{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T05:32:43Z","timestamp":1740979963042,"version":"3.38.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2012,2,22]],"date-time":"2012-02-22T00:00:00Z","timestamp":1329868800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p> To review the results and cost of a rolling ultrasound-guided foam sclerotherapy (UGFS) treatment programme for patients with chronic superficial venous insufficiency. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p> A prospective study of a rolling treatment programme where patients were offered unlimited follow-up at intervals of 6\u20138 weeks and further (top up) UGFS when necessary, until occlusion criteria were met. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A total of 213 lower limbs with complete follow-up were included in the study. Median (range) age was 57 (16\u201394) years, maximum diameter of varicose vein was 10 (3\u201318) mm, C of CEAP (clinical, aetiological, anatomical and pathological elements) was 4 (2\u20136), number of treatment sessions was one (1\u20134) and follow-up was three (1.5\u201333) months. Satisfactory occlusion could not be achieved in nine (4%) limbs. The ratio of odds (95% CI) for requiring more than one treatment session was 3.58 (1.46\u20138.77), P = 0.002 for great saphenous varicosity and 2.11 (1.13\u20133.94), P = 0.015 for age 50 or more. There were 20 (9.3%) immediate and 63 (29.5%) delayed adverse effects. All were minor except for one cutaneous nerve injury, one pulmonary embolism and one infected haematoma. The ratio for odds (95% CI) for post-treatment skin discolouration was 2.59 (1.14\u20135.87), P = 0.017 for women and 1.32 (1.02\u20131.71), P = 0.032 for increasing sclerosant volume used. Service line costing per completed treatment episode was \u00a3115.22 (\u20ac130.07, $188.60). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> UGFS in a rolling treatment programme is safe and can achieve high occlusion rates at a low cost. Patients above the age of 50 with great saphenous varicosity are likely to require more than one treatment session. <\/jats:p><\/jats:sec>","DOI":"10.1258\/phleb.2011.011099","type":"journal-article","created":{"date-parts":[[2012,2,23]],"date-time":"2012-02-23T01:47:34Z","timestamp":1329961654000},"page":"195-200","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Ultrasound-guided foam sclerotherapy within a rolling treatment programme is an effective low-cost treatment for superficial venous insufficiency"],"prefix":"10.1177","volume":"28","author":[{"given":"N","family":"Abbassi-Ghadi","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, St Richard's Hospital, Chichester, West Sussex PO19 6SE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H","family":"Hafez","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, St Richard's Hospital, Chichester, West Sussex PO19 6SE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,2,22]]},"reference":[{"key":"bibr1-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1258\/phleb.2009.009050"},{"key":"bibr2-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6754"},{"key":"bibr3-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.07.015"},{"key":"bibr4-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.01.015"},{"key":"bibr5-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2009.05.027"},{"key":"bibr6-phleb.2011.011099","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.03.017"},{"key":"bibr7-phleb.2011.011099","unstructured":"Monitor, Independent Regulator of NHS Foundation Trusts. 2009. Working Towards Service-line Management: A How to Guide. 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