Glue Embolisation of Truncal Varicosities with Direct Puncture Technique: Is it a Threat to Thermal Ablation? A Prospective Study

 

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Background: Varicose veins is one of the most common disease presented to vascular clinic. Though there are many endovascular methods are available for the treatment of variocse veins, most of them are costly procedures. we need a treatment with lower cost and acceptable success rate, so that all group of people will be benefitted. With this background we did a study on glue embolisation of truncal varicosities. Aim of the Study: (1) To evaluate the success rate of adhesive embolisation using N Butyl 2 Cyanoacrylate. (2) To compare the occlusion rate with RFA. (3) To analyse the cost difference between both. Method(s): Study period: October 2017 to October 2018. Inclusion criteria: Incompetent SFJ wth reflux into GSV. Exclusion criteria – Deep vein thrombosis. Glue embolisation of great saphenous vein (GSV) is planned atleast for thirty patients. The great saphenous vein in thigh was punctered directly with 21 G needle atleast at 7 - 10 sites with a gap of 5 cms and 0.1-0.2 ml of glue is injected at each sites. After injection, compression is done with ultrasound probe for 45 seconds at that site. The injection is started from the caudal to cranial direction. The procedure is performed without perivenous tumescence. The patients are advised to come for follow up at one week, one month and six months intervals. The Patients will be evaluted for occlusion of GSV as well as complications associated with it. The results are compared with the results of RFA of varicose veins in our institute. Result(s): (1) Glue embolisation occlusion rate at 6 months: 93%. (2) Comparable to RFA at 6 months gap. (3) Decrease in the cost by >300%. Conclusion(s): The efficacy of glue embolisation of varicose veins done with direct puncture is similar to RFA at 6 months follow up and it can be done with decreased cost (<1/4th of RFA).

Publication History

Article published online:
11 May 2021

© 2019. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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