Large Diameter Is Associated With High Recanalization Rate During Cyanoacrylate Closure Treatment of Great Saphenous Vein Insufficiency

Kubat, Emre; Kadan, Murat; Akyol, Furkan Burak; Doğancı, Suat

doi:10.1097/dss.0000000000003294

Cited by 2 publications

(1 citation statement)

References 5 publications

(12 reference statements)

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“…In recent years, CAC has been widely used as an innovative approach for the treatment of CVI. [24][25][26] It offers various advantages over thermal ablation, including the avoidance of tumescent anesthesia, the lack of nerve damage, and the possibility for patients to return daily activities without restrictions. 27 During the COVID-19 pandemic, CAC played a significant role in the treatment of symptomatic patients under local anesthesia and with the possibility of outpatient therapy.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of cyanoacrylate closure of the truncal varicose vein insufficiency: A comparison between young and elderly patients

Yiğit

2023

Phlebology

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Objectives Cyanoacrylate closure (CAC) procedure has become an alternative treatment method that has become increasingly popular in the treatment of chronic venous insufficiency (CVI) in recent years. The present study was designed to assess the feasibility, tolerance, results, and efficacy of CAC for truncal varicosities in elderly population. Methods In this retrospective single-center observational cohort study, CAC procedure was performed in 160 patients (184 limbs) with truncal varicose vein insufficiency. The patients were divided into two groups: elderly group, and younger group. The primary outcome of this study was to assess the feasibility, tolerance, and safety of the CAC procedure for truncal varicosities in elderly population over 70 years. The Venous Clinical Severity Score (VCSS), visual analogue scale of pain (VASP) and occlusion rate of the treated target veins of the patients were evaluated and compared among groups. The secondary outcomes were to evaluate and compare technical success, mortality, major adverse events, and other postoperative complications between the groups. Results All operations were carried out under local anesthesia. There were no technical failures or device-related complications. Anatomic success rate was 100% after procedures. The occlusion rate for the elderly group at 2 weeks, 6 months, and 12 months was 100%, 92.3%, and 92.3%, respectively, while the occlusion rate for the younger group was 100%, 97%, and 94.7%, respectively. There was no significant difference in occlusion rates between two groups ( p > .05) (Log Rank = 0,231). Improvement in the VCSSs was statistically significant between baseline and 12 months after procedure in both groups ( p < .001). Improvement in the VASPs was statistically significant between baseline and 2 weeks after procedure in both groups ( p < .001). There were no symptoms or signs of sural nerve injury, hematoma, or phlebitis in either group. Conclusions Although it has some potential risks, it is conceivable that the CAC procedure may be applied in selected fit elderly patients for the treatment of CVI. Age appeared to have no effect on the early and mid-term prognosis of the CAC procedure performed in the study cohort.

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