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...

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Main Authors: 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
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
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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.
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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
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