ESGVS: Sclerotherapy With Lauromacrogol
- Conditions
- Venous InsufficiencySaphenous Vein
- Registration Number
- NCT00348764
- Lead Sponsor
- University Hospital, Grenoble
- Brief Summary
To evaluate the efficacy and the tolerance of echoguided sclerotherapy using Lauromacrogol 400 foam for the treatment of Great Saphenous Vein (GSV) insufficiency. A comparative study of 3% versus 1% Lauromacrogol 400 foam.
- Detailed Description
A multicenter randomized double blind study to evaluate the efficacy and the tolerance of echoguided sclerotherapy using 3% versus 1% Lauromacrogol 400 foam in the treatment of Great Saphenous Vein (GSV) insufficiency.
One hundred fifty eligible patients will be recruited during 6 months from 9 study centers with a follow up period of 3 years and 7 visits at day 8, 6 weeks, 3 months, 6 months, 1,2 ,and 3 years.
After randomization, the patients will be treated by echoguided sclerotherapy with 1% or 3% Lauromacrogol 400 foam (ratio 1:1).
Monitoring is performed by doppler at 8 days, 6 weeks, 6 months , 1,2 ,and 3 years.
Effectiveness of sclerotherapy is determined at 6 weeks, 3 months and 6 months. A additional injection of 4 ml of foam can be performed if needed.
Severity clinical score and Quality-of-life questionnaire are performed at 6 months ,1 ,2, and 3 years.
The absence of obliteration with a reflux of crural great saphenous vein at 6 months will be a criterion of therapeutic failure.
The therapeutic success or failure criteria are evaluated by a non investigator angiologist for 5 patients randomized from each investigational site at 1, 2 and 3 years.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 150
- 25 - 75 years
- Hawaii CEAP classification : C2-5 Ep, As2-3 Pr
- Clinical Varicose veins C2, Edema C3, Skin changes C4, Healed ulcer C5
- Etiology Ep Primary GSV insufficiency
- As2-3: Ostial and or crural truncular GVS incompetence
- Maximal inferior diameter of the leg GSV (patient in decubitus) between 4 and 8mm
- Pr: reflux by echo doppler in orthostatism > 1 second
- Information consent form signed by the investigator and the patient.
- deep venous reflux (CEAP: Ad)
- Short saphenous vein or non saphenous network insufficiency (CEAP: A4-5)
- Clinical class: C1 or C6
- Recurrent GSV varicose veins after stripping
- Thrombophilia or antecedent of deep vein thrombosis
- Psychiatric disorders
- Known allergy to Lauromacrogol or to one of its component
- Arteriopathy. (IPS < 0.8)
- Post-thrombotic disease
- Chronic hepatoma
- Renal insufficiency (creatinine > 150 micromol/l)
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Removal of truncular GSV incompetence evaluated at 6 months by echo doppler: no persistence of "sus gonal" saphenous reflux > 1 second.
- Secondary Outcome Measures
Name Time Method Removal of truncular GSV incompetence evaluated at 6 months by echo doppler: no persistence of "sus gonal" saphenous reflux > 1 second.
Trial Locations
- Locations (1)
Center of Vascular Medecine - 7 rue Lesdiguières
🇫🇷Grenoble, France