Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Sclerotherapy. Continuous wave Doppler-guided injections

A Cornu-Thenard1, H de Cottreau, R A Weiss

  • 1Department of Cardiology, Hôpital Saint-Antoine, Paris, France.

Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [Et Al.]
|October 1, 1995
PubMed
Summary

Doppler sclerotherapy offers a precise method for treating varicose veins not visible when lying down. This technique uses continuous wave Doppler for accurate injections, proving effective and safe in clinical studies.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fabrication of Tough Double-Network Hydrogels from Highly Cross-Linked Brittle Neutral Networks Using Alkaline Hydrolysis.

Gels (Basel, Switzerland)·2024
Same author

Consolidation and Forced Elasticity in Double-Network Hydrogels.

Gels (Basel, Switzerland)·2023
Same author

Facile Fabrication of a Shape Memory Polymer by Swelling Cross-Linked Natural Rubber with Stearic Acid.

ACS macro letters·2022
Same author

Mechanically Tough, Thermally Activated Shape Memory Hydrogels.

ACS macro letters·2022
Same author

Sulfonation Distribution in Sulfonated Polystyrene Ionomers Measured by MALDI-ToF MS.

ACS macro letters·2022
Same author

Brittle-to-Ductile Transition of Sulfonated Polystyrene Ionomers.

ACS macro letters·2022

Area of Science:

  • Vascular Surgery
  • Minimally Invasive Procedures
  • Medical Device Technology

Background:

  • Traditional varicose vein sclerotherapy relies on visual identification and palpation.
  • Varicose veins, especially those larger than 4-5 mm, can be difficult to locate when patients are in a supine position.

Purpose of the Study:

  • Introduce Doppler sclerotherapy, an innovative technique for enhanced sclerotherapy accuracy.
  • To enable precise treatment of varicose veins that are impalpable in the supine position but palpable when standing.

Main Methods:

  • Utilizes a continuous wave Doppler device, syringe, and needle for guided sclerosing agent injection.
  • Employs a four-step method to ensure avoidance of arterial vessels and continuous monitoring of the target vein.
  • Requires no assistants, allowing the physician to maintain focus on the injection site and Doppler sounds.

Related Experiment Videos

Main Results:

  • A multicenter study involving 220 patients and approximately 1,400 injections reported a high success rate for intravascular localization (all but 18 injections).
  • No significant complications were observed during the study.
  • The technique demonstrated high accuracy in guiding sclerosing injections.

Conclusions:

  • Doppler sclerotherapy is indicated for varicose veins palpable only when standing.
  • The technique is suitable for treating varicose veins in the groin, lower thigh, and along the small saphenous vein.
  • Considered more accessible, faster, and economical than traditional methods, though not a replacement for duplex ultrasound-guided injections.