Thursday, September 04, 2014

Are we concerned about these micro bubble emboli in to the MCA after microfoam ablation of varicosities?

J Vasc Surg. 2011 Jan;53(1):131-7. doi: 10.1016/j.jvs.2010.06.179. Epub 2010 Sep 22.
Clinical significance of cerebrovascular gas emboli during polidocanol endovenous ultra-low nitrogen microfoam ablation and correlation with magnetic resonance imaging in patients with right-to-left shunt.

MCA bubble emboli were detected in 60 of 82 treated patients; 22 patients had no detectable emboli. Among patients with MCA bubbles detected, 49 (82%) had ≤ 15 bubbles. No patients developed magnetic resonance imaging abnormalities, neurological signs, or elevated cardiac troponin.