Abstract
Purpose: Cyanoacrylate (glue) has been successfully used to stop bleeding in gastric varices and cerebral aneurysms. Recently, it has been used successfully in the endovenous closure of incompetent great saphenous veins. We present the first case of successfully treating the small saphenous vein (SSV) with cyanoacrylate. Case Report: A 67-year-old woman with a history of right leg swelling, discolouration, and pain was treated with VenaSeal® Sapheon Closure for her SSV reflux. No tumescence anaesthesia was used. The procedure was completed with immediate technical success. There were no procedurerelated complications. Follow-up at six weeks and four months showed improvement in symptoms and complete occlusion of SSV with no evidence of DVT. Conclusions: Treatment of SSV with VenaSeal® Sapheon Closure system is feasible.
Highlights
Reflux in superficial veins of lower limbs is reported in 15% of men and 28% of women [1]
The patient was placed in prone position, following preoperative vein marking by a vascular scientist
The small saphenous vein was cannulated in the distal calf using standard endovenous Seldinger technique under local anaesthetic
Summary
Reflux in superficial veins of lower limbs is reported in 15% of men and 28% of women [1]. It is associated with the symptoms of pain, aches, discomfort, and leg swelling. The management of reflux in veins of lower extremities has moved from open surgical treatment (high tie and stripping) to endovenous treatment. Employed endovenous modalities include laser (EVLA) and radio-frequency ablation (RFA). Both treatments are associated with good technical success rates [2]. Side effects, including postoperative pain and paraesthesia, are not uncommon. Efforts have been placed on inventing new strategies, which may have better outcomes
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