The utility of endovenous cyanoacrylate glue ablation for incompetent saphenous veins in the setting of venous leg ulcers
| Autor: | Edward Choke, Charyl Jia Qi Yap, Sally Shin Jie Chan, Tze Tec Chong, Tjun Y. Tang, Seck Guan Tan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Ablation Techniques
Male medicine.medical_specialty Time Factors Chronic venous insufficiency medicine.medical_treatment Population 030204 cardiovascular system & hematology Venous leg ulcer Varicose Ulcer law.invention 03 medical and health sciences 0302 clinical medicine law Compression Bandages Varicose veins medicine Humans Saphenous Vein Cyanoacrylates Prospective Studies 030212 general & internal medicine education GLUE Aged Pain Postoperative Singapore Wound Healing education.field_of_study business.industry Middle Aged Ablation medicine.disease Surgery Treatment Outcome Venous Insufficiency Cyanoacrylate Chronic Disease Female medicine.symptom Cardiology and Cardiovascular Medicine Saphenous veins business Stockings Compression |
| Zdroj: | Journal of Vascular Surgery: Venous and Lymphatic Disorders. 8:1041-1048 |
| ISSN: | 2213-333X |
| Popis: | Objective Patients with venous leg ulcers (VLUs) represent the worse spectrum of chronic venous insufficiency (CVI). The Early Venous Reflux Ablation (EVRA) landmark trial published in 2018 demonstrated that early endovenous intervention results in faster healing of VLUs. We describe our post-EVRA experience using endovenous cyanoacrylate glue ablation (ECGA) to treat superficial venous reflux on an early basis and assess its efficacy and safety in the setting of VLUs. Methods There were 37 patients (39 legs, 43 truncal veins) with 43 discrete venous ulcers who underwent ECGA for CVI symptoms and VLUs. They received compression therapy and regular dressings for the VLUs postoperatively and were reviewed at 1 week, 3 months, 6 months, and 12 months after the procedure. Postoperative healing time for VLUs and complications were recorded along with the patient's satisfaction and postprocedure pain scores. Results The venous ulcers were all Conclusions ECGA together with compression therapy for VLUs is both safe and effective in this population of Asian patients. ECGA for patients with VLUs has excellent patient acceptability, minimal morbidity, and low recanalization rates at 12 months. Larger extensive studies and longer follow-up periods are required to validate the preliminary outcomes of this paper, and if it is proven to significantly improve ulcer healing rates, this will change the way we approach chronic venous ulceration. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect