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Shirinbek O.

SM-Clinic LLC

Odinokova S.N.

Sechenov First Moscow State Medical University

Cyanoacrylate Adhesive Closure of Saphenous Veins

Authors:

Shirinbek O., Odinokova S.N.

More about the authors

Journal: Journal of Venous Disorders. 2021;15(4): 297‑303

DOI: 10.17116/flebo202115041297

Views: 2123

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Table of contents

CYANOACRYLATE ADHESIVE CLOSURE OF SAPHENOUS VEINS
CYANOACRYLATE ADHESIVE CLOSURE OF SAPHENOUS VEINS

To cite this article:

Shirinbek O, Odinokova SN. Cyanoacrylate Adhesive Closure of Saphenous Veins. Journal of Venous Disorders. 2021;15(4):297‑303. (In Russ.)
https://doi.org/10.17116/flebo202115041297

Подписка 2025-2 (Journal of Venous Disorders)
 
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Chronic venous disease (CVD) is widespread among world population and has an important medical and socio-economic significance. Varicose veins of the lower extremities are one of the most common clinical forms of CVD characterized by primary dilatation of saphenous veins. The main concept of surgical treatment is elimination of abnormal venous reflux. Varicose vein treatment modalities are constantly evolving and undergo modifications. Endovenous technologies are gradually replacing open surgery. Thermal tumescent (TT) methods, including radiofrequency and laser ablation, have been preferred for elimination of abnormal venous reflux for more than two decades. However, TT methods have certain drawbacks that inspired development of new approaches in varicose vein treatment. Non-thermal non-tumescent methods, such as cyanoacrylate adhesive closure (CAC), were introduced as a natural step towards minimally invasive surgical treatment. The basic principle of this procedure is targeted endovenous delivery of N-butyl-2-cyanoacrylate that leads to instant adhesion and vein occlusion. CAC is performed without tumescent anesthesia and thermal effect on the vein wall. The advantages of CAC are less perioperative pain, quickness of the procedure, no postoperative compression, fast recovery and high patient comfort. This review is dedicated to the advent of CAC, major international and Russian clinical results of its usage, advantages, side-effects and complications.

Keywords:

cyanoacrylate adhesive closure
cyanoacrylate embolization
varicose veins
non-thermal non-tumescent methods

Authors:

Shirinbek O.

SM-Clinic LLC

Odinokova S.N.

Sechenov First Moscow State Medical University

Received:

03.09.2021

Accepted:

12.10.2021

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