, all patients were divided into the main group, which received Antistax, and control group, which received no venotonics. It was shown that Antistax attenuates main symptoms of chronic venous insufficiency and improves the quality of life.