Injection—Compression Sclerotherapy of the Greater Saphenous Vein with PRoximal Incompetence (Crosse Insufficiency) as an Alternative Treatment to Surgery

Abstract

Injection compression treatment of the long saphenous vein with proximal incompetence can yield good results if two factors are taken into account: first, a reliable injection technique, executed over many years, and second, a suitable non-toxic sclerosant, which is sufficiently strong to close even the largest varicose veins. The investigation of 88 patients showed in nearly 100% of cases an obliteration of the sapheno-femoral junction and, after a follow-up period from 1 to 10 years, permanent closure of the sapheno-femoral junction in 91.2% was achieved. In using our technique we have never encountered intra-arterial or paravenous injections, nor have we noted deep vein thromboses or pulmonary embolisms.