LA ESCLEROTERAPIA CON ESPUMA ES UN METODO EFICAZ PARA EL TRATAMIENTO DE LA

INSUFICIENCIA VENOSA. 14 DE JULIO DEL 2014

FOAM SCLEROTHERAPY IS AN EFFECTIVE METHOD FOR THE TREATMENT OF VENOUS

INSUFFICIENCY.

J.Cabrera Garrido.

Clinicas Dr Juan Cabrera, Granada , Madrid, Bacelona y La corua, Espaa.

La escleroterapia tericamente lo puede todo (Mollard 1994). Se debe de conocer la

1:concentracin intravascular esclerosante, 2: Homognea, extensa y manejable distribucin de
las paredes venosas. 3: Control del Tiempo de contacto esclerosante endotelio.

Lo fundamental de la escleroterapia se encierra en el control de accin de los frmacos

esclerosantes , este control se consigue con la formula farmacutica de espuma inyectable, con
ella la escleroterapia podra llegar tomar una nueva era.

PALABRAS CLAVE.

MICROESPUMA, Escleroterapia, Ecografa, Insuficiencia Venosa, Varices.

INTRODUCCION

Hay varios tratamientos para tratar la insuficiencia venosa como oueden ser la radiofrecuencia,
ablacin, laser, ciruga, sistemas mecnicos qumicos, vapor de agua obteniendo diferentes
resultados .

La escleroterapia es una tcnica no invasiva en 1993 se desarrolla una espuma de grado

farmacutico que logra el tratamiento de grandes varices.

La proporcin optima de lquido gas se obtiene cuando hay un lquido suficiente para q las
burbujas puedan ser esfricas y del menor dimetro posible.

INDICACIONES.

La aparicin de reflujo y el posterior desarrollo de las venas varicosas requieren una conexin
entre la triada formada por el origen de reflujo, las vas de transmisin y los vasos terminales.

a) El origen de un reflujo identificado mediante Doppler o eco-Doppler color, puede ser

eliminado.
b) Las vas de transmisin, anatmicamente muy variables son fcilmente identificables a
simple vista y con eco Doppler color.
c) Los vasos finales que conducen el reflujo hacia perforantes de pierna, al tobillo-pie, o al
plexo indiferente plantar, son sencillamente eliminables.
 La clave del xito teraputico en el tratamiento de la insuficiencia venosa radica en la
eliminacin completa, rigurosa y confirmada de todas las venas varicosas de pierna, tobillo
y pie.

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