Varicose Veins Clinical Trial
Official title:
A Randomized Triple-blind Study Protocol Comparing Polidocanol Versus Hypertonic Glucose for Sclerotherapy in Treatment of Reticular Veins at the Lower Limbs.
It will be done a randomized triple-blind study comparing 0,2% polidocanol versus 75% hypertonic glucose of sclerotherapy in lower limbs´ reticular veins. It will be included only adult women with reticular veins on the side of the thighs and mild venous insufficiency (CEAP 1). The primary endpoint will be efficacy, and secondary will be safety.
Background. The prevalence of chronic venous disease is high in the general population,
mainly in young women, and in milder cases the usual complaint is aesthetic. Various
techniques are used for treatment of mild varicose disease, including surgical treatment,
laser ablation and sclerotherapy. Reticular veins are those with less than 3mm diameter,
bluish and important contribution to the aesthetic damage, and sometimes they are related to
local pain and recurrence after treatment of telangiectasias. There is no consensus in the
literature about the effectiveness of treatment with sclerotherapy, despite of being an
usual procedure with different chemicals.
Methods and design. One hundred lower limbs of healthy women between 18 and 69 years will be
triple blind randomized to receive treatment with polidocanol 0.2% diluted in 70% hypertonic
glucose versus 75% hypertonic glucose for sclerotherapy treatment of reticular veins. The
patients will be examined and clinically classified. It will be included patients with
reticular veins sited at out's thigh/leg, measuring at least 10cm long, and only one
extremity will be included per patient. The patients with varicose disease CEAP 2 or more
will not be included. The treatment will be carried out in only one session and the
medication volume not exceeding 5 ml. Clinical follow-up protocols will be filled on regular
visits on days 0 - 7 - 60 concomitantly with photograph documentation. Supplementary
examination for venous mapping with ultrasound pretreatment is performed for all patients.
Discussion. This prospective controlled double-blind randomized trial aims to verify and
compare the efficacy and safety for sclerotherapy treatment of reticular veins of the lower
limbs. The results may help physicians to choose the best sclerotherapy treatment for
reticular veins.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
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