A Case of Endovenous Glue-induced Thrombosis (EGIT) into Gastrocnemial Vein after Cyanoacrylate Closure for Small Saphenous Vein

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  • 小伏在静脈に対するグルー治療後　腓腹静脈内にEGITを認めた1例

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Abstract

<p>We reported a case of endovenous glue-induced thrombosis (EGIT) in treating small saphenous varicose veins using cyanoacrylate closure (CAC). The polymerized cyanoacrylate (CA) extended to the gastrocnemial vein (GCV), forming a fresh thrombus. The patient was an 80 yo woman and complained of frequent calf muscle cramping. Preoperative duplex scan findings showed reflux in the left below-knee great saphenous vein (GSV) and left small saphenous vein (SSV). CEAP classification and revised VCSS were (C3-S Ep As,p,d Pr GSVb, SSV) and 3, respectively. We used a total of 11 glue drops in SSV (15 cm) and below knee GSV (15 cm) during CAC. At two weeks after CAC, we confirmed the occlusion of left SSV and below knee GSV, and found the extension of the polymerized CA to GCV and the formation of thrombus. Because the patient complained of the mild tightness of the left leg at 23 days after CAC, we prescribed oral anticoagulant until 45 days after CAC, the day of the disappearance of thrombus. Since SSV often has various networks, preoperative anatomical diagnosis is essential. It is necessary to keep in mind that EGIT can occur in cases where GCV merges to SSV.</p>

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