Thrombosis Following Endovenous Glue Ablation

Endovenous glue ablation for lower limb varicose veins is growing in popularity due to its safety and efficacy. Of significant concern is glue-associated thrombus extension into deep veins. We present a case of thrombus extending into the common femoral vein following endovenous glue ablation for va...

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Autores principales:	Raeed Deen, Andrew Bullen
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/39e7586b7bf34281b2bdb20c0d086de7
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id	oai:doaj.org-article:39e7586b7bf34281b2bdb20c0d086de7
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spelling	oai:doaj.org-article:39e7586b7bf34281b2bdb20c0d086de72021-12-04T16:02:33ZThrombosis Following Endovenous Glue Ablation10.15420/ver.2019.082516-33022516-3299https://doaj.org/article/39e7586b7bf34281b2bdb20c0d086de72020-03-01T00:00:00Zhttps://www.verjournal.com/articleindex/ver.2019.08https://doaj.org/toc/2516-3299https://doaj.org/toc/2516-3302Endovenous glue ablation for lower limb varicose veins is growing in popularity due to its safety and efficacy. Of significant concern is glue-associated thrombus extension into deep veins. We present a case of thrombus extending into the common femoral vein following endovenous glue ablation for varicose veins with the VenaSealTM closure system (VCS; Medtronic). A 63-year-old man who presented with symptomatic varicose veins had incompetence of the saphenofemoral junction. He underwent endovenous glue ablation using VCS closure. At 1 month, improvement in varicosities was mirrored by duplex ultrasound confirmation of successful long saphenous vein ablation, but ultrasound indicated thrombus extending into the common femoral vein. This was managed by surveillance duplex and serial clinical observation, with spontaneous resolution at 12 months. With increasing use of VCS for varicose veins, it is likely that thrombotic complications of the deep veins will be encountered more frequently. It is time for formulation of guideline-based management of this complication.Raeed DeenAndrew BullenRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENVascular and Endovascular Review , Vol 3, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Raeed Deen Andrew Bullen Thrombosis Following Endovenous Glue Ablation
description	Endovenous glue ablation for lower limb varicose veins is growing in popularity due to its safety and efficacy. Of significant concern is glue-associated thrombus extension into deep veins. We present a case of thrombus extending into the common femoral vein following endovenous glue ablation for varicose veins with the VenaSealTM closure system (VCS; Medtronic). A 63-year-old man who presented with symptomatic varicose veins had incompetence of the saphenofemoral junction. He underwent endovenous glue ablation using VCS closure. At 1 month, improvement in varicosities was mirrored by duplex ultrasound confirmation of successful long saphenous vein ablation, but ultrasound indicated thrombus extending into the common femoral vein. This was managed by surveillance duplex and serial clinical observation, with spontaneous resolution at 12 months. With increasing use of VCS for varicose veins, it is likely that thrombotic complications of the deep veins will be encountered more frequently. It is time for formulation of guideline-based management of this complication.
format	article
author	Raeed Deen Andrew Bullen
author_facet	Raeed Deen Andrew Bullen
author_sort	Raeed Deen
title	Thrombosis Following Endovenous Glue Ablation
title_short	Thrombosis Following Endovenous Glue Ablation
title_full	Thrombosis Following Endovenous Glue Ablation
title_fullStr	Thrombosis Following Endovenous Glue Ablation
title_full_unstemmed	Thrombosis Following Endovenous Glue Ablation
title_sort	thrombosis following endovenous glue ablation
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/39e7586b7bf34281b2bdb20c0d086de7
work_keys_str_mv	AT raeeddeen thrombosisfollowingendovenousglueablation AT andrewbullen thrombosisfollowingendovenousglueablation
_version_	1718372726994894848

Thrombosis Following Endovenous Glue Ablation

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