EN
Outcomes of Endovenous Cyanoacrylate Closure Using Venaseal ™ System for Chronic Venous Insufficiency
Abstract
Purpose: Endovenous cyanoacrylate closure of saphenous veins is a nonthermal, nonsclerosant ablation technique with satisfactory results. The objective of this study is to indicate the impact of Venaseal™ closure system in chronic venous insufficiency.
Methods: Between March 2014- March 2019, 27 patients underwent a total of 40 procedures with the VenaSeal ™ closure system for symptomatic saphenous vein reflux in our hospital. Beside glue ablation procedures, 16 patients underwent concomitant mini phlebectomy, 3 patients underwent perforan vein ligation and 1 patient underwent anterior accessory saphenous vein ligation. The mean age of the patients were 44.4±13.8 (19-67). Doppler ultrasound of the target vein was performed one and 12 months after treatment. Tumescent anesthesia and compression stockings were not used.
Results: Mean follow up time was 34.3 ±17 months. The anatomical success rate was 100% at 1 month and 100% at 1 year and there was no recanalization in treated vein segment. All procedures were well tolerated with a median visual analog scale (VAS) pain score of 3.0 (range: 2–5) on a 10-point scale. The mean pre-operative revised venous clinical severity score was 7.5±2.6, which improved to 2.6±0.7, p< 0.001 at one month follow-up. Deep vein thrombosis and pulmonary thromboembolism were not detected. Phlebitis was seen in 2 (7,4%) patients and hypersensitivity reaction occured in one patient (3,7%).
Conclusion: Endovenous cyanoacrylate closure of refluxing saphenous veins is a safe and effective method with reduced side effects.
Keywords
References
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Details
Primary Language
English
Subjects
Cardiovascular Surgery
Journal Section
Research Article
Publication Date
September 29, 2021
Submission Date
June 15, 2021
Acceptance Date
August 20, 2021
Published in Issue
Year 2021 Volume: 12 Number: 4