Abstract

The paper is about long - time experiences in treatment of truncal varicose veins with the vein glue VenaSeal®: 100 months - follow up of 1509 cases and 2912 truncal varicose veins. Since 1999 years by now, varicosis has been increasingly treated endovenously. At the start, the rather inconvenient VNUS® Closure plus - procedure and the more convenient linear laser procedure were used, and these were followed in 2007 by the bipolar RFITT® catheter, the VNUS® Closure Fast system and the radial laser. These endovenous treatment techniques were followed by the Clarivein System and the VenaSeal® System in 2011/2012. Thus, in the course of the last few years, plenty of experience has been gathered with endoluminal therapy, quality criteria have been defined and standards for the different techniques have been developed. The presented actual paper sheds light on the advantages and disadvantages of the vein glue VenaSeal® and presents the 100-months results of a single-center praxis study with prospective design. We will report about our experiences and results of a prospective comparative study of VenaSeal® - Closure in the treatment of 2512 saphenous veins (1949 GSV, 731 SSV, VSAL in 110 cases, VSAM in 87cases, femoropopliteal vein in 33 cases and Giacomini’s vein in 2 cases). Also ulcera crures were included in 17 cases (Figure 1).

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