Early Experience of the Use of Cyanoacrylate Glue in Superficial Venous Disease in an Asian Population: A Pilot Study

Kai Siang Chan, LO ZhiwenJoseph, Q. Hong, E. Yong, Li Zhang, S. Chandrasekar, G. Tan
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Abstract

Management of CVI has seen a vast transformation from surgical stripping to sclerotherapy, endovenous laser therapy (EVLT), radiofrequency ablation (RFA) and mechanical occlusion chemically-assisted ablation (MOCA).Studies have demonstrated these minimally invasive methods are noninferior and at least as effective as surgery in the treatment of varicose veins, but with fewer complications and less post-operative pain. However, thermal ablation with laser or radiofrequency poses a risk of thermal injury to surrounding structures and requiresthe administration of tumescent anaesthesiawhich prolongs operation time.
氰基丙烯酸酯胶用于亚洲浅表静脉疾病的早期经验:一项初步研究
CVI的治疗经历了从手术剥离到硬化治疗、静脉内激光治疗(EVLT)、射频消融(RFA)和机械闭塞化学辅助消融(MOCA)的巨大转变。研究表明,这些微创方法在治疗静脉曲张方面不差,至少与手术一样有效,但并发症更少,术后疼痛更少。然而,激光或射频热消融对周围结构有热损伤的风险,并且需要使用肿胀麻醉,这延长了手术时间。
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