Venous Ulcer
Conditions
Keywords
Venous Ulcer, Venous Insufficiency of Leg, Varicose Veins
Brief summary
The study is conducted to assess the effects of immediately started foam sclerotherapy in venous ulcer compared to early intervention.
Detailed description
Recently EVRA study showed that early endovenous ablation (foam sclerotherapy and/or endothermal ablation) is beneficial for venous ulcer healing. This randomized controlled trial is conducted to assess the effects of immediate foam sclerotherapy in the first visit to vascular outpatient clinic (immediate intervention). Patients in control group will receive foam sclerotherapy at four weeks (early intervention). Endothermal ablation is performed in early setting in both groups when truncal vein anatomy is suitable. The primary outcome for this study is the reduction of venous ulcer area at four weeks.
Interventions
Foam sclerotherapy is used to all patients for endovenous ablation of insufficient veins in subulcer plexus area.
Endothermal ablation is performed in early setting when truncal vein(s) anatomy is suitable.
Sponsors
Study design
Eligibility
Inclusion criteria
* Venous ulcer \> 1 month * Ulcer area \> 1cm2 * Palpable distal pulses / Ankle-brachial index \> 0,8 / Toe-brachial index \> 70mmhg (at least one criteria must be met)
Exclusion criteria
* Leg ulcers other than venous etiology * Pregnancy * General contraindications for foam sclerotherapy * Ulcers requiring operation theater revision
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Venous ulcer area | 0 to 180 days | Venous ulcer area measured from calibrated digital photograph. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time to ulcer healing | 0 to 360 days | Complete re-epithelialisation of ulcer area. |
| Total time of active venous ulcer | 0 to 360 days | Time from when ulcer was first time noticed to complete re-epithelialisation of ulcer area. |
Countries
Finland