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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2020, Cilt 34, Sayı 1, Sayfa(lar) 007-011
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Use of Cyanoacrylate in Venous Insufficiency and Varise Treatement and its Results
Cengiz GÜVEN
Adıyaman Üniversitesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Adıyaman, TÜRKİYE
Keywords: Cyanoacrylate ablaton, nontumescent endovenous ablation, varicose veins, chronic venous insufficiency

Objective: In this study it was aimed to present the early 6-month results of patients who underwent saphenous vein ablation with cyanoacrylate (CA) and measure the reliability of cyanoacrylate.

Materials and Methods: 318 symptomatic patients undergoing saphenous vein cyanoacrylate ablation were evaluated retrospectively from March 2015 to October 2016. Patients with at least 5 mm saphenous vein diameter and reflux of at least 0,5 sec on duplex ultrasound at the level of saphenofemoral junction were enrolled in the study. All patients underwent local anesthesia. No general anesthesia was required. Each process took about 10 minutes and 30 minutes later the patients were discharged with elastic bandage provided for a duration of one day. Compression socks and any other medical treatment were not recommended except patients with perforation vein failure. Patients were compared with venous clinical severity score and preop scores.

Results: A total of 318 (180 female, 138 male) patients underwent saphenous vein ablation with CA. The mean age was 43,6 ± 12.78 years. In early outpatient clinical controls; thrombophlebitis occurred in 6 and ecchymosis occurred in 12 patients at the puncture site. Venous clinical severity score was found to be significantly decreased in all patients compared to their pre-procedure status. Six months later, duplex ultrasound control revealed re-canalized saphenous vein in 16 patients.

Conclusion: Saphenous vein embolization with cyanoacrylate is an effective and safe method for venous insufficiency and varicose veins in selected patients and experienced hands.

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