Comparison of glue ablation and endovenous thermal ablation of small saphenous vein and early and midterm results

Abstract

The aim of our study was to evaluate and compare the early and midterm post- operative outcomes of glue ablation and endovenous thermal ablation of the small saphenous vein. From January 2015 to January 2017, 26 consecutive patients who had admitted to our clinic with symptomatic chronic venous in- sufficiency of small saphenous vein who underwent either glue ablation and endovenous thermal ablation were included in this retrospective study. A total of 26 patients (12 males, 14 females; mean age 39.69±9.88 years; range 27 to 62 years) with 30 legs who underwent either glue ablation and endovenous thermal ablation either tumescent or local anesthesia were included in this study. BMI was 25,6 ±2.3 (range, 18.8-32.7). 20 patients (76.9%) were CEAP 2 and 6 patients (23.1%) were in CEAP 3 classification. The mean size of the treated small saphenous vein was 4,7±1,6 mm (range, 2.5-6 mm). Simultaneous phlebectomy was performed to 28 limbs (93.3%) under local anesthesia. No technical failure and device-related complications were observed during procedure. The mean average follow-up was 14±2.6 months (range 12-18 months). In this study, we found that glue ablation with cyanoacrylate closure was found superior results in early term however; no difference was noted on the mid-term result. To sum up, both glue ablation with cyanoacrylate closure and endovenous thermal abla- tion with radio frequency under either local or tumescent anesthesia can be easy, safely and effectively performed with satisfactory results. 

Keywords

• Glue ablation,Radio frequency,Small sapheneous vein,Thermal ablation,Treatment

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