Mechanochemical Ablation of Great Saphenous Vein Under Vitamin K Antagonist Therapy

Khryshchanovich V.Ya.

doi:https://doi.org/10.17116/flebo202014041367

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Abstract:

Successful treatment of venous ulcer by mechanochemical endovenous ablation (MOCA) of the great saphenous vein in a patient receiving vitamin K antagonist therapy is reported. Duplex ultrasound confirmed sapheno-femoral junction incompetence, truncal reflux Hach grade III and medial calf varicosities. Considering anamnesis, clinical and ultrasound findings and risk of bleeding, we decided to perform MOCA of the great saphenous vein. This minimally invasive approach did not require tumescent anesthesia, allowed to continue therapeutic anticoagulation and, unlike thermal methods, excluded the risk of damage to subcutaneous nerves and soft tissues. Correction of truncal reflux ensured fast healing of trophic ulcer, relief of varicose disease symptoms and significantly improved quality of life. This report points at possibility of MOCA in patients with varicose veins, truncal reflux and open venous ulcers (C6) receiving vitamin K antagonist therapy.

Keywords:

varicose disease

mechanochemical ablation

venous ulcer

anticoagulation

Authors:

Khryshchanovich V.Ya.

Belarusian State Medical University

Received:

29.04.2020

Accepted:

20.05.2020

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References:

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