Venous Ulcer Treatment With Foam Versus Conservative Treatment

NCT ID: NCT01594658

Last Updated: 2012-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

46 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-07-31

Study Completion Date

2012-09-30

Brief Summary

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The venous ulcer due to venous insufficiency causes an important morbility to those people suffering from this condition. Most of therapies available under the obligatory health plan (POS, acronym in spanish) to date cover the cleaning of the ulcerous lesion and its medical handling using saline solutions, topical antibiotics and elastic dressings, implying an important intake from health resources due to its chronicity and the delay in ulcers healing, which usually takes periods ranging from 6 months to several years. therapeutical alternatives, which can guarantee optimal, fast and persistent in time healings, should be identified.

The aim of this study is to determine the percentage of healing of active venous ulcers (using a clinical, etiological, anatomic and physiopathologic classification (CEAP), C6) following ultrasound-guided foam sclerotherapy of superficial venous reflux in patients with chronic venous ulceration after six months from the intervention, compared with conservative medical handling. The investigators expect that the ultrasound-guided foam sclerotherapy of superficial venous reflux will diminish the time of ulcer healing compared with standard handling.

Detailed Description

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to determine healing rates following ultrasound-guided foam sclerotherapy (UGFS) of superficial venous reflux (SVR) in patients with open (clinical,etiologic, anatomic and pathophysiologic (CEAP) classification, C6) chronic venous ulceration ( CVU) in a randomised clinical trial of foam sclerotherapy for patients with venous ulcer

Conditions

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Venous Ulcer

Keywords

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Ultrasound-guided foam sclerotherapy; chronic venous ulcers

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Foam sclerotherapy

This arm corresponds to ultrasound-guided foam sclerotherapy of superficial venous reflux plus conservative management

Foam sclerotherapy

Intervention Type PROCEDURE

Foam application of 1% (Sklerol®, ICV Pharma, Bogota-Colombia), Reg INVIMA: 2002M-0001016, guided by ecography of insufficient superficial veins, doses from 10-40 cc of foam until obtaining endoluminal occlusion of the vein. The patient will rest for 8 minutes and then the leg will be covered with elastic bandage.

Conservative

This arm only has medical standard handling (healings performed by the nurse group)

conservative

Intervention Type PROCEDURE

This arm only has medical standard handling (healings performed by the nurse group)

Interventions

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Foam sclerotherapy

Foam application of 1% (Sklerol®, ICV Pharma, Bogota-Colombia), Reg INVIMA: 2002M-0001016, guided by ecography of insufficient superficial veins, doses from 10-40 cc of foam until obtaining endoluminal occlusion of the vein. The patient will rest for 8 minutes and then the leg will be covered with elastic bandage.

Intervention Type PROCEDURE

conservative

This arm only has medical standard handling (healings performed by the nurse group)

Intervention Type PROCEDURE

Other Intervention Names

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(Sklerol®, ICV Pharma, Bogota-Col),Reg INVIMA: 2002M-0001016 This arm only has medical standard handling

Eligibility Criteria

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Inclusion Criteria

* Presence of Venous Ulcer confirmed by CEAP C6
* Chronic venous ulcer present for at least 4 weeks
* Ankle-arm index greater or equal to 0.8 mmHg

Exclusion Criteria

* Severe hepatic, cardiac or pulmonary disease
* Deep venous thrombosis
* Active participation in other clinical trials
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Universidad El Bosque, Bogotá

OTHER

Sponsor Role collaborator

Hospital Occidente de Kennedy

OTHER

Sponsor Role lead

Responsible Party

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ernesto nieves

medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Miguel A Ramirez, MD

Role: STUDY_DIRECTOR

Hospital Occidente de Kennedy

Locations

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Hospital Occidente de Kennedy

Bogota, Cundinamarca, Colombia

Site Status

Countries

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Colombia

References

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Pang KH, Bate GR, Darvall KA, Adam DJ, Bradbury AW. Healing and recurrence rates following ultrasound-guided foam sclerotherapy of superficial venous reflux in patients with chronic venous ulceration. Eur J Vasc Endovasc Surg. 2010 Dec;40(6):790-5. doi: 10.1016/j.ejvs.2010.08.011. Epub 2010 Sep 27.

Reference Type BACKGROUND
PMID: 20875753 (View on PubMed)

Darvall KA, Bate GR, Adam DJ, Silverman SH, Bradbury AW. Ultrasound-guided foam sclerotherapy for the treatment of chronic venous ulceration: a preliminary study. Eur J Vasc Endovasc Surg. 2009 Dec;38(6):764-9. doi: 10.1016/j.ejvs.2009.05.027. Epub 2009 Jul 18.

Reference Type BACKGROUND
PMID: 19616975 (View on PubMed)

Other Identifiers

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VUT-3F

Identifier Type: -

Identifier Source: org_study_id