Thrombotic complications of superficial endovenous ablation: a contemporary review of thermal and non-thermal techniques.
J Cardiovasc Surg (Torino)
; 62(5): 420-426, 2021 Oct.
Article
em En
| MEDLINE
| ID: mdl-33890755
ABSTRACT
Endovenous ablation has become the preferred means to treat superficial venous insufficiency. Ablative technologies have evolved to include a variety of both thermal and non-thermal 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.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Veia Safena
/
Úlcera Varicosa
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Insuficiência Venosa
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Trombose Venosa
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Técnicas de Ablação
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Procedimentos Endovasculares
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AVC Isquêmico
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article