We will include patients with insufficiency of the long and/or short saphenous vein as underlying cause of their venous leg ulcer. These patients may or may not have visible varicose veins of the long and/or short saphenous vein. According to ICD classification: Chronic venous hypertension with ulcer ICD-9-CM-459.31 Chronic ulcer of the skin ICD-9-CM-707
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - strict venous leg ulcer - ulcer > 4 weeks old - active ulcer CEAP classification C6 - full assessment: - venous duplex scanning - arterial doppler with ABPI > 0.85 - multilayer compression bandages are well tolerated - written informed consent Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - mixed arterial and venous ulcers - healed ulcers CEAP classification C5 - any history of thrombo-embolic disease - patients currently under oral anticoagulation therapy - total deep venous reflux - known allergy to liquid sclerosant - pregnancy or breast feeding - systemic disorders: rheumatoid arthritis and malignancies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Primary endpoint will be the mean time to healing of the leg ulcer Secondary endpoint includes the proportion of the ulcers healed at 12 and 24 weeks ; Main Objective: The aims of the study are to determine: - the effect of foam sclerotherapy on the incompetent venous trunks - the effect of foam sclerotherapy in addition to compression therapy on ulcer healing Set up a prospective, randomized, controlled trial ; Secondary Objective: - the feasibility of performing foam sclerotherapy in patients with damaged, ulcerated skin in an outpatients setting - the assessment of the cost of foam sclerotherapy treatment - quality of life of the patient before and after their treatment | — |
Countries
United Kingdom