Our Results of Endovenous N-Butyl Cyanoacrylate Treatment in Varicose Veins

Erdem ÇETİN; Ertan DEMİRDAŞ; Gökhan EROL; Hüseyin SİCİM; Hakan KARTAL; Gökhan ARSLAN

doi:https://doi.org/10.18678/dtfd.534949

Article Details

Our Results of Endovenous N-Butyl Cyanoacrylate Treatment in Varicose Veins

Authors:

Erdem ÇETİN | Ertan DEMİRDAŞ | Gökhan EROL | Hüseyin SİCİM | Hakan KARTAL | Gökhan ARSLAN

Publisher:

Duzce University

Main Topics:

Diseases

Journal:

Duzce Medical Journal 2019 Vol.21 Issue 2, pp.90-93

Document Type:

Article

Publication Date:

8/2019

Document Language:

English

Document ID (Org No.):

2000944088

Frequency:

Tri-annual

eISSN:

1307-671X

DOI:

https://doi.org/10.18678/dtfd.534949

Keywords:

Abstract:

 


Aim: In this study, we aimed to evaluate the results of endovenous N-Butyl Cyanoacrylate (NBCA) technique which is a non-tumescence endovenous ablation technique in patients with varicose veins.

Material and Methods: A total of symptomatic 542 patients with single or bilateral saphenofemoral failure who presented to our center between April 2014 and August 2016 were included in the study. NBCA was applied to 657 lower extremities of 542 patients, 115 of whom were bilateral. The patients had C2, C3, C4, C5, C6 venous insufficiency according to CEAP classification. Vena saphena magna (VSM) diameter was at least 5.5 mm at the knee level, at least 6 mm at the saphenofemoral junction (SFJ) level, and reflux time was 2 seconds or longer.

Results: The mean CEAP classification of 657 lower extremities was 3.1±0.6, the VSM diameter was 6.7±1.1 mm at the knee level, 8.3±2.1 mm at the SFJ, the procedure time was 15.2±2.9 minutes, and the hospital stay was 1.7±0.6 hours. At 6 months follow-up, only 7 (1.1%) partial recanalization of VSM, 1 (0.2%) deep vein thrombosis in the popliteal vein in the lower limb, and 9 (1.4%) thrombophlebitis in the distal 1/3 segment at over the knee of VSM healing with medical treatment. All of the procedures were completed without any complications.

Conclusion: Newly developing techniques rapidly replace traditional methods and increase patient comfort. NBCA; It has become an effective method among endovenous ablation therapies with its technical advantages, high success rates in early and midterm.

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Amaç: Bu çalışmada kliniğimizde variköz venli hastalarda non-tümesan endovenöz ablasyon tekniği olan endovenöz N-Bütil Siyanoakrilat (NBSA) tekniğinin sonuçlarının değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntemler: Nisan 2014 ve Ağustos 2016 tarihleri arasında merkezimize başvuran tek ya da iki taraflı safenofemoral venöz yetmezliği olan, semptomatik 542 hasta çalışmaya dahil edildi. Yüz on beşi bilateral olmak üzere 542 hastanın toplam 657 alt ekstremitesine NBSA uygulandı. Hastaların CEAP sınıflamasına göre C2, C3, C4, C5, C6 venöz yetmezliği mevcuttu. Vena safena magna (VSM) çapı diz seviyesinde en az 5,5 mm, safenofemoral bileşke (SFB) düzeyinde ise en az 6 mm ve reflü süresi 2 saniye veya daha uzundu.

Bulgular: Altı yüz elli yedi alt ektremitenin ortalama CEAP sınıflandırması 3,1±0,6, VSM çapı diz seviyesinde 6,7±1,1 mm, SFB’de 8,3±2,1 mm, işlem süresi 15,2±2,9 dakika ve hastanede kalış süresi 1,7±0,6 saat idi. Altı aylık takipte sadece 7 (%1.1) VSM’de parsiyel rekanalizasyon, 1 (%0.2) alt ekstremitede popliteal vende derin ven trombozu ve 9 (%1.4) VSM’de dizüstü 1/3 distal kesiminde medikal tedavi ile düzelen tromboflebit gözlendi. Yapılan işlemlerin tamamı herhangi bir komplikasyon oluşmadan tamamlandı.

Sonuç: Yeni gelişen teknikler hızla geleneksel yöntemlerin yerini alarak hasta konforunu arttırmaktadır. NBSA; tekniğe has avantajları, erken ve orta dönemdeki yüksek başarı oranları ile endovenöz ablasyon tedavileri arasında etkin bir yöntem olarak yerini almıştır.

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Article Details

Our Results of Endovenous N-Butyl Cyanoacrylate Treatment in Varicose Veins

Authors:

Erdem ÇETİN | Ertan DEMİRDAŞ | Gökhan EROL | Hüseyin SİCİM | Hakan KARTAL | Gökhan ARSLAN

Publisher:

Duzce University

Main Topics:

Diseases

Journal:

Duzce Medical Journal 2019 Vol.21 Issue 2, pp.90-93

Document Type:

Article

Publication Date:

8/2019

Document Language:

English

Document ID (Org No.):

2000944088

Frequency:

Tri-annual

eISSN:

1307-671X

DOI:

https://doi.org/10.18678/dtfd.534949

Siyanoakrilat

endovenöz ablasyon tedavi

venöz yetmezlik

lazer terapi

Issues

Article Details

Our Results of Endovenous N-Butyl Cyanoacrylate Treatment in Varicose Veins

Authors: Erdem ÇETİN | Ertan DEMİRDAŞ | Gökhan EROL | Hüseyin SİCİM | Hakan KARTAL | Gökhan ARSLAN

Publisher: Duzce University

Main Topics: Diseases

Journal: Duzce Medical Journal 2019 Vol.21 Issue 2, pp.90-93

Document Type: Article

Publication Date: 8/2019

Document Language: English

Document ID (Org No.): 2000944088

Frequency: Tri-annual

eISSN: 1307-671X

DOI: https://doi.org/10.18678/dtfd.534949

Siyanoakrilat

endovenöz ablasyon tedavi

venöz yetmezlik

lazer terapi

Issues

Authors:

Erdem ÇETİN | Ertan DEMİRDAŞ | Gökhan EROL | Hüseyin SİCİM | Hakan KARTAL | Gökhan ARSLAN

Publisher:

Duzce University

Main Topics:

Diseases

Journal:

Duzce Medical Journal 2019 Vol.21 Issue 2, pp.90-93

Document Type:

Article

Publication Date:

8/2019

Document Language:

English

Document ID (Org No.):

2000944088

Frequency:

Tri-annual

eISSN:

1307-671X

DOI:

https://doi.org/10.18678/dtfd.534949