What is popular may no longer be popular: Cyanoacrylate and other alternatives in surgical treatment of chronic venous insufficiency

doi:10.5606/tgkdc.dergisi.2017.13526

Ahmet Barış Durukan

Department of Cardiovascular Surgery, Memorial Ankara Hospital, Ankara, Turkey

DOI : 10.5606/tgkdc.dergisi.2017.13526

With the beginning of 21st century, great advances in surgical treatment of venous insufficiency have been achieved including endovenous laser ablation and radiofrequency ablation methods. These methods became first line therapy alternatives also recommended by guidelines. Despite satisfactory results, the thermal nature and tumescent anesthesia requirement of the techniques initiated a search for a better technique with increasing expectations in society. The method closest to ideal seems to be cyanoacrylate ablation therapy that is non-thermal and non-tumescent. Having easy applicability and comparable satisfactory results with first line therapeutic methods with the longest follow-up of two years, cyanoacrylate ablation therapy may be the future for surgical treatment of venous insufficiency. Still, studies with long-term follow-up are needed to be conducted.

Keywords : Cyanoacrylates; endovenous thermal ablation; venous insufficiency

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