Cyanoacrylate closure for arteriovenous fistula in the lower extremity with saphenous vein insufficiency

Cyanoacrylate closure for arteriovenous fistula in the lower extremity with saphenous vein insufficiency

A lower extremity arteriovenous fistula (AVF) is sometimes associated with venous disease following venous hypertension, especially when the saphenous vein is the main return route. This can cause venous dilation, leading to valve insufficiency. A complete cure can be difficult in cases with multipl...

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Bibliographic Details
Main Authors: Yoshihiro Ko, MD, PhD, Shogo Shimizu, MD, PhD, Tatsushi Yamanoha, MD, Kazuhiko Suzuki, MD, PhD
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
Subjects:
Arteriovenous fistula
Cyanoacrylate closure
Endovascular treatment
Saphenous vein insufficiency
Online Access:http://www.sciencedirect.com/science/article/pii/S2468428723002198
Description
Summary:A lower extremity arteriovenous fistula (AVF) is sometimes associated with venous disease following venous hypertension, especially when the saphenous vein is the main return route. This can cause venous dilation, leading to valve insufficiency. A complete cure can be difficult in cases with multiple vascular branches. We report three surgical cases of lower extremity AVF with saphenous vein insufficiency. All patients had saphenous vein insufficiency with long duration leg symptoms and underwent full-length occlusion of saphenous vein using cyanoacrylate closure. Substantial improvements in leg symptoms and appearance were observed immediately after surgery in all three patients. Cyanoacrylate closure could be a treatment option for lower extremity AVF.
ISSN:2468-4287

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