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Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model

Sclerotherapy is the chemical occlusion of vessels using an intravenous injection of a liquid or foamed sclerosing agent that is used in the therapy of blood and lymphatic vessels malformations in the young, and for spider veins, smaller varicose veins, hemorrhoids and hydroceles in adults. This stu...

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Autores principales: Rybak, Zbigniew, Janeczek, Maciej, Dobrzynski, Maciej, Wujczyk, Marta, Czerski, Albert, Kuropka, Piotr, Noszczyk-Nowak, Agnieszka, Szymonowicz, Maria, Sender-Janeczek, Aleksandra, Wiglusz, Katarzyna, Wiglusz, Rafal J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924836/
https://www.ncbi.nlm.nih.gov/pubmed/33669987
http://dx.doi.org/10.3390/nano11020544
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author Rybak, Zbigniew
Janeczek, Maciej
Dobrzynski, Maciej
Wujczyk, Marta
Czerski, Albert
Kuropka, Piotr
Noszczyk-Nowak, Agnieszka
Szymonowicz, Maria
Sender-Janeczek, Aleksandra
Wiglusz, Katarzyna
Wiglusz, Rafal J.
author_facet Rybak, Zbigniew
Janeczek, Maciej
Dobrzynski, Maciej
Wujczyk, Marta
Czerski, Albert
Kuropka, Piotr
Noszczyk-Nowak, Agnieszka
Szymonowicz, Maria
Sender-Janeczek, Aleksandra
Wiglusz, Katarzyna
Wiglusz, Rafal J.
author_sort Rybak, Zbigniew
collection PubMed
description Sclerotherapy is the chemical occlusion of vessels using an intravenous injection of a liquid or foamed sclerosing agent that is used in the therapy of blood and lymphatic vessels malformations in the young, and for spider veins, smaller varicose veins, hemorrhoids and hydroceles in adults. This study aimed to assess the effectiveness of mechanosclerotherapy of venous veins with a new device—Flebogrif(®)—based on an animal model. The experiment was performed on nine Polish Merino sheep weighing 40–50 kilograms. The animals were anesthetized intravenously. The material was divided into three groups: two experimental (1 and 2) and control (3) group. The first experimental group was treated with the use of Flebogrif(®) and a sclerosant simultaneously, while only Flebogrif(®) was used in the second experimental group. Flebogrif(®) was applied into the lateral saphenous vein of both pelvic limbs. The vessel wall thickness was estimated at four points of the histological image in mm (V1, V2, V3, V4). For one month, the animals were euthanized, and the occlusion rate of the treated veins and changes in the vein wall were determined. Histological slides were analyzed under a light microscope and histometry of the vein wall was performed. The Shapiro–Wilk test and the quantity of the investigated parameter groups allowed for using a non-parametric method at four points to compare thickness measurements (the Mann–Whitney test), with p < 0.05. The Mann–Whitney test indicated statistically significant differences between both experimental groups. The results obtained from morphometrical and histological analysis showed better results in the first experimental group than those of the second experimental group. Finally, statistical analysis revealed significant differences between the both the experimental group and control group in morphological analysis. The achieved results allowed us to conclude that the simultaneous use of Flebogrif(®) and a sclerosant yielded better results of vein lumen reduction than the use of Flebogrif(®) alone.
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spelling pubmed-79248362021-03-03 Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model Rybak, Zbigniew Janeczek, Maciej Dobrzynski, Maciej Wujczyk, Marta Czerski, Albert Kuropka, Piotr Noszczyk-Nowak, Agnieszka Szymonowicz, Maria Sender-Janeczek, Aleksandra Wiglusz, Katarzyna Wiglusz, Rafal J. Nanomaterials (Basel) Article Sclerotherapy is the chemical occlusion of vessels using an intravenous injection of a liquid or foamed sclerosing agent that is used in the therapy of blood and lymphatic vessels malformations in the young, and for spider veins, smaller varicose veins, hemorrhoids and hydroceles in adults. This study aimed to assess the effectiveness of mechanosclerotherapy of venous veins with a new device—Flebogrif(®)—based on an animal model. The experiment was performed on nine Polish Merino sheep weighing 40–50 kilograms. The animals were anesthetized intravenously. The material was divided into three groups: two experimental (1 and 2) and control (3) group. The first experimental group was treated with the use of Flebogrif(®) and a sclerosant simultaneously, while only Flebogrif(®) was used in the second experimental group. Flebogrif(®) was applied into the lateral saphenous vein of both pelvic limbs. The vessel wall thickness was estimated at four points of the histological image in mm (V1, V2, V3, V4). For one month, the animals were euthanized, and the occlusion rate of the treated veins and changes in the vein wall were determined. Histological slides were analyzed under a light microscope and histometry of the vein wall was performed. The Shapiro–Wilk test and the quantity of the investigated parameter groups allowed for using a non-parametric method at four points to compare thickness measurements (the Mann–Whitney test), with p < 0.05. The Mann–Whitney test indicated statistically significant differences between both experimental groups. The results obtained from morphometrical and histological analysis showed better results in the first experimental group than those of the second experimental group. Finally, statistical analysis revealed significant differences between the both the experimental group and control group in morphological analysis. The achieved results allowed us to conclude that the simultaneous use of Flebogrif(®) and a sclerosant yielded better results of vein lumen reduction than the use of Flebogrif(®) alone. MDPI 2021-02-21 /pmc/articles/PMC7924836/ /pubmed/33669987 http://dx.doi.org/10.3390/nano11020544 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Rybak, Zbigniew
Janeczek, Maciej
Dobrzynski, Maciej
Wujczyk, Marta
Czerski, Albert
Kuropka, Piotr
Noszczyk-Nowak, Agnieszka
Szymonowicz, Maria
Sender-Janeczek, Aleksandra
Wiglusz, Katarzyna
Wiglusz, Rafal J.
Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title_full Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title_fullStr Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title_full_unstemmed Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title_short Study of Flebogrif(®)—A New Tool for Mechanical Sclerotherapy—Effectiveness Assessment Based on Animal Model
title_sort study of flebogrif(®)—a new tool for mechanical sclerotherapy—effectiveness assessment based on animal model
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7924836/
https://www.ncbi.nlm.nih.gov/pubmed/33669987
http://dx.doi.org/10.3390/nano11020544
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