Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter
Recurrent varices after surgery (REVAS) is a common problem with no established treatment. Ultrasonography is a hard method to identify the source of veins that cause REVAS, especially in obese patients with thick thighs. Here, we report the case of a 64-year-old obese patient who previously underwe...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2021/6687450 |
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| author | Yusuke Enta Makoto Saigan Akiko Tanaka Masaki Hata Norio Tada |
| author_facet | Yusuke Enta Makoto Saigan Akiko Tanaka Masaki Hata Norio Tada |
| author_sort | Yusuke Enta |
| collection | DOAJ |
| description | Recurrent varices after surgery (REVAS) is a common problem with no established treatment. Ultrasonography is a hard method to identify the source of veins that cause REVAS, especially in obese patients with thick thighs. Here, we report the case of a 64-year-old obese patient who previously underwent endothermal venous ablation for her right great saphenous vein. The patient presented with right leg swelling and venous ulceration due to REVAS. Although the source of REVAS was unclear because the patient had thick thighs on ultrasonography assessment, venography revealed that the source of REVAS was the incompetent perforator vein (IPV). Selective ablation for the IPV with radiofrequency ablation catheter was performed. We could ablate the target veins selectively so as not to ablate within the deep vein. The patient remains asymptomatic for 2 years after the procedure, and there has been no recurrence of her varicose veins. Venography allows better visualization of the source of REVAS than ultrasonography. With selective ablation, it is especially effective procedure in obese patients, in whom it is difficult to identify and access the source of REVAS with ultrasonography. |
| format | Article |
| id | doaj-art-19821cc846aa45ea8ee7797c1cd9b08b |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-19821cc846aa45ea8ee7797c1cd9b08b2025-08-20T03:55:48ZengWileyCase Reports in Vascular Medicine2090-69862090-69942021-01-01202110.1155/2021/66874506687450Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation CatheterYusuke Enta0Makoto Saigan1Akiko Tanaka2Masaki Hata3Norio Tada4Department of Cardiovascular Internal Medicine, Sendai Kousei Hospital, Sendai, Miyagi, JapanDepartment of Cardiovascular Internal Medicine, Sendai Kousei Hospital, Sendai, Miyagi, JapanDepartment of Cardiovascular Internal Medicine, Sendai Kousei Hospital, Sendai, Miyagi, JapanDepartment of Cardiovascular Surgery, Sendai Kousei Hospital, Sendai, Miyagi, JapanDepartment of Cardiovascular Internal Medicine, Sendai Kousei Hospital, Sendai, Miyagi, JapanRecurrent varices after surgery (REVAS) is a common problem with no established treatment. Ultrasonography is a hard method to identify the source of veins that cause REVAS, especially in obese patients with thick thighs. Here, we report the case of a 64-year-old obese patient who previously underwent endothermal venous ablation for her right great saphenous vein. The patient presented with right leg swelling and venous ulceration due to REVAS. Although the source of REVAS was unclear because the patient had thick thighs on ultrasonography assessment, venography revealed that the source of REVAS was the incompetent perforator vein (IPV). Selective ablation for the IPV with radiofrequency ablation catheter was performed. We could ablate the target veins selectively so as not to ablate within the deep vein. The patient remains asymptomatic for 2 years after the procedure, and there has been no recurrence of her varicose veins. Venography allows better visualization of the source of REVAS than ultrasonography. With selective ablation, it is especially effective procedure in obese patients, in whom it is difficult to identify and access the source of REVAS with ultrasonography.http://dx.doi.org/10.1155/2021/6687450 |
| spellingShingle | Yusuke Enta Makoto Saigan Akiko Tanaka Masaki Hata Norio Tada Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter Case Reports in Vascular Medicine |
| title | Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter |
| title_full | Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter |
| title_fullStr | Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter |
| title_full_unstemmed | Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter |
| title_short | Venography and Selective Ablation for Recurrent Varices after Surgery Using Radiofrequency Ablation Catheter |
| title_sort | venography and selective ablation for recurrent varices after surgery using radiofrequency ablation catheter |
| url | http://dx.doi.org/10.1155/2021/6687450 |
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