Akademik Veri Yönetim Sistemi
19th International Congress of Update in Cardiology and Cardiovascular Surgery, İstanbul, Türkiye, 4 - 06 Kasım 2023, cilt.11, ss.180
OBJECTIVE: Endovenous cyanoacrylate ablation and endovenous radiofrequency ablation are two
modern techniques for the treatment of clinically symptomatic venous insufficiency. The outcomes
of a retrospective comparison study comparing endovenous radio frequency (RF) ablation and
cyanoacrylate glue for the treatment of ineffective great saphenous veins are presented.
METHODS: A total of 610 subjects were treated with cyanoacrylate ablation or endovenous
radiofrequency ablation between April 2018 and April 2022. The preprocedural, procedural,
postprocedural, and follow-up data were recorded and compared. Results: There were 308
procedures in cyanoacrylate ablation group (CAA) and 302 in endovenous radiofrequency ablation
group (EVRA). Operative time was 11 ± 3.4 minutes in the CAA and 30 ± 8.8 minutes in the EVRA (<
0.001). All procedures in both groups were successful, and the target vein segments were fully
occluded at the end of the procedure. Periprocedural pain was less in the CAA (< 0.001).
RESULTS: Enduration, ecchymosis, and paresthesia rates were significantly higher in the EVRA (<
0.001). The mean length of follow-up was 6 months (range 6–8). The 3 and 6 months closure rates
were 98.1% and 96.6% for EVRA and 97.6% and 96.1% for CAA respectively. In both groups, the
Venous Clinical Severity Score and Chronic Venous Insufficiency Quality of Life Questionnaire with
declined significantly with no difference between groups.
Conclusions: High occlusion rates are the outcome of managing inefficient great saphenous veins
with endovenous cyanoacrylate ablation and radiofrequency ablation. Endovenous cyanoacrylate
ablation procedure does not require tumescent anesthesia and compression stockings and is quick
and easy with little post-procedural pain.
Keywords: Chronic venous insufficiency, varicose veins, ablation, cyanoacrylate, radiofrequency