{"id":3714,"date":"2022-11-22T11:55:22","date_gmt":"2022-11-22T09:55:22","guid":{"rendered":"https:\/\/eislearning.goldenmarket-tn.com\/?p=3714"},"modified":"2022-12-01T17:51:44","modified_gmt":"2022-12-01T15:51:44","slug":"dans-la-serie-la-sclerotherapie-echoguidee-a-la-mousse-sem-traitement-de-1ere-intention","status":"publish","type":"post","link":"https:\/\/eislearning.goldenmarket-tn.com\/?p=3714","title":{"rendered":"Dans la s\u00e9rie : La scl\u00e9roth\u00e9rapie \u00e9choguid\u00e9e \u00e0 la mousse (SEM), traitement de 1\u00e8re intention"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\"><mark style=\"background-color:rgba(0, 0, 0, 0)\" class=\"has-inline-color has-ast-global-color-0-color\"> apr\u00e8s la SEM de la VPS, la SEM des r\u00e9cidives.<\/mark><\/h4>\n\n\n\n<p>Le traitement d&#8217;une r\u00e9cidive post chirurgicale de la GVS repr\u00e9sente un cas clinique o\u00f9 la scl\u00e9roth\u00e9rapie \u00e9choguid\u00e9e \u00e0 la mousse doit \u00eatre employ\u00e9e en premi\u00e8re intention pour les raisons suivantes :<\/p>\n\n\n\n<p>trajet sinueux et irr\u00e9gulier de l&#8217;axe veineux r\u00e9cidivant, paroi veineuse tr\u00e8s fragile et par cons\u00e9quent difficilement traitable avec les autres m\u00e9thodes plus invasives.<\/p>\n\n\n\n<p>La mousse scl\u00e9rosante, en d\u00e9pla\u00e7ant la colonne sanguine, suit tout le trajet&nbsp;de la r\u00e9cidive et cr\u00e9e un veinospasme efficace, dans le respect des recommandations de volume et de concentration.&nbsp;<\/p>\n\n\n\n<p>Ce veinospasme est pr\u00e9dictif d&#8217;une bonne oblit\u00e9ration. 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