Thrombotic complications of superficial endovenous ablation: a contemporary review of thermal and non-thermal techniques. [Review]
Citation: Journal of Cardiovascular Surgery. 62(5):420-426, 2021 Oct.PMID: 33890755Institution: MedStar Washington Hospital CenterDepartment: Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Ablation Techniques/ae [Adverse Effects] | *Endovascular Procedures/ae [Adverse Effects] | *Ischemic Stroke/et [Etiology] | *Saphenous Vein/su [Surgery] | *Varicose Ulcer/su [Surgery] | *Venous Insufficiency/su [Surgery] | *Venous Thrombosis/et [Etiology] | Anticoagulants/tu [Therapeutic Use] | Humans | Ischemic Stroke/dg [Diagnostic Imaging] | Ischemic Stroke/dt [Drug Therapy] | Male | Middle Aged | Risk Assessment | Risk Factors | Saphenous Vein/dg [Diagnostic Imaging] | Saphenous Vein/pp [Physiopathology] | Treatment Outcome | Varicose Ulcer/dg [Diagnostic Imaging] | Varicose Ulcer/pp [Physiopathology] | Venous Insufficiency/dg [Diagnostic Imaging] | Venous Insufficiency/pp [Physiopathology] | Venous Thrombosis/dg [Diagnostic Imaging] | Venous Thrombosis/dt [Drug Therapy]Year: 2021ISSN:- 0021-9509
Item type | Current library | Collection | Call number | Status | Date due | Barcode |
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Journal Article | MedStar Authors Catalog | Article | 33890755 | Available | 33890755 |
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.
English