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 duplex guided foam sclerotherapy, and evaluate its efficiency in the management of GSV varicosities. In this study 50 patients presenting to Al Nasr Hospital with Great saphenous vein varicosities were treated by DGFS Under local anethesia veins were cannulated under ultrasound guidance 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 padding followed by crepe bandage. One week, month, and 6 months post intervention follow up using clinical examination and duplex scanning was used to assess outcome and detect complications. After 6 months period; all the patients -except 3 patients missed during follow up- showed clinical improvement evident by significant improvement of the venous severity score. On duplex scanning 86% of the patients showed complete

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 duplex guided foam sclerotherapy, and evaluate its efficiency in the management of GSV varicosities. In this study 50 patients presenting to Al Nasr Hospital with Great saphenous vein varicosities were treated by DGFS Under local anethesia veins were cannulated under ultrasound guidance 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 padding followed by crepe bandage. One week, month, and 6 months post intervention follow up using clinical examination and duplex scanning was used to assess outcome and detect complications. After 6 months period; all the patients -except 3 patients missed during follow up- showed clinical improvement evident by significant improvement of the venous severity score. On duplex scanning 86% of the patients showed complete