Our Sclerotherapy Results with N-Butyl-Cyanoacrylate in Superficial Varices

Öz

Objective: Varicose veins occur mostly in the lower extremities after chronic venous insufficiency and are common in the society. It is a pathology that can cause serious complications such as thrombophlebitis and deep vein thrombosis, as well as cosmetic problems. The aim of this study is to share the results of sclerotherapy of small varicose veins with n-butyl-cyanoacrylate.

Material and Methods: The files of 90 patients who underwent sclerotherapy using n-butyl-cyanoacrylate for varicose veins between January 2017 and August 2019 were reviewed retrospectively. Demographic characteristics of the patients, complaints, venous color Doppler ultrasonography reports, postoperative complications and patient satisfaction results were retrospectively analyzed.

Results: The age of the patients ranged from 20 to 60 years. Of these, 70 were women and 20 were men. Complete occlusion was achieved in 85 of 90 patients who underwent the procedure. The remaining telangiectatic varices in 5 patients were treated with exovenous laser application. Skin necrosis was not observed in any patient. Thrombophlebitis was observed in 3 patients and hyperpigmentation was observed in 4 patients. Deep vein thrombosis and anaphylactic reaction did not develop. No recurrence was observed at the application site during follow-up. Patient satisfaction was found to be high at 94.4%. An average of 1-3 sessions of treatment was applied to occlude the varicose veins.

Conclusion: N-butyl-cyanoacrylate can be used as a good alternative agent in sclerotherapy because it closes the varicose lumen quickly, recurrence and complications are low, and patient satisfaction is high.

Anahtar Kelimeler

• Sclerotherapy
• Varicose veins
• N-butyl-cyanoacrylate

YÜZEYEL VARİSLERDE N-BUTİL SİYANOAKRİLAT İLE SKLEROTERAPİ SONUÇLARIMIZ

Öz

Amaç: Varis, kronik venöz yetmezlik sonrası daha çok alt eksremitede ortaya çıkan ve toplumda yaygın olarak görülen; tromboflebit ve derin ven trombozu gibi ciddi komplikasyonlara neden olabildiği gibi, kozmetik sorunlara da neden olan bir patolojidir. Bu çalışmanın amacı küçük çaplı varikoz venlerin (1-3 mm) n-butil-siyanoakrilatla yapılan skleroterapi sonuçlarını paylaşmaktır.

Gereç ve Yöntemler: Ocak 2017 ve Ağustos 2019 yılları arasında varis nedeniyle n-butil-siyanoakrilat kullanılarak skleroterapi yapılan 90 hastanın dosyaları geriye dönük incelendi. Hastaların demografik özellikleri, şikayetleri, venöz renkli Doppler ultrasonografi raporları, işlem sonrası komplikasyonlar ve hasta memnuniyet sonuçları retrospektif olarak incelendi.

Bulgular: Hastaların yaş aralığı 20 ile 60 yıl arasında değişmekteydi. Bunlardan 70’i kadın, 20’si erkekti. İşlem yapılan 90 hastanın 85’inde tam oklüzyon sağlandı. 5 hastada geriye kalan telenjektazik varisler ekzovenöz lazer uygulamasıyla tedavi edildi. Hiçbir hastada cilt nekrozu görülmedi. Üç hastada tromboflebit ve 4 hastada hiperpigmentasyon geliştiği görüldü. Derin ven trombozu ve anafilaktik reaksiyon gelişmedi. Takipte uygulama yerinde nüks görülmedi. Hasta memnuniyeti %94.4 olarak yüksek düzeyde saptandı. Varislerin kapatılması için ortalama 1-3 seans tedavi uygulandı.

Sonuç: N-butil-siyanoakrilat, varis lümenini hızlı bir şekilde kapatması, nüks ve komplikasyonların az olması ve hasta memnuniyetinin yüksek olması nedeniyle varis tedavisinde skleroterapi uygulamasında iyi bir alternatif ajan olarak kullanılabilir.

Anahtar Kelimeler

• Skleroterapi
• varis
• n-butil-siyanoakrilat

Kaynakça

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