الفهرس 
ANATOMY
Ultrasound markers of venous anatomyOnly 14 pages are availabe for public view
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Abstract
Varicose veins is a very common problem all over the
world. Surgery has been the gold standard treatment for many
years, however now other less invasive options are available
and sometimes more efficient.
The aim of this study was to present the technical aspect
of the DGFS, and evaluate its efficiency in the management of
GSV varicosities.
In this study 50 patients presenting to Sednawy Health
Inssurance Hospital with Great saphenous vein varicosities
were treated by DGFS
Under local anethesia Veins were cannulated under
ultrasound vision with a 16 G needle. Foam was generated by
the Tessari method mixing 1 ml 3% Policonadol with 3 ml air
via a three-way tap. Then foam injected catheter directed along
great saphenous vein. The treated limb was wrapped by a layer
of cotton followed by crepe bandage.
One week, month, and 6 months post intervention follow
up using clinical examination and duplex scanning was used to
asses outcome and detect complications.After 6 months period all the patients showed clinical
improvement evident by significant improvement of the venous
severity score. On duplex scanning 86% of the patients showed
complete obliteration of the GSV and 8 % showed partial
occlusion with no evidence of reflux. However12% of patients
needed direct reinjection during this period for one or more
times to achieve this result.
No major complications were detected in this study
however 24% of patients had some skin pigmentation and only
3 patients (6%) had thrombophlebitis one of them had
posterior tibial vein thrombosis.
In this study DGFS proved to be a safe and efficient way
for treating GSV varicosities however repeated sessions might
be needed and long-term outcome and cost effectiveness is yet
to be evaluated.