Cyanoacrylate Glue Ablation of Perforating Veins in Patients with Recurrent Varicose Veins of the Lower Extremities: A Prospective Study

Umarov F.R.; Suyumov A.S.

doi:https://doi.org/10.17116/flebo202519031192

Umarov F.R.

Modern Phlebology Clinic VarikozOFF

ORCID: 0000-0003-4537-2126

Suyumov A.S.

Modern Phlebology Clinic VarikozOFF

ORCID: 0009-0007-5418-9581

Cyanoacrylate Glue Ablation of Perforating Veins in Patients with Recurrent Varicose Veins of the Lower Extremities: A Prospective Study

Authors:

Umarov F.R., Suyumov A.S.

More about the authors

Journal: Journal of Venous Disorders. 2025;19(3): 192‑197

DOI: 10.17116/flebo202519031192

Read: 279 times

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To cite this article:

Umarov FR, Suyumov AS. Cyanoacrylate Glue Ablation of Perforating Veins in Patients with Recurrent Varicose Veins of the Lower Extremities: A Prospective Study. Journal of Venous Disorders. 2025;19(3):192‑197. (In Russ.)
https://doi.org/10.17116/flebo202519031192

Подписка 2026 Флебология (Journal of Venous Disorders)

Использование инфографики авторами научных работ

OBJECTIVE

To evaluate the short-term outcomes of original cyanoacrylate glue ablation technique for incompetent perforating veins.

MATERIAL AND METHODS

A prospective cohort study enrolled 209 patients (253 limbs) with recurrent varicose veins. All of them underwent cyanoacrylate glue ablation of incompetent veins. The follow-up was 6 months. Incidence of perforating vein ablation (no blood flow according to ultrasound data) was assessed. No migration of cyanoacrylate glue into deep venous system was a safety criterion.

RESULTS

In each patient, 1—4 perforating veins were obliterated (331 veins in total). Diameter of perforating veins varied from 2.5 to 7.4 mm (mean 4.2 mm). About 0.4 ml of cyanoacrylate glue was used per a procedure. Total occlusion of perforating veins was achieved in 245 lower extremities after 24 hours. Blood flow through the perforating was partially preserved in 5 lower extremities. Excellent technical results were achieved 2 months after procedure in 241 (95%) lower extremities, after 6 months — in 238 (94%) extremities. Glue migration into deep veins occurred in 3 cases.

CONCLUSIONS

In most cases, original technique of cyanoacrylate obliteration of perforating veins provides excellent technical results with minimal risk of complications.

Keywords:

recurrent varicose veins

cyanoacrylate ablation

perforating veins

incompetence

Authors:

Umarov F.R.

Modern Phlebology Clinic VarikozOFF

ORCID: 0000-0003-4537-2126

Suyumov A.S.

Modern Phlebology Clinic VarikozOFF

ORCID: 0009-0007-5418-9581

Received:

12.01.2025

Accepted:

05.04.2025

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