Alt Ekstremite Venöz Yetmezlik tedavisinde n-butil siyanoakrilat embolizasyonu: Tek merkez kısa ve orta dönem retrospektif sonuçlarımız

Yıl 2021, , 665 - 672, 31.12.2021

Mehmet Okan Donbaloğlu

https://doi.org/10.34087/cbusbed.910797

Öz

Giriş ve Amaç: Bu çalışma, siyanoakrilat embolizasyonunun etkinliğini değerlendirmeyi ve büyük safenöz ven yetmezliğini tedavi etmek için siyanoakrilat embolizasyon işlemlerinin kısa ve orta vadeli sonuçlarını analiz etmeyi amaçlamaktadır.
Gereç ve Yöntemler: Büyük safenöz venin ciddi yetersizliği nedeniyle siyanoakrilat embolizasyonu ile tedavi edilen 582 hasta çalışmaya dahil edildi ve geriye dönük olarak analiz edildi. Hastalar ameliyat sonrası birinci ay, altıncı ay, birinci yıl ve ikinci yılda klinik olarak değerlendirildi. Tedavi edilen uzuvlar ayrı ayrı değerlendirildi ve kaydedildi.
Bulgular: Postoperatif dönemde reflü 2 (% 0.3) hastada 12. ayda 0.5 sn, 24. ayda 2 (% 0.3) hastada 1 sn düzeyinde değerlendirildi. Hastalar ağrı, yanma, yorgunluk, kaşıntı gibi minör komplikasyonların 12. ayda% 98.8 oranında iyileştiğini belirtmişlerdir. Önemli bir komplikasyon olan derin ven trombozu, 12. ayda 1 (% 0.2) hastada görüldü. Preoperatif olarak belgelenen ortalama venöz klinik şiddet skoru 8.86 ± 1.59'dan 0.88 ± 0.61'e (p <0.05) ve ağrı skalası skoru 7.93 ± 0.75'ten 0.73 ± 0.73'e anlamlı olarak azaldı (p <0.05).
Sonuç: Yüksek oklüzyon oranları, çok az komplikasyon ve yüksek hasta konforu sağlamanın yanı sıra kozmetik sonuçlar açısından da başarılı bir uygulama olması nedeniyle büyük safen ven yetmezliğinin tedavisinde uygun endikasyonda güvenle kullanılabileceği düşünülmektedir.

Anahtar Kelimeler

venöz yetmezlik, siyanoakrilat, endovenöz tedavi

Destekleyen Kurum

bitlis devlet hastanesi

Teşekkür

Bitlis devlet hastanesi halk sağlığı daire başkanlığına ve namık kemal uygulama ve araştırma hastanesi kalp ve damar cerrahisi anabilim dalına teşekkür ediyorum.

Investigation of the Efficacy of the Use of Cyanoacrylate in the Treatment of Venous Insufficiency: Single Center Short and Mid-Term Retrospective Results

Öz

Objective: The present study aimed to evaluate the efficacy of cyanoacrylate embolization and to analyze the short- to mid-term results of cyanoacrylate embolization procedures to treat great saphenous vein insufficiency.
Materials and Methods: 582 patients treated with cyanoacrylate embolization due to severe incompetence of the great saphenous vein were included in the study and analyzed retrospectively. Patients were evaluated clinically on the first month, sixth month, first year and second year after the operation. The treated limbs were evaluated and recorded separately.
Results: In the postoperative period, reflux was assessed at the level of 0.5 sec in 2 (0.3%) patients in the 12th month, and 1 sec in 2 (0.3%) patients in the 24th month. The patients stated that minor complications such as pain, burning, fatigue, itching 98.8% healing in the 12th month. Deep vein thrombosis, which is a major complication, was seen in 1(0.2%) patient at the 12th month. Preoperatively documented mean venous clinical severity score from 8.86±1.59 to 0.88±0.61 (p < 0.05), and pain scale score significantly reduced from 7.93±0.75 to 0.73±0.73 (p < 0.05).
Conclusion: It is believed that it can be used safely in the appropriate indication for the treatment of great saphenous vein insufficiency as it is a successful application in terms of cosmetic results as well as providing high occlusion rates, very few complications, and high patient comfort.

Anahtar Kelimeler

Cyanoacrylate embolization, Endovenous therapy, Great saphenous vein

Kaynakça

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