PDF(Pubmed)
Abstract：
Background: Varicose veins are considered a chronic venous disease. Delaying treatment might cause several late complications that contribute to a high burden on healthcare systems. It may be treated with endovenous laser ablation (EVLA) and stab avulsion as additional procedures. Varicose direct ablation has been promoted to replace stab avulsion in certain conditions. Here we report the case of a 71-year-old female who presented with chronic venous insufficiency managed by an endovascular therapeutic approach using direct varix ablation for the first time in National Cardiovascular Center - Harapan Kita, Jakarta, Indonesia. Case report: A 71-year-old female came to the outpatient clinic with a large bulging vein in her leg. Duplex ultrasound showed that the great saphenous vein (GSV) was incompetent with a varicose vein in the medial part of proximal GSV below the knee. The patient underwent EVLA with direct varicose ablation using Utoh\'s technique. Duplex sonography evaluation showed the right GSV was utterly obliterated, including the varicose vein. The patient was discharged two days after the procedure without significant complaints nor pain medication. Conclusions: Direct varicose ablation was proposed as a better alternative than stab avulsion. The varicose vein can be managed with EVLA without a scalpel, incision, avulsion, or phlebectomy. In this case presentation, the endovascular therapeutical approach with Utoh\'s ablation technique showed promising results, and no complication was found in the patient.
摘要：
背景：静脉曲张被认为是一种慢性静脉疾病。延迟治疗可能会导致一些晚期并发症，从而给医疗保健系统带来沉重的负担。可以通过静脉内激光消融（EVLA）和刺伤撕脱作为其他程序进行治疗。在某些情况下，静脉曲张直接消融已被推广以替代刺伤撕脱。在这里，我们报告了一名71岁的女性患者，该患者首次在美国国家心血管中心-HarapanKita通过直接血管消融进行血管内治疗方法治疗慢性静脉功能不全，雅加达,印度尼西亚。病例报告：一名71岁的女性来到门诊，腿部有一条大静脉膨出。双重超声检查显示，大隐静脉（GSV）在膝关节下方近端GSV内侧部分有静脉曲张。患者使用Utoh\的技术接受了直接静脉曲张消融的EVLA。双超声检查显示右GSV完全消失，包括静脉曲张.手术后两天，患者出院，没有明显的抱怨，也没有止痛药。结论：直接静脉曲张消融被认为是比刺伤撕脱更好的替代方法。静脉曲张可以用EVLA治疗，没有手术刀，切口,撕脱,或者静脉切除术.在这种情况下，使用Utoh's消融技术的血管内治疗方法显示了有希望的结果，患者未发现并发症。
