Publications by authors named "J S Blebea"
Chronic venous disease has a major impact on the quality of life of millions of patients. Large randomized controlled trials have established ultrasound-guided foam sclerotherapy (UGFS) as a safe and effective treatment option for both saphenous vein insufficiency and tributary disease. Ultrasound guidance is a critical component of sclerotherapy of non-visible veins.
View Article and Find Full Text PDFProtocol-based treatment of spontaneous hemorrhage from varicose veins prevents recurrence of bleeding.
J Vasc Surg Venous Lymphat Disord
January 2025
Article Synopsis
- Spontaneous hemorrhage from varicose veins can be a dangerous complication, and a two-step clinical protocol was developed to prevent immediate bleeding and ensure long-term results.* -
- The protocol involved a prospective registry of patients, where they received ultrasound assessments and immediate treatment through foam sclerotherapy, followed by planned endovenous ablation within eight weeks.* -
- Out of 59 patients treated, 95% had identifiable underlying issues, and while 52 received the immediate sclerotherapy, only 7 did not; results indicated no recurrent bleeding post-treatment, with a 7% rate of late hemorrhage in long-term follow-up.*
Mechanical occlusion chemically assisted ablation (MOCA) of incompetent saphenous veins has been utilized since its FDA approval in 2008. However, only recently have longer-term three and 5 year clinical follow up data become available. This updated information necessitates a societal update to guide treatment and ensure optimal patient outcomes.
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