Jornal Vascular Brasileiro
https://www.jvascbras.org/article/doi/10.1590/1677-5449.190049
Jornal Vascular Brasileiro
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Influência da escleroterapia ecoguiada com espuma de polidocanol na qualidade de vida na insuficiência venosa crônica de membros inferiores: resultados iniciais

Influence of polidocanol ultrasound-guided foam sclerotherapy on quality of life in lower extremity chronic venous disease: initial results

Afonso César Polimanti; Lucas Abdo Pereira; Tainan Montecorado Carmine; Rafael Vilhena de Carvalho Fürst; Alexandre Sacchetti Bezerra; João Antônio Corrêa

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Resumo

Resumo: A insuficiência venosa crônica (IVC) não só representa um prejuízo na qualidade de vida (QV), como também gera um ônus aos recursos de saúde pública. A escleroterapia ecoguiada com espuma (EEE) vem se mostrando uma boa opção, porém, seu real impacto na QV ainda é incerto. Apresentamos aqui os resultados dos primeiros 27 casos de um estudo prospectivo longitudinal não controlado para avaliação da clínica e QV submetidos a EEE em portadores de IVC CEAP C4 a C6 com contraindicação de cirurgia convencional, com avaliação seriada da clínica por meio do Venous Clinical Severity Score (VCSS) e da QV com o questionário Assessment of Burden Chronic Disease – Venous (ABC-V). Observamos redução do VCSS de 22,2% (p < 0,001) na primeira semana e do score ABC-V de 37,8% (p = 0,003) no primeiro trimestre.

Palavras-chave

estudos prospectivos, qualidade de vida, escleroterapia/efeitos adversos/métodos, inquéritos e questionários, resultado do tratamento, insuficiência venosa/terapia

Abstract

Abstract: Chronic Venous Insufficiency (CVI) is not only detrimental to patients’ Quality of Life (QoL) but also places a considerable burden on public health resources. Ultrasound guided foam sclerotherapy (USFS) is a good treatment option, but its effect on patients’ QOL is still unclear. This article presents the results from the first 27 patients in a prospective, longitudinal, non-controlled study for evaluation of the clinical and QOL impact of USFS treatment for CEAP C4 to C6 grade CVI with contraindications for open surgery. Clinical symptoms were measured with the Venous Clinical Severity Score (VCSS) and QOL by the Assessment of Burden Chronic Disease - Venous questionnaire (ABC-V). We observed 22.2% reductions in VCSS (p<0.001) in the first week after the procedure, and a 37.8% reduction in ABC-V scores (p=0.03) over the first 3 months.
 

Keywords

prospective studies, quality of life, sclerotherapy/adverse effects/methods, surveys and questionnaires, treatment outcome, venous insufficiency/therapy

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