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Vol. 64. Issue 1.
Pages 89-99 (January - February 2022)
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Vol. 64. Issue 1.
Pages 89-99 (January - February 2022)
Series: Ultrasound of the gastrointestinal tract
Ultrasound-guided interventional radiology procedures on veins
Intervencionismo venoso guiado por ecografía
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O. Cosín Sales
Servicio de Angiología y Cirugía Vascular, Hospital Universitario La Ribera, Alzira, Valencia, Spain
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Abstract

Although ultrasound-guided interventional procedures have resulted in great advances in many fields of medicine, this approach has revolutionized endovascular procedures.

This paper aims to review the basic principles to develop a strategy to follow in ultrasound-guided treatments of varices in the lower limbs, as well as to provide a brief overview of the main endovenous techniques available nowadays.

We divide these techniques into those that use catheters to occlude straight saphenous axes (thermal / non-thermal ablation) and other options, such as foam sclerotherapy, which can be used in all types of varices, even in those originating in the pelvis.

Keywords:
Chronic venous disease
Varicose veins
Sclerotherapy
Thermal ablation
Non-thermal ablation
Resumen

Si en muchos campos de la medicina, el intervencionismo ecográfico ha aportado grandes avances, sin duda en lo que respecta a las terapias endovenosas ha supuesto una revolución.

El presente artículo pretende repasar los principios básicos para desarrollar una estrategia a seguir en los tratamientos ecoguiados de varices en los miembros inferiores. Así mismo, busca transmitir una breve perspectiva sobre las principales técnicas endovenosas disponibles en la actualidad.

Dichas técnicas las dividiremos principalmente en aquellas que se sirven de un catéter con el fin de ocluir los ejes safenos rectos (ablación térmica/no térmica) y aquellas otras opciones, como es la esclerosis con espuma, que permite su uso en todo tipo de varices, incluso las de origen pélvico.

Palabras clave:
Insuficiencia venosa crónica
Venas varicosas
Escleroterapia
Ablación térmica
Ablación no térmica

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