Experience of venaseal system using in treatment of chronic venous insufficiency
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616.147.3-007.63-08 (11)
Патология сердечно-сосудистой системы. Сердечно-сосудистые заболевания (975)
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TATARIN, A.. Experience of venaseal system using in treatment of chronic venous insufficiency. In: Arta Medica , 2019, nr. 3(72), pp. 91-92. ISSN 1810-1852.
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Arta Medica
Numărul 3(72) / 2019 / ISSN 1810-1852 /ISSNe 1810-1879

Experience of venaseal system using in treatment of chronic venous insufficiency

CZU: 616.147.3-007.63-08

Pag. 91-92

Tatarin A.
 
National Pirogov Memorial Medical University, Vinnytsya
 
Disponibil în IBN: 21 aprilie 2020


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Highly Specialized Clinical Center for Cardiovascular and X-ray Vascular Surgery with an Intensive Care Unit, Vinnytsya Regional Clinical Hospital Named After M.I. Pirogov, Department of Endoscopic and Cardiovascular Surgery, National Pirogov Memorial Medical University, Vinnytsya, Ukraine Introduction: The VenaSeal device is a disposable, single use system for administering cyanoacrylate adhesive into an incompetent truncal vein which can be used without tumescent anesthesia and without application of heat. The aim of the study was to evaluate our experience of VenaSeal system using. Methods: Our experience included 9 patients (16 lower limbs) with chronic venous insuiciency C2-C4 (CEAP). 2 patients received  monoprocedures of VenaSeal, 2 patients – VenaSeal + minilebectomy, 4 patients – VenaSeal + foam sclerotherapy, 1 patient – RFA of great saphenous vein + VenaSeal closure of perforator vein. Results: The average diameter of the treated vein area in patients of our study was 9.5±2.0 mm. Cyanoacrylate embolization was associated with low pain scores. Moreover, presumably because it does not require tumescent anesthesia, treatment resulted by the absence of ecchymosis. Our patients had no postoperative burns and pigmentation at all. Also, there was no even mild paresthesia in any patient. According to ultrasonography great saphenous veins were closed in all patients both on day 3 and on day 30. The severity and impact of venous disease on quality of life were measured with several end points in our study. Subjects treated with VenaSeal system showed signiicantly improving of quality of life over time. Conclusions: Using of VenaSeal is a fast and efective method of eliminating the incompetence of the saphenous veins, without the need for tumescent anesthesia, wearing compression knitwear, not accompanied by paresthesias, postoperative burns and pigmentation.

Cuvinte-cheie
chronic venous insuiciency cyanoacrylate embolization, Vena, Seal