Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency
In the last 5 years, the use of nonthermal, nontumescent endovenous ablation such as cyanoacrylate glue (CAG) for treatment of chronic venous insufficiency has gained global popularity. This case series discusses the presentation and management of delayed access sheath site infections in patients wh...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2020-12-01
|
Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428720301313 |
_version_ | 1819057313856618496 |
---|---|
author | Stephen Aditya Sumarli, MBBS, MRCS Qing Wei Shaun Lee, MBBS, FRCS Hao Yun Yap, MBBS, FRCS Hsien Ts'ung Luke Tay, MBBS, FRCS Tze Tec Chong, MBBS, FACS Tjun Yip Tang, MD, FRCS, FAMS |
author_facet | Stephen Aditya Sumarli, MBBS, MRCS Qing Wei Shaun Lee, MBBS, FRCS Hao Yun Yap, MBBS, FRCS Hsien Ts'ung Luke Tay, MBBS, FRCS Tze Tec Chong, MBBS, FACS Tjun Yip Tang, MD, FRCS, FAMS |
author_sort | Stephen Aditya Sumarli, MBBS, MRCS |
collection | DOAJ |
description | In the last 5 years, the use of nonthermal, nontumescent endovenous ablation such as cyanoacrylate glue (CAG) for treatment of chronic venous insufficiency has gained global popularity. This case series discusses the presentation and management of delayed access sheath site infections in patients who have undergone CAG therapy. The authors believe such adverse effects are related to granuloma formation owing to a hypersensitivity reaction to CAG at the puncture exit site. The endovenous surgeon should be aware of preventing glue spillage into the subcutaneous space at the access site during treatment, to minimize the risk of this complication developing. |
first_indexed | 2024-12-21T13:37:20Z |
format | Article |
id | doaj.art-63747b2c481541a2ac5edadee5b7a5d4 |
institution | Directory Open Access Journal |
issn | 2468-4287 |
language | English |
last_indexed | 2024-12-21T13:37:20Z |
publishDate | 2020-12-01 |
publisher | Elsevier |
record_format | Article |
series | Journal of Vascular Surgery Cases and Innovative Techniques |
spelling | doaj.art-63747b2c481541a2ac5edadee5b7a5d42022-12-21T19:02:08ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872020-12-0164500504Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiencyStephen Aditya Sumarli, MBBS, MRCS0Qing Wei Shaun Lee, MBBS, FRCS1Hao Yun Yap, MBBS, FRCS2Hsien Ts'ung Luke Tay, MBBS, FRCS3Tze Tec Chong, MBBS, FACS4Tjun Yip Tang, MD, FRCS, FAMS5Department of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, Singapore; Duke-NUS Graduate Medical School, SingaporeDepartment of Vascular Surgery, Singapore General Hospital, Singapore; Duke-NUS Graduate Medical School, Singapore; Correspondence:Tjun Yip Tang, MD, FRCS, FAMS, Senior Consultant, Vascular & Endovascular Surgeon, Associate Professor Duke-NUS Medical School, Department of Vascular Surgery, Singapore General Hospital, Level 5, Academia, 20 College Rd, Singapore 169856, SingaporeIn the last 5 years, the use of nonthermal, nontumescent endovenous ablation such as cyanoacrylate glue (CAG) for treatment of chronic venous insufficiency has gained global popularity. This case series discusses the presentation and management of delayed access sheath site infections in patients who have undergone CAG therapy. The authors believe such adverse effects are related to granuloma formation owing to a hypersensitivity reaction to CAG at the puncture exit site. The endovenous surgeon should be aware of preventing glue spillage into the subcutaneous space at the access site during treatment, to minimize the risk of this complication developing.http://www.sciencedirect.com/science/article/pii/S2468428720301313Varicose veinsCyanoacrylate gluePhlebitisInfectionHypersensitivity reaction |
spellingShingle | Stephen Aditya Sumarli, MBBS, MRCS Qing Wei Shaun Lee, MBBS, FRCS Hao Yun Yap, MBBS, FRCS Hsien Ts'ung Luke Tay, MBBS, FRCS Tze Tec Chong, MBBS, FACS Tjun Yip Tang, MD, FRCS, FAMS Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency Journal of Vascular Surgery Cases and Innovative Techniques Varicose veins Cyanoacrylate glue Phlebitis Infection Hypersensitivity reaction |
title | Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
title_full | Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
title_fullStr | Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
title_full_unstemmed | Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
title_short | Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
title_sort | exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency |
topic | Varicose veins Cyanoacrylate glue Phlebitis Infection Hypersensitivity reaction |
url | http://www.sciencedirect.com/science/article/pii/S2468428720301313 |
work_keys_str_mv | AT stephenadityasumarlimbbsmrcs exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency AT qingweishaunleembbsfrcs exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency AT haoyunyapmbbsfrcs exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency AT hsientsungluketaymbbsfrcs exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency AT tzetecchongmbbsfacs exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency AT tjunyiptangmdfrcsfams exitsitecomplicationsfollowingcyanoacrylateglueendovenousablationofincompetenttruncalveinsforchronicvenousinsufficiency |