Foam phlebectomy is a technique combining foam sclerotherapy and ambulatory into a single procedure. Combining both procedures into one offers many advantages over utilizing either procedure as a standalone technique. The advantages of foam phlebectomy are many and allows the treatment of most patients in a single session. Ambulatory phlebectomy is improved with the presence of foam as segments of vein missed with phlebectomy are adequately treated by the foam. The presence of foam in the veins allows the us of ultrasound to assist with guidance of the phlebectomy for segments of vein the prove difficult to find and remove. Sclerotherapy is improved as the tumescent anesthesia compresses the vein walls giving better foam contact with the vein wall. The foam is then easily removed during the phlebectomy which limits the amount of foam travels back to the heart. Additionally the need for microthrombecomy is reduced because residual veins are decompressed. Overall bleeding problems post phlebectomy are lower as well.
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.
A faster technique for embolization gonadal veins using large diameter coils
62 year old female with 2 months of short distance claudication and rest pain at night