氰基丙烯酸酯闭合术治疗大隐静脉和小隐静脉闭合不全的中期效果:日本前瞻性连续多中心登记的结果:氰基丙烯酸酯闭合术的中期效果。

Takahiro Imai, Makoto Mo, Masayuki Hirokawa, Nobuhisa Kurihara, Shintaro Shokoku, Satoru Sugiyama, Nozomu Shirasugi, Hitoshi Kusagawa, Yuji Hoshino, Takashi Yamamoto, Eiichi Hyodo, Keichi Furubayashi, Tomohiro Ogawa
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引用次数: 0

摘要

目的:我们对日本使用氰基丙烯酸酯粘合剂(VenaSeal®闭合系统)进行血管内治疗静脉曲张的氰基丙烯酸酯闭合术(CAC)的有效性和安全性进行了评估:在日本的 12 个中心对 125 名接受 CAC 的原发性静脉曲张患者进行了多中心前瞻性连续登记研究。术后 1 年,对患者的靶静脉闭塞情况、术后并发症、疼痛视觉模拟量表(VAS)、修订静脉临床严重程度评分(rVCSS)、阿伯丁静脉曲张问卷(AVVQ)和欧洲质量标准 5 维 5 级(EQ-5D-5L)进行了评估:术后1年的闭合率为92.6%,GSV和SSV的闭合率分别为95.0%和90.2%,差异不大(p = .491)。术后即刻的平均 VAS 为 18.9 ± 23.4。有 20 名患者(16%)出现术后并发症。7名患者(5.6%)出现了过敏性静脉炎。治疗静脉的感染导致了 GSV 的切除。术后 90 天和 1 年后,rVCSS 和 AVVQ 显著改善(p < .001),而 EQ-5D-5L 没有变化:总的来说,氰基丙烯酸酯闭合术是一种安全的微创治疗方法,具有良好的中期疗效,包括 SSV。不过,还需要对一些 CAC 特定并发症进行进一步研究。
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Mid-term results of cyanoacrylate closure for the treatment of incompetent great and small saphenous veins: Findings from a Japanese prospective consecutive multi-center registry: Mid-term results of cyanoacrylate closure.

Objectives: We evaluated the efficacy and safety of cyanoacrylate closure (CAC) for endovascular treatment of varicose veins with cyanoacrylate adhesive (VenaSeal® closure system) in Japan.

Methods: A multicenter prospective consecutive registry study was conducted at 12 centers in Japan on 125 patients with primary varicose veins who underwent CAC. The patients were evaluated on target vein occlusion, postoperative complications, Visual Analogue Scale (VAS) for pain, revised Venous Clinical Severity Score (rVCSS), Aberdeen Varicose Vein Questionnaire (AVVQ), and EuroQol 5 dimensions 5-level (EQ-5D-5L) for 1-year after the surgery.

Results: The closure rate was 92.6% at 1 year postoperatively, and 95.0% and 90.2% for GSV and SSV respectively with little difference (p = .491). The mean VAS in the immediate postoperative period was 18.9 ± 23.4. Postoperative complications were observed in 20 patients (16%). Hypersensitivity-type phlebitis occurred in 7 patients (5.6%). Infection of the treated vein resulted in resection of GSV. The rVCSS and AVVQ improved significantly after 90 days and 1 year postoperatively (p < .001), while the EQ-5D-5L have not changed.

Conclusion: Cyanoacrylate Closure was considered generally a safe and minimally invasive treatment with good mid-term outcomes including SSV. However further study is required for some CAC specific complications.

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