{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:24:39Z","timestamp":1780590279971,"version":"3.54.1"},"reference-count":24,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:p>Resumo Contexto \u00dalceras s\u00e3o a resultante final de varizes associadas a refluxo de veias safenas. Objetivo Demonstrar a possibilidade de associar dois procedimentos, a escleroterapia com espuma de veias safenas e o enxerto de pele parcial, para o tratamento de pacientes com \u00falceras venosas relacionadas a refluxo de veias safenas. M\u00e9todos Foram tratados 20 membros em 20 pacientes, todos com ulcera\u00e7\u00f5es relacionadas a refluxo de veias safenas. Realizamos o enxerto de pele expandida, seguido da escleroterapia ecoguiada com espuma de polidocanol nas veias associadas \u00e0s \u00falceras, atrav\u00e9s de pun\u00e7\u00e3o ou dissec\u00e7\u00e3o da veia. Resultados Em todos os casos, houve melhora dos sintomas relacionados \u00e0 \u00falcera e cicatriza\u00e7\u00e3o da les\u00e3o. Em 11 casos, obtivemos a viabilidade do enxerto de pele por completo; em quatro casos, houve cicatriza\u00e7\u00e3o de cerca de 50% da les\u00e3o; e nos cinco casos restantes, houve cicatriza\u00e7\u00e3o de aproximadamente 75% da les\u00e3o. A primeira ultrassonografia de controle revelou esclerose completa dos vasos tratados em 19 dos 20 casos e esclerose parcial sem refluxo detect\u00e1vel em um caso. Na segunda ultrassonografia, realizada ap\u00f3s 45 dias, observamos esclerose completa de 15 casos; em cinco casos, houve esclerose parcial, dos quais tr\u00eas sem refluxo detect\u00e1vel e dois com refluxo em segmentos isolados associados a varizes. A complica\u00e7\u00e3o mais frequente foi a pigmenta\u00e7\u00e3o nos trajetos venosos, observada em 13 pacientes. Um caso apresentou trombose assintom\u00e1tica de veias musculares da perna. Conclus\u00e3o Essa associa\u00e7\u00e3o de procedimentos consiste em uma op\u00e7\u00e3o v\u00e1lida com potencial para promover um tratamento mais breve e de menor custo.<\/jats:p>","DOI":"10.1590\/1677-5449.008217","type":"journal-article","created":{"date-parts":[[2018,2,20]],"date-time":"2018-02-20T18:39:49Z","timestamp":1519151989000},"page":"270-275","source":"Crossref","is-referenced-by-count":2,"title":["Escleroterapia de safena associada a enxerto de pele no tratamento de \u00falceras venosas"],"prefix":"10.1590","volume":"16","author":[{"given":"Alexandre Faraco de","family":"Oliveira","sequence":"first","affiliation":[{"name":"Universidade do Planalto Catarinense, Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hor\u00e1cio de","family":"Oliveira Filho","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Ana Carolina, 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