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

Year 2018, Volume: 35 Issue: 2, 41 - 44, 25.10.2019

Emir Cantürk

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

References

• Allegra, C., Antignani, P.L., Carlizza, A., 2007. Recurrent varicose veins following surgical treatment: Our experience with five years follow-up. Eur. J. Vasc. Endovasc. Surg. 33, 751–756.
• Almgren, B., Eriksson, E., 1990. Valvular incompetence in superficial, deep and perforator veins of limbs with varicose veins. Acta. Chirurg. Scand. 156, 69–74.
• Maurins, U., Hoffmann, B.H., Lösch, C., Jöckel, K.H., Rabe, E., Pannier, F., 2008. Distribution and prevalence of reflux in the superficial and deep venous system in the general population--results from the Bonn Vein Study, Germany. J. Vasc. Surg. 48 ,680–687.
• Morrison, N., Gibson, K., McEnroe, S., Goldman, M., King, T., Weiss, R., Cher, D., Jones, A., 2015. Randomized trial comparing cyanoacrylate embolization and radiofrequency ablation for incompetent great saphenous veins (VeClose). J. Vasc. Surg. 61, 985–994.
• O’Hare, J.L., Vandenbroeck, C.P., Whitman, B., Campbell, B. Heather B.P, Earnshaw J.J., 2008. On behalf of the Joint Vascular Research Group. A prospective evaluation of the outcome after small saphenous varicose vein surgery with oneyear follow- up. J. Vasc. Surg. 48, 669-74.
• Park I., 2017. Initial outcomes of cyanoacrylate closure, venaseal system, for the treatment of the ıncompetent great and small saphenous veins. Vasc. and Endo. Surgery. 51, 545-549.
• Rashid, H.I., Ajeel, A., Tyrrell, M.R., 2002. Persistent popliteal fossa reflux following saphenopopliteal disconnection. Br. J. Surg. 89,748–751.
• Rutgers, P.H., Kitslaar, P.J., 1994. Randomized trial of stripping versus high ligation combined with sclerotherapy in the treatment of the incompetent greater saphenous vein. Am J Surg. 168, 311–315.
• Winterborn, R.J., Campbell, W.B., Heather, B.P., Earnshaw, J.J., 2004. The management of short saphenous varicose veins: a survey of the members of the vascular surgical society of Great Britain and Ireland. Eur. J. Vasc. Endovasc. Surg. 28, 400–403.
• Van Eekeren R.R.J.P, Boersma D, Konjin V, de Vries J.P.P.M, Rejinen M.M.J.P., 2013. Post-operative pain and early quality of life after radiofrequency ablation and mechanochemical endovenous ablation of incompetent great saphenous veins. J. Vasc. Surg. 57, 445–450.