{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T16:23:03Z","timestamp":1780590183228,"version":"3.54.1"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo  Contexto A insufici\u00eancia venosa cr\u00f4nica \u00e9 uma entidade com alta preval\u00eancia. Os casos avan\u00e7ados apresentam morbidade elevada.  Objetivos Avaliar os riscos e benef\u00edcios da escleroterapia com espuma de polidocanol em pacientes que foram submetidos ao tratamento das veias safenas magnas bilateralmente em tempo \u00fanico.  M\u00e9todos Foram revistos retrospectivamente 55 pacientes (110 membros) portadores de incompet\u00eancia bilateral das veias safenas magnas submetidas a tratamento escleroter\u00e1pico com espuma bilateralmente, em tempo \u00fanico, usando uma dose m\u00e1xima de 20 mL de espuma de polidocanol por paciente.  Resultados Das 110 safenas analisadas, obteve-se a oclus\u00e3o de 81 (73,6%) com uma sess\u00e3o, de 106 (96,3%) com duas sess\u00f5es e de 110 (100%) com tr\u00eas sess\u00f5es. Houve oclus\u00e3o bilateral das safenas magnas em 27 pacientes (50%) em uma sess\u00e3o, em 34 (62%) em duas sess\u00f5es e em 55 (100%) em tr\u00eas sess\u00f5es. De 11 pacientes portadores de \u00falceras, houve cicatriza\u00e7\u00e3o total de sete (63%) e parcial de tr\u00eas (27%) 42 dias ap\u00f3s a escleroterapia. Houve lipotimia autolimitada e escotomas visuais em um paciente (1,8%) e manchas em tr\u00eas (5,45%); 19 pacientes (34,5%) foram submetidos a pun\u00e7\u00e3o para drenagem de co\u00e1gulo retido.  Conclus\u00f5es A escleroterapia com espuma de polidocanol em veias safenas magnas em tempo \u00fanico mostrou-se uma t\u00e9cnica segura e eficaz em pacientes selecionados.<\/jats:p>","DOI":"10.1590\/1677-5449.200178","type":"journal-article","created":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T12:11:48Z","timestamp":1623845508000},"source":"Crossref","is-referenced-by-count":6,"title":["Escleroterapia com espuma de polidocanol em veias safenas magnas e suas tribut\u00e1rias bilateralmente em tempo \u00fanico"],"prefix":"10.1590","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0991-1455","authenticated-orcid":false,"given":"Luiz Antonio","family":"Miranda","sequence":"first","affiliation":[{"name":"Hospital Infantil Padre Anchieta,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4649-6710","authenticated-orcid":false,"given":"Rachel Cristina do","family":"Carmo","sequence":"additional","affiliation":[{"name":"Hospital Militar de \u00c1rea de Manaus,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2950-2939","authenticated-orcid":false,"given":"Cl\u00e1udia Carvalho","family":"Sathler-Melo","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Angiovasc,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4455-3673","authenticated-orcid":false,"given":"Guilherme de","family":"Castro-Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Minas Gerais,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"816","DOI":"10.1007\/s12262-013-1013-2","article-title":"Microfoam sclerotherapy for varicose veins: a retrospective analysis of a modified technique","volume":"77","author":"Radhakrishnan N","year":"2015","journal-title":"Indian J Surg"},{"issue":"8","key":"ref2","first-page":"296","article-title":"Inova\u00e7\u00f5es t\u00e9cnicas na cirurgia de varizes visando a resultados est\u00e9ticos","volume":"22","author":"Kafejian O","year":"1976","journal-title":"AMB Rev Assoc Med Bras"},{"issue":"6","key":"ref3","first-page":"765","article-title":"Contributions to the therapy of the varicose complex","volume":"13","author":"Orbach EJ","year":"1950","journal-title":"J Int Coll Surg"},{"issue":"1","key":"ref4","first-page":"58","article-title":"Preliminary experience with a new sclerosing foam in the treatment of varicose veins","volume":"27","author":"Tessari L","year":"2001","journal-title":"Dermatol Surg"},{"issue":"1","key":"ref5","first-page":"11","article-title":"Sclerosing foam in the treatment of varicose veins and telangiectases: history and analysis of safety and complications","volume":"28","author":"Frullini A","year":"2002","journal-title":"Dermatol Surg"},{"key":"ref6","article-title":"A hist\u00f3ria da escleroterapia","volume":"26","author":"Bastos FR","year":"2016","journal-title":"Rev Med Minas Gerais"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1590\/S1677-54492006000300002","article-title":"Ecoescleroterapia com microespuma em varizes tronculares prim\u00e1rias","volume":"5","author":"Evangelista SSM","year":"2006","journal-title":"J Vasc Bras"},{"key":"ref8","first-page":"38","article-title":"Ecoescleroterapia de varizes com espuma: revis\u00e3o de literatura","volume":"19","author":"Bastos FR","year":"2009","journal-title":"Rev Assoc Med Minas Gerais"},{"issue":"11","key":"ref9","first-page":"1494","article-title":"Foam sclerotherapy: a new era","volume":"139","author":"Hsu TS","year":"2003","journal-title":"Arch Dermatol"},{"key":"ref10","series-title":"Abordagem n\u00e3o-param\u00e9trica para c\u00e1lculo do tamanho da amostra com base em question\u00e1rios ou escalas de avalia\u00e7\u00e3o na \u00e1rea de sa\u00fade","author":"Couto-Junior EB","year":"2009"},{"issue":"1","key":"ref11","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1258\/phleb.2010.010027","article-title":"Can foam sclerotherapy be used to safely treat bilateral varicose veins?","volume":"27","author":"Bhogal RH","year":"2012","journal-title":"Phlebology"},{"issue":"6","key":"ref12","doi-asserted-by":"crossref","first-page":"338","DOI":"10.1177\/0268355513483280","article-title":"European guidelines for sclerotherapy in chronic venous disorders","volume":"29","author":"Rabe E","year":"2014","journal-title":"Phlebology"},{"issue":"5","key":"ref13","first-page":"687","article-title":"Guidelines for sclerotherapy of varicose veins (ICD 10: I83.0, I83.1, I83.2, and I83.9)","volume":"30","author":"Rabe E","year":"2004","journal-title":"Dermatol Surg"},{"key":"ref14","series-title":"Manual of venous and lymphatic diseases.","first-page":"137","volume-title":"Australasian college of phlebology. Direct-vision and ultrasound-guided sclerotherapy","author":"Myers K","year":"2017"},{"issue":"3","key":"ref15","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1016\/j.jvsv.2019.12.075","article-title":"The 2020 update of the CEAP classification system and reporting standards","volume":"8","author":"Lurie F","year":"2020","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"issue":"6","key":"ref16","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1067\/mva.2000.107094","article-title":"Venous severity scoring: An adjunct to venous outcome assessment","volume":"31","author":"Rutherford RB","year":"2000","journal-title":"J Vasc Surg"},{"issue":"3","key":"ref17","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1590\/1677-5449.002717","article-title":"Impacto da escleroterapia com espuma de polidocanol guiada por ultrassom em pacientes com \u00falcera venosa","volume":"16","author":"Silva MAM","year":"2017","journal-title":"J Vasc Bras"},{"issue":"7","key":"ref18","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1177\/0268355515598450","article-title":"Recanalisation and ulcer recurrence rates following ultrasound-guided foam sclerotherapy","volume":"31","author":"Howard JK","year":"2016","journal-title":"Phlebology"},{"issue":"2","key":"ref19","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1177\/0268355513517225","article-title":"Treatment of severe chronic venous insufficiency with ultrasound-guided foam sclerotherapy: a two-year series in a single center in Brazil","volume":"30","author":"Coelho No F","year":"2015","journal-title":"Phlebology"},{"issue":"6","key":"ref20","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1016\/j.ejvs.2009.07.015","article-title":"Results of surgical treatment compared with ultrasound-guided foam sclerotherapy in patients with varicose veins: a prospective randomised study","volume":"38","author":"Figueiredo M","year":"2009","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"6","key":"ref21","doi-asserted-by":"crossref","first-page":"372","DOI":"10.1590\/0100-3984.2017.0184","article-title":"Foam sclerotherapy for lower-limb varicose veins: impact on saphenous vein diameter","volume":"51","author":"Oliveira RG","year":"2018","journal-title":"Radiol Bras"},{"issue":"4","key":"ref22","first-page":"S641","article-title":"Foam sclerotherapy: an emerging, minimally invasive and safe modality of treatment for varicose veins","volume":"31","author":"Khan Kharl RA","year":"2019","journal-title":"J Ayub Med Coll Abbottabad"},{"issue":"4","key":"ref23","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1258\/026835506779115807","article-title":"Varisolve polidocanol microfoam compared with surgery or sclerotherapy in the management of varicose veins in the presence of trunk vein incompetence: European randomized controlled trial","volume":"21","author":"Wright D","year":"2006","journal-title":"Phlebology"},{"issue":"3","key":"ref24","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1590\/S0100-39842011000300009","article-title":"Ecoescleroterapia com espuma no tratamento da insufici\u00eancia venosa cr\u00f4nica","volume":"44","author":"Ceratti S","year":"2011","journal-title":"Radiol Bras"},{"issue":"1","key":"ref25","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/1358863X09106325","article-title":"Effectiveness of foam sclerotherapy for the treatment of varicose veins","volume":"15","author":"Nael R","year":"2010","journal-title":"Vasc Med"},{"issue":"2","key":"ref26","first-page":"67","article-title":"Ultrasound-guided foam sclerotherapy of great saphenous vein with 2% polidocanol - one-year follow-up results","volume":"11","author":"Kurnicki J","year":"2016","journal-title":"Wideochir Inne Tech Malo Inwazyjne"},{"issue":"8","key":"ref27","doi-asserted-by":"crossref","first-page":"892","DOI":"10.1097\/DSS.0000000000000076","article-title":"Foam sclerotherapy for reticular veins of the dorsal hands: a retrospective review","volume":"40","author":"Tremaine AM","year":"2014","journal-title":"Dermatol Surg"},{"issue":"3","key":"ref28","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1258\/phleb.2008.008063","article-title":"Side-effects and complications of foam sclerotherapy of the great and small saphenous veins: a controlled multicentre prospective study including 1025 patients","volume":"24","author":"Gillet JL","year":"2009","journal-title":"Phlebology"},{"issue":"7","key":"ref29","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1258\/phleb.2010.010044","article-title":"Three cases of stroke following peripheral venous interventions","volume":"26","author":"Ma RWL","year":"2011","journal-title":"Phlebology"},{"issue":"2","key":"ref30","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1590\/S1677-54492009000200002","article-title":"A terapia da compress\u00e3o e sua evid\u00eancia cient\u00edfica","volume":"8","author":"Figueiredo M","year":"2009","journal-title":"J Vasc Bras"},{"issue":"4","key":"ref31","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.ejvs.2009.11.027","article-title":"Foam sclerotherapy of the saphenous veins: randomised controlled trial with or without compression","volume":"39","author":"Hamel-Desnos CM","year":"2010","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"9-10","key":"ref32","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1111\/jocn.13611","article-title":"What is the existing evidence supporting the efficacy of compression bandage systems containing both elastic and inelastic components (mixed-component systems)? A systematic review","volume":"26","author":"Welsh L","year":"2017","journal-title":"J Clin Nurs"}],"container-title":["Jornal Vascular Brasileiro"],"original-title":[],"deposited":{"date-parts":[[2021,6,16]],"date-time":"2021-06-16T12:12:19Z","timestamp":1623845539000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1677-54492021000100310&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":32,"alternative-id":["S1677-54492021000100310"],"URL":"https:\/\/doi.org\/10.1590\/1677-5449.200178","relation":{},"ISSN":["1677-7301","1677-5449"],"issn-type":[{"value":"1677-7301","type":"electronic"},{"value":"1677-5449","type":"print"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e20200178"}}