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Volume 358:1525-1526 April 3, 2008 Number 14
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Microembolism during Foam Sclerotherapy of Varicose Veins

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To the Editor: Chronic venous insufficiency is a common disease in adulthood. One recently developed therapy for varicose veins is foam sclerotherapy.1

We used foam sclerotherapy in a 51-year-old man and a 33-year-old woman who had symptomatic varicose great saphenous veins and were otherwise healthy. Immediately after the initiation of treatment, transient scotomas developed in the man, and a migraine attack in the woman.

On the basis of these observations, we decided to monitor by echocardiography the foam distribution during foam sclerotherapy in 33 consecutive patients with chronic venous insufficiency. The treatment in each patient was carried out according to . . . [Full Text of this Article]


Related Letters:

More on Microembolism and Foam Sclerotherapy
Rush J. E., Wright D. D.I., Ceulen R. P.M., Vernooy K.
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N Engl J Med 2008; 359:656-657, Aug 7, 2008. Correspondence

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