81 months vein glue on varicose veins in 1209 patients
The vein glue on varicose veins is already in almost all other surgical disciplines in the therapy program, eg. In dermatology, internal medicine, pediatric surgery, ophthalmology, orthopedics, surgery / vascular surgery, neuroradiology, orthodontics. The application goes back to the early 60s. Extensive animal studies have been conducted in almost every discipline prior to human use.
The vein glue VenaSeal was approved in 2011 in Europe. For the first time, he was clinically used by Prof Pröbstle in Mannheim. He was followed by Chefarzt Alm from the Dermatologikum Hamburg. Saphenion has been using the vein glue on varicose veins since 7/2012, making us the third institution in Germany with medical certification.
The FDA approval in the USA was 2/2015. After extensive laboratory tests and clinical studies, the American health authority concluded: VenaSeal® is biocompatible and bio resorptive, non-carcinogenic and does not produce any allergy!
Vein glue on varicose veins – our patients.
By April 30, 2019, we had glued great saphenous vein in 1555 cases, small saphenous vein in 580 cases, VSAL in 73, VSAM in 48 cases, Giacomini vein in 2, and Femoropopliteal vein in 5 cases.
The age of the patients was between 17 and 90 years.
The treatment of a truncal vein was carried out in 362 cases, in 680 patients were treated simultaneously 2 truncal varicose veins. In 135 cases, VenaSeal was used to glue 3 truncal veins, and 30 patients were treated simultaneously with 4 truncal veins. In 2 patients, 5 truncal veins were closed in one therapy session and one patient was treated on 6 truncal veins (1209 patients).
In 14 cases VenaSeal of the truncal varicose veins in leg ulcers: healing in 2 – 12 weeks.
The therapy was usually carried out under analgosedation (dormicum i.v.), in 136 patients no form of anesthesia (11.3%), no general or tumescent anesthesia. There were no exclusion criteria – all patients with appropriate indications were treated.
Following the therapy, a 12 chamber – compression therapy with very good patient compliance took place at our Rostock Vein Center.
Compression stockings are prescribed with a vein diameter > 1,2cm or local venous aneurysm.
Vein glue on varicose veins – our results
Duplex follow up over 81 months: on the first day, all 2263 veins were re-examined – 2246 veins were initially occluded = 99.24% occlusion rate.
After 3 – 4 months postoperatively, we observed 45 partial and 18 complete recanalizations with a follow up of 1679 veins (74.2%) = 97.22% occlusion rate.
After 6 – 8 months, 52 partial and 31 complete recanalizations were sonographically detectable with a follow up of 1460 veins (64.5%) = 96.33% occlusion rate.After 3 – 4 months postoperatively, we observed 45 partial and 18 complete recanalizations with a follow up of 1679 veins (74.2%) = 97.22% occlusion rate.
Further recanalizations could not be found over 81 months at 6 years follow – up of 1284 veins (56,7%).
The closure rate over 81 months of treatment is 96.33% in our patient group.
Radio wave, laser or venous glue on varicose veins?
Vein glue on varicose veins is one of the endovenous techniques with very high effectiveness, quality standards are equal to those of the laser or the radio wave. Radio wave, laser or venous glue on varicose veins?
Vein glue on varicose veins is safe in therapy in the treatment of all trunk veins, side branches and perforating veins up to a diameter of 1.5 – 1.8 cm. Larger diameters are also effectively treatable.
We also recommend sealing veins for recurrent varicose veins and post-inflammatory truncal varicose veins.
The venous glue VenaSeal is the therapy of the first choice for truncal veins on the lower leg. VenaSeal is the most expensive of all endovenous procedures when used on only one truncal vein. However, the simultaneous treatment of multiple truncal veins also reduces costs compared to traditional radical surgery therapy (both outpatient and inpatient).
The closure rate of venous glue to varicose veins is better than that of radiofrequency therapy after our 81 months of experience. In no case should the closure rate be worse than in the thermal process! Also, an effective „crossectomy“ under ultrasound control is very possible. A stump does not exist and doesn`t stop at our application technique. Ablation to veins over 1.5 cm in diameter is also effective.
We will present our 7 – year results on VenaSeal – therapy on the occasion of the 2nd NEEF – Northern European Endovenous Forum in Riga in August, and will publish it in the „Journal of Vascular and Endovascular Therapy“.
Bildernachweis:
Utzius: The Wall Gallery Berlin
Utzius: The Wall Gallery Berlin
Links / References
Herberer G. und RJAM van Dongen: Gefäßchirurgie; Springer Verlag Berlin, Heidelberg, New York, Tokyo, London, Paris, 1982: S.722 – 739
Kremer K., Schumpelick V. und G.Hierholzer: Chirurgische Operationen – Atlas für die Praxis; G.Thieme Verlag, Stuttgart, New York,1992: S.682 – 685
Weber, J. und May, R.: Funktionelle Phlebologie; Georg Thieme Verlag Stuttgart, New York, 1990: S. 531 – 543
https://www.ncbi.nlm.nih.gov/pubmed/?term=recidive+after+endovenous+therapy
https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-0798-6120
https://www.ncbi.nlm.nih.gov/pubmed/28181899
https://www.journalijdr.com/sites/default/files/issue-pdf/15326.pdf
https://www.ncbi.nlm.nih.gov/pubmed/23032495
https://www.ncbi.nlm.nih.gov/pubmed/27898181
https://www.ncbi.nlm.nih.gov/pubmed/24176098
https://www.ncbi.nlm.nih.gov/pubmed/18431342
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https://www.ncbi.nlm.nih.gov/pubmed/27126643
https://www.journalijdr.com/sites/default/files/issue-pdf/15326.pdf
http://vascular-endovascular-therapy.imedpub.com/sealing-veins-vs-radiofrequency-ablation-oftruncal-varicose-veins5-years-experience.pdf
Editors | Journal of Vascular and Endovascular Therapy |
| Editors | Journal of Vascular and Endovascular Therapy |Editorial Board of Journal of Vascular and Endovascular Therapy consists − eminent scientists, scholars, researc… |