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Schaumsklerosierung der Varikose

Foam sclerotherapy of varicose veins

  • Leitthema: Aktuelle Chirurgie der Varikosis
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Zusammenfassung

Die Sklerosierungstherapie hat ihren festen Stellenwert in der Behandlung von retikulären Varizen und Seitenästen. Durch die Einführung der Sklerosierung mit aufgeschäumten Verödungsmitteln konnte die Effektivität bei großen Varizen und der Stammvarikose deutlich gesteigert werden. Bei niedriger Nebenwirkungsrate und guter Kosten-Nutzen-Relation stellt die Sklerosierung subkutaner Varizen mit aufgeschäumten Verödungsmitteln eine Alternative und eine Ergänzung zu den operativen und endovenösen Verfahren dar.

Der Stellenwert der Schaumsklerosierung im Vergleich zu den anderen Therapieverfahren muss in randomisierten Vergleichsstudien überprüft werden.

Abstract

Sclerotherapy is a standardized method in the treatment of reticular veins and tributary varicose veins. The use of foamed sclerosing agents has improved the effectivity of the method also for large subcutaneous veins and saphenous veins. With a low profile of side effects and good cost effectiveness, foam sclerotherapy is an alternative and additional method to operative and endovenous treatment of varicose veins. The position of this method in comparison with the other options has to be defined by randomized comparative studies in the future.

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  1. Klinik und Poliklinik für Dermatologie der Rheinischen Friedrich-Wilhelms-Universität Bonn

    F. Pannier & E. Rabe

  2. Klinik und Poliklinik für Dermatologie der Rheinischen Friedrich-Wilhelms-Universität Bonn, Sigmund-Freud-Str. 25, 53105, Bonn

    F. Pannier

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Pannier, F., Rabe, E. Schaumsklerosierung der Varikose. Gefässchirurgie 9, 284–289 (2004). https://doi.org/10.1007/s00772-004-0368-x

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