Speciality Endovascular TechniquesLibrary of the School of Health Sciences
Γεώργιος Γερουλάκος - Καθηγητής - Ιατρική Σχολή - Εθνικό Καποδιστριακό Πανεπιστήμιο Αθηνών
Ιωάννης Κακίσης - Καθηγητής - Ιατρική Σχολή - Εθνικό Καποδιστριακό Πανεπιστήμιο Αθηνών
Αχιλλέας Χατζηϊωάννου - Καθηγητής - Ιατρική Σχολή - Εθνικό Καποδιστριακό Πανεπιστήμιο Αθηνών
Μηχανο-χημική κατάλυση της στελεχιαίας επιπολής φλεβικής ανεπάρκειας: παρουσίαση ημετέρας σειράς, βιβλιογραφική ανασκόπηση της μεθόδου και σύγκριση των αποτελεσμάτων της με τις υπόλοιπες ενδοφλέβιες τεχνικές.
Mechanochemical ablation for the varicose veins treatment: a single-center experience and literature review.
Objectives: to assess the efficacy and patient satisfaction of mechanochemical ablation with the ClariVein device (MOCA) for varicose veins treatment performed by a vascular unit in Greek private sector.
Methods – Materials: Between November 2016 and November 2018, 27 MOCA procedures were performed and patients’ records were retrospectively reviewed. Assessment included clinical examination and Duplex venous scan accomplished at baseline, one week, three, six and twelve months postoperatively. A custom-made questionnaire was given to all patients postoperatively.
Results: Twenty patients with a mean age of 45 years (range: 25-73) underwent 27 MOCA procedures with the use of polidocanol 2%. Mean diameter of the great saphenous vein was 7.2mm (range: 5.3-9.2) and the mean treatment length was 34cm (range: 22-55). Mean procedural time including adjunctive phlebectomies was 55min (range: 33-95). In one year follow-up, one complete and three segmental recanalizations involving the proximal part of the treated great saphenous vein were detected. Postoperative complications included superficial thrombophlebitis in six cases, ecchymoses in another six and hyperpigmentation in three. Nevertheless, patients’ answers to the questionnaire reflected a significant clinical improvement in all cases.
Conclusions: Mechanochemical ablation is a non-thermal feasible and effective treatment for superficial venous incompetence. When using consensus definitions for anatomical closure, results for mechanochemical ablation may be less favorable compared to other endovenous techniques. Therefore, further evaluation and longer follow-up periods are required.
Main subject category:
Superficial venous insufficiency, Varicose veins, Great saphenous vein, Mechano-chemical ablation.
Number of references:
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