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Patent foramen ovale (PFO) and sclerotherapy - Buffalo Niagara Vein Treatment Center and www.VeinsVeinsVeins.com
Tuesday, August 20, 2013

 

 

There are published guidelines regarding sclerotherapy for varicose veins with foam. In regards to patients with known patent foramen ovale or undiagnosed patent foramen ovale (PFO), the recommendations by the German Society of Phlebology are:

 

1)    the known presence of patent foramen ovale is a relative contraindication for foam sclerotherapy. 

 

2)    patients should remain in the supine position anywhere for 8 to 30 minutes after injection.

 

3)    Small volumes of foam sclerotherapy or liquid sclerotherapy are recommended.

 

4)    Valsalva maneuvers should be avoided.

 

5)    The patient’s leg should be elevated by about 30 cm after completion of the injections.

 

6)    Prior to foam sclerotherapy it is not necessary to perform specific investigations for patent foramen ovale.

 

7)    In patients with high risk of thromboembolism adequate thrombophylaxis with lower molecular weight heparin is recommended as well as physical prophylaxis with ambulation and using low sclerosant concentrations of foam sclerotherapy. 

 

8)    Prior to foam sclerotherapy it is not necessary to perform specific investigations for thrombophilia – i.e. looking for genetic mutations for Factor V, Prothrombin II, etc.

 

For more information about foam sclerotherapy contact Hratch Karamanoukian MD FACS at the Vein Treatment Center with offices in Williamsville, NY and Clarence, NY or contact Dr Karamanoukian through www.VeinsVeinsVeins.com or www.VeinGuide.com or call 716-839-3638.

 

www.VeinsVeinsVeins.com and www.VeinGuide.com are partners with www.PeaceBridgeHealthCare.com

 

 

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