CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S16-S17
DOI: 10.1055/s-0041-1730689

Adhesive Embolization: Can it Replace Thermal Ablation for Truncal Varicosities?

Venkatesh Kasi Arunachalam Arunachalam
KMCH, Coimbatore, India
P Santosh
KMCH, Coimbatore, India
R Rahul
KMCH, Coimbatore, India
Elango, Jenny › Author Affiliations

Background: Among the endovascular treatment, thermal ablation is one of the effective and acceptable methods of treatment. However, in a developing country like India, cost of the procedure is one of the main factors which determines the nature and type of the treatment. If a procedure can be done with one-fourth of the cost of thermal ablation for varicose veins with an equivalent result, it is beneficial to the patient. Methods: A prospective study is done to evaluate the occlusion and recanalization rate of cyanoacrylate embolization of trunk with foam sclerotherapy of varicosities and asses the cost benefits compared to the radiofrequency ablation of trunks with foam sclerotherapy of varicosities. Twenty patients in each group are randomly selected and underwent the procedure in the past 1 year. The patients are followed at least for 6 months (1 week, 1 month, 3 months, and 6 months), and the results are compared. Results: We are able to achieve technical success in 100% of patients. The occlusion rate for trunks is around 94% at 6 months for glue embolization compared to 94% for RF ablation at 6 months. There were no case with significant deep vein thrombosis in both groups. There is a significant improvement in venous clinical severity score with an ulcer healing rate more than 95% is noted in both groups. The cost of the Glue embolisation is cheap (at least one-fourth) compared to thermal ablation. Conclusion: Adhesive embolization and sclerotherapy is an affordable, cost-effective, and acceptable method of treatment for the varicose veins compared to the Thermal ablation.

Publication History

Article published online:
11 May 2021

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