Effectiveness of internal compression therapy in primary safen vein failure

Abstract

Aim:The aim of this study is to evaluate the effectiveness of internal compression therapy (ICT), a new technique used in the treatment of chronic venous insufficiency (CVI), and to share the early results. Material and Method: Between September 2018 and June 2019, 27 patients with superficial venous insufficiency due to saphenofemoral junction (SFJ) insufficiency and who underwent ICT were included in the study. Demographic data, venous color doppler ultrasonography (RDUS) results, CEAP (clinical etiology, anatomy, pathophysiology) classification, venous clinical severity score (VCSS) and visual analog scale (VAS) results were retrospectively analyzed from the files of the patients. Results: It was determined that 14 of the 27 patients were female and 13 were male in the study. While the mean CEAP classification scores were 3.9±0.5 before the procedure, it was 2.3±0.7 at the 3rd month after the procedure (p<0.001). While the mean duration of venous reflux before the procedure was 4.7±0.3 seconds, pathological reflux was detected in 2 patients at the 3rd month after the procedure (p<0.001). While the mean VCSS score was 11.2±3.3 before the procedure, it was 5.4±1.2 at 3 months (p<0.001). While the mean VAS score was 6.5±1.3 preoperatively, the mean VAS score was 2.7±1.4 at 3 months after the procedure (p<0.001). No complications were observed in any of the patients. Conclusion:We think that ICT can be used as an alternative treatment method in the treatment of superficial venous insufficiency due to valve dysfunction in SFJ.

A Metanalysis Study on Internal Compression Therapy (ICT) in Deep Venous Insufficiency Therapy

“…In some experimental studies, the compression effect of ICT application on the vessel has been reported to continue and cyanoacrylate is as durable as sutures 24 . Despite the durability of cyanoacrylate, no serious adverse effects of ICT application were reported during short-or mid-term follow-up, as well as the experimental studies [3,5,11,24,28] . To date, toxicological, carcinogenic, and mutagenic effects against hyaluronic acid and cyanoacrylate have also not been reported in vascular use [24] .…”

“…Unlike other investigators used for DVI, Bolat et al [5] evaluated the e cacy of the ICT method in patients with chronic super cial venous insu ciency. They reported that re ux time and VCSS improved signi cantly.…”

“…In the treatment of CVI, the objective is to eliminate or at least reduce re ux in venous insu ciency, which results in health costs and loss of work force by causing infection, excessive swelling, soft tissue ulceration, and deep vein thrombosis (DVT) [5] . In the treatment of super cial venous insu ciency (SVI), there are different treatment options in addition to conservative and surgical treatments.…”

“…In this context mentioned, we (Invamed RD Global, Ankara, Turkey) have developed a new technology called the ICT Valvular Leak Sealer Reconstruction System for the treatment of primary DVI by applying internal compression [5,24,25] . In this system, a mixture of hyaluronic acid and hard n-butyl-2cyanoacrylate (NBCA) gel is administered to the outer surface of the vein using the ICT device at the insu cient valve level between the deep vein and the muscle fascia.…”