Work

Proximal Tumescence During Treatment of Saphenous Veins with Polidocanol Endovenous Microfoam (PEM) Provides Successful Ablation of Larger Veins and Predicts Reduced Microfoam Volume

Year: 2025

Type: article

Abstract: Peri-venous tumescence with saline or a lidocaine solution is routinely used for thermal ablation of refluxing superficial lower extremity veins to displace sensitive structures away from the thermal probe and provide it better contact with the treated vein. In this study, we introduce a novel technique of using proximal tumescence (PT) infiltration at the most efferent segment of refluxing saphenous veins treated with 1% PEM. We hypothesize that by reducing the vein diameter, PT prolongs apposition time of PEM to the endothelium by slowing venous outflow and microfoam propagation speed.

Source: Journal of Vascular Surgery Venous and Lymphatic Disorders

DOI: 10.1016/j.jvsv.2024.102115

Authors: Natalie Marks, Enrico Ascher, Anil Hingorani, John Fang

Institutions: New York University, Morristown Medical Center

Language: English

Topic: Diagnosis and Treatment of Venous Diseases

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,400