2023 Volume 34 Issue 1 Pages 57-61
We consecutively operated 45 patients (age 64±14, male 19) for GSV insufficiency by cyanoacrylate closure (CAC) in 2020 and investigated 1-year result and the trend of closed end. We performed echography to measure the length from SFJ to the end of plugged GSV (A) just after CAC, on POD 1 and POD 7, and after 6 months and 1 year and computed tomography to measure the diameter of GSV and evaluate residual varicose veins after 6 months and 1 year and complications were investigated. Fifty-two legs were treated. The length of treatment was 18.1±5.3 cm. Occlusion rate was 100% on POD 7. Side effects were redness (7 cases), pain (3), tenderness (2), discomfort sense (2), itch (0), infection (0), DVT (0), EGITclass 3 (3). The A (6.4±2.2 cm) just after operation shortened to 4.5±1.9 cm on POD 1 and 2.7±2.4 cm on POD 7(P<0.001). Those of 6 month (4.3±2.9 cm) and 1 year (3.8±2.4 cm) were not different from that of POD 1 (N.S.). The shape of edge of thrombus was tongue-like on POD 1, and it changed to gulf-like, usually distal to superficial epigastric vein on POD 7. After 6 months and 1 year the diameter of GSV was shortened and crevasse opened centrally. One case (2.7%) had Recanalization. Another case was re-operated for insufficient perforator (2.7%). One-year result after CAC was acceptable.
