TY  - BOOK
AU  - Kiguchi, Misaki M
AU  - Tenet, Megan
TI  - Thrombotic complications of superficial endovenous ablation: a contemporary review of thermal and non-thermal techniques. [Review]
SN  - 0021-9509
PY  - 2021///
KW  - *Ablation Techniques/ae [Adverse Effects]
KW  - *Endovascular Procedures/ae [Adverse Effects]
KW  - *Ischemic Stroke/et [Etiology]
KW  - *Saphenous Vein/su [Surgery]
KW  - *Varicose Ulcer/su [Surgery]
KW  - *Venous Insufficiency/su [Surgery]
KW  - *Venous Thrombosis/et [Etiology]
KW  - Anticoagulants/tu [Therapeutic Use]
KW  - Humans
KW  - Ischemic Stroke/dg [Diagnostic Imaging]
KW  - Ischemic Stroke/dt [Drug Therapy]
KW  - Male
KW  - Middle Aged
KW  - Risk Assessment
KW  - Risk Factors
KW  - Saphenous Vein/dg [Diagnostic Imaging]
KW  - Saphenous Vein/pp [Physiopathology]
KW  - Treatment Outcome
KW  - Varicose Ulcer/dg [Diagnostic Imaging]
KW  - Varicose Ulcer/pp [Physiopathology]
KW  - Venous Insufficiency/dg [Diagnostic Imaging]
KW  - Venous Insufficiency/pp [Physiopathology]
KW  - Venous Thrombosis/dg [Diagnostic Imaging]
KW  - Venous Thrombosis/dt [Drug Therapy]
KW  - MedStar Washington Hospital Center
KW  - Surgery/Vascular Surgery
KW  - Journal Article
N2  - Endovenous ablation has become the preferred means to treat superficial venous insufficiency. Ablative technologies have evolved to include a variety of both thermal and nonthermal techniques. The reported thrombotic complications of endovenous heat induced thrombosis (EHIT) and deep venous thrombosis (DVT) associated with thermal techniques are low (<2% overall). However, the limited data on newer non-thermal technologies suggest these modalities may have thrombotic complication rates upwards of 6%. Additionally, the pathophysiology of thrombotic events related to mechanochemical ablative techniques may differ from EHIT, and thus, may have different implications for management. Described is a case report of a stroke after cyanoacrylate ablation of the great saphenous vein, and a review of the current literature reporting the thrombotic complications associated with current thermal and non-thermal techniques. There exists a need for high volume studies on newer ablative techniques to fully understand their associated thrombotic complications. This review highlights the need for a comprehensive classification system and standard treatment algorithm encompassing of thrombotic complications associated with both thermal and non-thermal ablative techniques
UR  - https://dx.doi.org/10.23736/S0021-9509.21.11898-1
ER  -