{"title":"Mid-term results of cyanoacrylate closure for the treatment of incompetent great and small saphenous veins: Findings from a Japanese prospective consecutive multi-center registry: Mid-term results of cyanoacrylate closure.","authors":"Takahiro Imai, Makoto Mo, Masayuki Hirokawa, Nobuhisa Kurihara, Shintaro Shokoku, Satoru Sugiyama, Nozomu Shirasugi, Hitoshi Kusagawa, Yuji Hoshino, Takashi Yamamoto, Eiichi Hyodo, Keichi Furubayashi, Tomohiro Ogawa","doi":"10.1177/02683555241273013","DOIUrl":"https://doi.org/10.1177/02683555241273013","url":null,"abstract":"<p><strong>Objectives: </strong>We evaluated the efficacy and safety of cyanoacrylate closure (CAC) for endovascular treatment of varicose veins with cyanoacrylate adhesive (VenaSeal® closure system) in Japan.</p><p><strong>Methods: </strong>A multicenter prospective consecutive registry study was conducted at 12 centers in Japan on 125 patients with primary varicose veins who underwent CAC. The patients were evaluated on target vein occlusion, postoperative complications, Visual Analogue Scale (VAS) for pain, revised Venous Clinical Severity Score (rVCSS), Aberdeen Varicose Vein Questionnaire (AVVQ), and EuroQol 5 dimensions 5-level (EQ-5D-5L) for 1-year after the surgery.</p><p><strong>Results: </strong>The closure rate was 92.6% at 1 year postoperatively, and 95.0% and 90.2% for GSV and SSV respectively with little difference (<i>p</i> = .491). The mean VAS in the immediate postoperative period was 18.9 ± 23.4. Postoperative complications were observed in 20 patients (16%). Hypersensitivity-type phlebitis occurred in 7 patients (5.6%). Infection of the treated vein resulted in resection of GSV. The rVCSS and AVVQ improved significantly after 90 days and 1 year postoperatively (<i>p</i> < .001), while the EQ-5D-5L have not changed.</p><p><strong>Conclusion: </strong>Cyanoacrylate Closure was considered generally a safe and minimally invasive treatment with good mid-term outcomes including SSV. However further study is required for some CAC specific complications.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241273013"},"PeriodicalIF":0.0,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-04DOI: 10.1177/02683555241271932
Joseph Gracé, David Connor, Kurosh Parsi
{"title":"Authors reply: Polymerisation of cyanoacrylates: The effect of sclero-embolic and contrast agents.","authors":"Joseph Gracé, David Connor, Kurosh Parsi","doi":"10.1177/02683555241271932","DOIUrl":"https://doi.org/10.1177/02683555241271932","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"2683555241271932"},"PeriodicalIF":0.0,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-29DOI: 10.1177/02683555241243167
Matthew Tan, Fedor Lurie, Hernan Bauza Moreno, Daphne Van den Bussche, Kurosh Parsi, Alun H Davies
{"title":"Management of venous leg ulcers.","authors":"Matthew Tan, Fedor Lurie, Hernan Bauza Moreno, Daphne Van den Bussche, Kurosh Parsi, Alun H Davies","doi":"10.1177/02683555241243167","DOIUrl":"10.1177/02683555241243167","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"488-491"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-25DOI: 10.1177/02683555241239545
Ahmet Kursat Bozkurt
{"title":"Cyanoacrylate glue is an effective alternative in chronic venous insufficiency.","authors":"Ahmet Kursat Bozkurt","doi":"10.1177/02683555241239545","DOIUrl":"10.1177/02683555241239545","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"498-499"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-15DOI: 10.1177/02683555241239549
Steve Elias, Nicos Labropoulos, Stephen Black, Antonios Gasparis, Neil Khilnani
{"title":"Regarding: 899 serious adverse events including 13 deaths, 7 strokes, 211 thromboembolic events, and 482 immune reactions: The untold story of cyanoacrylate adhesive closure. Parsi K et al.","authors":"Steve Elias, Nicos Labropoulos, Stephen Black, Antonios Gasparis, Neil Khilnani","doi":"10.1177/02683555241239549","DOIUrl":"10.1177/02683555241239549","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"492-493"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140141297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-25DOI: 10.1177/02683555241239553
Kurosh Parsi, Joseph Grace, David Connor
{"title":"Authors reply: 899 serious adverse events including 13 deaths, 7 strokes, 211 thromboembolic events, and 482 immune reactions: The untold story of cyanoacrylate adhesive closure.","authors":"Kurosh Parsi, Joseph Grace, David Connor","doi":"10.1177/02683555241239553","DOIUrl":"10.1177/02683555241239553","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"494-496"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-04-01DOI: 10.1177/02683555241243161
Paolo Casoni, Daniele Bissacco, Matteo Pizzamiglio, Emanuele Nanni
{"title":"High intensity focused ultrasound in treating great saphenous vein incompetence: Perioperative and 1-year outcomes.","authors":"Paolo Casoni, Daniele Bissacco, Matteo Pizzamiglio, Emanuele Nanni","doi":"10.1177/02683555241243161","DOIUrl":"10.1177/02683555241243161","url":null,"abstract":"<p><strong>Background: </strong>To investigate the use of high intensity focused ultrasound (HIFU) for great saphenous vein (GSV) incompetence.</p><p><strong>Material and methods: </strong>Patients with GSV incompetence underwent HIFU. The primary endpoint was the rate of GSV target segment shrinkage or closure after 1 year.</p><p><strong>Results: </strong>Out of 188 limbs treated, the GSV treated segment shrinkage/closure rate at 1 week, 3 months, 6 months, and 12 months was 93.3%, 98.2%, 97.6%, and 98.3%, respectively.</p><p><strong>Conclusion: </strong>These preliminary results suggest that HIFU holds promise for the treatment of GSV incompetence. Further trials are needed to compare it with other techniques and assess long-term outcomes.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"448-455"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140338507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-05-07DOI: 10.1177/02683555241249222
Carmen K Dietrich, Markus Stucker, Karsten Hartmann, Tobias Hirsch, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Lars Müller, Felizitas Pannier, Christiane Cussigh, Lorenz Uhlmann, Christine Müller-Christmann
{"title":"Compression therapy after endovenous laser ablation: Patient compliance and impact on clinical outcome.","authors":"Carmen K Dietrich, Markus Stucker, Karsten Hartmann, Tobias Hirsch, Thomas Mattausch, Hans-Christian Wenzel, Philipp Zollmann, Jürgen Veltman, Thomas K Weiler, Guido Lengfellner, Lars Müller, Felizitas Pannier, Christiane Cussigh, Lorenz Uhlmann, Christine Müller-Christmann","doi":"10.1177/02683555241249222","DOIUrl":"10.1177/02683555241249222","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate the impact of post-interventional compression therapy on clinical outcomes after endovenous laser ablation (EVLA) of incompetent saphenous veins.</p><p><strong>Methods: </strong>This prospective, controlled, multicenter study in Germany involved 493 varicose vein patients followed-up for 6 months.</p><p><strong>Results: </strong>Compression therapy significantly reduced symptoms compared to no compression (VCSS: 1.4 ± 1.6 vs 2.2 ± 2.2; <i>p</i> = .007). Post-interventional therapy duration of up to 14 days was found to be most effective for improving patient-reported disease severity (<i>p</i> < .001) and higher quality of life (<i>p</i> = .001). Patient compliance was high (82%), and non-compliance was linked to worse disease severity (VCSS 1.4 ± 1.5 vs 2.1 ± 2.3, <i>p</i> = .009).</p><p><strong>Conclusion: </strong>In conclusion, post-interventional compression therapy is beneficial by reducing symptoms and improving quality of life. High patient compliance with the therapy is observed, and non-compliance is associated with worse disease severity.</p>","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"477-487"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140861561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
PhlebologyPub Date : 2024-08-01Epub Date: 2024-03-25DOI: 10.1177/02683555241239555
Omar L Esponda
{"title":"The untold story of cyanoacrylate adhesive closure: Addressing the challenges of reporting and analyzing adverse events in medical device studies.","authors":"Omar L Esponda","doi":"10.1177/02683555241239555","DOIUrl":"10.1177/02683555241239555","url":null,"abstract":"","PeriodicalId":94350,"journal":{"name":"Phlebology","volume":" ","pages":"497"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140290132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}