Ultrasound-guided perforator vein sealing with cyanoacrylate glue

Siyanoakrilatın damar içine verilmesi bir polimerizasyon reaksiyonunu tetikler, bu da etkilenen damarın tıkanmasına yol açar. Bu etki, serebral arteriyovenöz malformasyonları ve anevrizmaları içeren çeşitli vasküler bozuklukların tedavisinde kullanılmaktadır. Endovenöz siyanoakrilat uygulaması, yetmezlik olan alt ekstremite venöz sisteminin tedavisinde de yakın zamanda kullanılmaya başlandı. Bu yazıda, ultrason kılavuzluğunda posterior tibial (Cockett-2) perforatör vene endovenöz siyanoakrilat uygulanması ve yetmezlik olan venin tedavisi sunuldu. Bu olgu, perforatör venlere yönelik bu atermal tedavi yaklaşımının günümüzde başarıyla kullanılan termal yöntemlere bir alternatif olabileceğini göstermektedir.

Siyanoakrilat yapıştırıcı ile ultrason kılavuzluğunda perforatör ven mühürleme

The introduction of the cyanoacrylate into the blood vessel triggers a polymerization reaction that further causes an occlusion in the affected vessel. This effect has been used for the treatment of various vascular disorders including the cerebral arteriovenous malformations and aneurysms. The endovenous administration of the cyanoacrylate has recently started to be used for the treatment of incompetent lower extremity venous system as well. In this article, we report an endovenous administration of cyanoacrylate with the ultrasound guidance into the posterior tibial (Cockett-2) perforator vein and eventual treatment of the incompetent vein. This case demonstrates that this athermal treatment modality for the perforator veins may become an alternative to the successfully used current thermal methods.

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