The Progress after Decannulating Incompetent Great Saphenous Vein Filling Cyanoacrylate, Because of Type IV Hypersensitivity

Abstract

Cyanoacrylate closure for the treatment of incompetent great saphenous vein have accepted as insurance coverage in Japan. There are some cases develop postoperative complication. We describe allergic-like reaction caused by cyanoacrylate closure for the treatment of incompetent great saphenous vein. A 79-years-old woman had this treatment, developed swelling of diseased side leg after the treatment. This case got a DLST, and the result was positive. We diagnosed this case as type IV hypersensitivity. As a result, we decannulate left saphenous vein filling CA. After the operation, the symptoms were improved by degrees and the result of DLST turned negative in the end.