关键词: Glue cyanoacrylate cyanoacrylate adhesive closure venous insufficiency

Mesh : Humans Cyanoacrylates / adverse effects Adhesives Retrospective Studies Saphenous Vein / surgery Venous Insufficiency / therapy Surgeons Treatment Outcome Varicose Veins / therapy

来  源:   DOI:10.1177/02683555231190266

Abstract:
OBJECTIVE: In this study, we present the complication data of patients we treated for chronic venous insufficiency (CVI) with cyanoacrylate adhesive closure (CAC) therapy for 2 years.
METHODS: Complications of 382 CAC procedures performed by the same surgeon were reviewed retrospectively.
RESULTS: Independent of patients, depending on the payment system of the state; two hundred twenty-three (58.4%) of 382 procedures were performed using the Venex system, and the Variclose system was used in 159 (41.6%) patients. A phlebitis-like reaction occurred in 46 (12%) patients, induration in 18 (4.7%) patients, hyperpigmentation in five (1.3%) patients, abscesses in four (1%) patients, cellulitis in three (0.8%) patients, and granuloma in one (0.3%) patient. In addition, as serious complications, deep vein thrombosis (DVT) developed in three patients and pulmonary embolism in one of these patients. Interestingly, temporary blindness was also observed in one patient.
CONCLUSIONS: Although CAC therapy is a reliable method, its complications should not be ignored. Its use by experienced surgeons reduces the risk of complications.
摘要:
目的:在本研究中,我们提供了慢性静脉功能不全(CVI)患者的并发症数据,这些患者采用氰基丙烯酸酯粘合剂闭合(CAC)治疗2年.
方法:回顾性分析了由同一外科医生进行的382例CAC手术的并发症。
结果:独立于患者,取决于国家的支付系统;382个程序中有23个(58.4%)是使用Venex系统执行的,159例(41.6%)患者使用了静脉曲张系统。46例(12%)患者发生静脉炎样反应,18例(4.7%)患者硬结,五名(1.3%)患者的色素沉着过度,四名(1%)患者出现脓肿,三名(0.8%)患者的蜂窝织炎,一名(0.3%)患者出现肉芽肿。此外,作为严重的并发症,3例患者发生深静脉血栓形成(DVT),其中1例发生肺栓塞。有趣的是,在1例患者中也观察到暂时性失明.
结论:尽管CAC治疗是一种可靠的方法,其并发症不容忽视。经验丰富的外科医生使用它可以降低并发症的风险。
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