Diagnosis of recurrent reflux within the remnant non-treatment stump after bilateral cyanoacrylate ablation of the great saphenous veins

Abstract

Cyanoacrylate ablation, along with mechanochemical ablation, is one of the best-known non-thermal ablation treatment methods for superficial venous reflux. Cyanoacrylate ablation is comparable to thermal ablation in terms of efficacy and safety, and offers the benefit of not requiring tumescent injections and the use of compression stockings. Here, we report about a patient who developed recurrent reflux in the residual stump after cyanoacrylate ablation. As a refluxing long residual stump can be a risk factor for late recurrence, improvements are needed to make the protocol more refined, including leaving the stump as short as possible.

The Novel Surgical Technique in the Cyanoacrylate Closure for Incompetent Great Saphenous Veins

“…Although clinical studies on the long-term recurrence rate are still lacking because CAC has been used for a short period of time, the long stump length can predict a higher long-term recurrence rate compared to other surgical methods. 11 The authors hypothesized that creating more reliable barriers to prevent EGIT and visualizing surgical information would solve these problems. Based on these hypotheses, the authors developed a novel surgical technique that can overcome the weakness of CAC, and the initial outcomes of this technique are described in this article.…”