Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080

Turkish Journal of Vascular Surgery 2018 , Vol 27 , Issue 2
Endovenous ablation technique using N-butyl cyanoacrylate in varicose veins
Sefa Şenol1, Fevzi Sarper Türker1, Zeki Temiztürk1, Davut Azboy1
1Department of Cardiovascular Surgery, Health Sciences University Elazığ Training and Research Hospital, Elazığ, Turkey DOI : 10.9739/tjvs.2018.97 Objectives: This study aims to report the outcomes of a novel non-tumescence endovenous ablation technique using the N-butyl cyanoacrylate (NBCA) in patients with varicose vein.

Patients and methods: Between November 2014 and August 2017, a total of 292 patients (174 females, 118 males; mean age 42.6±17.9 years; range, 20 to 69 years) who were admitted with chronic venous insufficiency and diagnosed with saphenofemoral or small saphenous vein insufficiency by Doppler ultrasound (DUS) were included. The patients underwent endovenous ablation using the NBCA and DUS was performed before and after the procedure. The patients were evaluated using the Comprehensive Classification System for Chronic Venous Disorders (CEAP) and Venous Clinical Severity Score (VCSS).

Results: The great saphenous vein was ablated in a total of 264 patients and small saphenous vein was ablated in 28 patients. The mean CEAP score was 3.3. The mean diameter of the great saphenous vein was 7.8 mm, while the mean diameter of the small saphenous vein was 6.9 mm. The patients were scheduled for follow-up visits at one week and three months after the procedure. The total occlusion rate was 97.6%, as assessed by the post-procedural DUS examination. Of the patients, 4.7% had phlebitis-like events. The mean pre-procedural VCSS score was 9.2, which decreased to 3.4 at three months after the procedure.

Conclusion: Our study results show that endovenous ablation technique using the NBCA is a safe and simple method with successful results in the early period. Keywords : Endovenous ablation; N-butyl cyanoacrylate; varicose veins