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Article: Endovenous cyanoacrylate ablation for chronic venous insufficiency and varicose veins among Asians

TitleEndovenous cyanoacrylate ablation for chronic venous insufficiency and varicose veins among Asians
Authors
KeywordsAsian
chronic venous insufficiency
cyanoacrylate glue
endovenous
varicose veins
Issue Date2021
PublisherAcademy of Medicine Singapore. The Journal's web site is located at http://www.annals.edu.sg
Citation
Annals, Academy of Medicine, Singapore, 2021, v. 50 n. 3, p. 241-249 How to Cite?
AbstractIntroduction: Endovenous cyanoacrylate glue (CAG) ablation for the treatment of chronic venous insufficiency (CVI) and varicose veins has shown non-inferior outcomes with an excellent safety profile, high patient satisfaction rate, and excellent efficacy when compared to the gold standard of endothermal ablation. A review of the current literature for CAG use in CVI showed that most studies and longer-term data are from Caucasian-based populations, which are subject to different anatomical venous variations and socio-economical contexts. This review aimed to gather the current evidence for CAG use in Asian CVI patients. Methods: Asian studies for the use of CAG in CVI were included in this review. Successful ablation rates, quality of life improvement and novel complications such as glue hypersensitivity reactions are described, along with anatomical descriptions of superficial venous anatomy in study patients. Use of CAG in Singapore and Asia was addressed. Results: CAG has been gaining traction as an option for CVI treatment in Asians. In Singapore, it has been adopted with comparable low complication rates and significant improvement of quality of life after treatment. As we increase our understanding of the variations in venous anatomy in the Asian population, new techniques such as retrograde deployment of the device and use of CAG ablation for venous leg ulcers have been developed. Conclusion: Further robust evidence in terms of large randomised control trials along with costeffectiveness studies are needed to determine the true value of CAG ablation in the Asian setting.
DescriptionBronze open access
Persistent Identifierhttp://hdl.handle.net/10722/301685
ISSN
2020 Impact Factor: 2.473
2020 SCImago Journal Rankings: 0.299
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, SSJ-
dc.contributor.authorChan, YC-
dc.contributor.authorWalsh, SR-
dc.contributor.authorChong, TT-
dc.contributor.authorChoke, ETC-
dc.contributor.authorTiwari, A-
dc.contributor.authorTang, TY-
dc.date.accessioned2021-08-09T03:42:43Z-
dc.date.available2021-08-09T03:42:43Z-
dc.date.issued2021-
dc.identifier.citationAnnals, Academy of Medicine, Singapore, 2021, v. 50 n. 3, p. 241-249-
dc.identifier.issn0304-4602-
dc.identifier.urihttp://hdl.handle.net/10722/301685-
dc.descriptionBronze open access-
dc.description.abstractIntroduction: Endovenous cyanoacrylate glue (CAG) ablation for the treatment of chronic venous insufficiency (CVI) and varicose veins has shown non-inferior outcomes with an excellent safety profile, high patient satisfaction rate, and excellent efficacy when compared to the gold standard of endothermal ablation. A review of the current literature for CAG use in CVI showed that most studies and longer-term data are from Caucasian-based populations, which are subject to different anatomical venous variations and socio-economical contexts. This review aimed to gather the current evidence for CAG use in Asian CVI patients. Methods: Asian studies for the use of CAG in CVI were included in this review. Successful ablation rates, quality of life improvement and novel complications such as glue hypersensitivity reactions are described, along with anatomical descriptions of superficial venous anatomy in study patients. Use of CAG in Singapore and Asia was addressed. Results: CAG has been gaining traction as an option for CVI treatment in Asians. In Singapore, it has been adopted with comparable low complication rates and significant improvement of quality of life after treatment. As we increase our understanding of the variations in venous anatomy in the Asian population, new techniques such as retrograde deployment of the device and use of CAG ablation for venous leg ulcers have been developed. Conclusion: Further robust evidence in terms of large randomised control trials along with costeffectiveness studies are needed to determine the true value of CAG ablation in the Asian setting.-
dc.languageeng-
dc.publisherAcademy of Medicine Singapore. The Journal's web site is located at http://www.annals.edu.sg-
dc.relation.ispartofAnnals, Academy of Medicine, Singapore-
dc.subjectAsian-
dc.subjectchronic venous insufficiency-
dc.subjectcyanoacrylate glue-
dc.subjectendovenous-
dc.subjectvaricose veins-
dc.titleEndovenous cyanoacrylate ablation for chronic venous insufficiency and varicose veins among Asians-
dc.typeArticle-
dc.identifier.emailChan, YC: ycchan88@hkucc.hku.hk-
dc.identifier.authorityChan, YC=rp00530-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.47102/annals-acadmedsg.2020346-
dc.identifier.pmid33855320-
dc.identifier.scopuseid_2-s2.0-85104465320-
dc.identifier.hkuros323984-
dc.identifier.volume50-
dc.identifier.issue3-
dc.identifier.spage241-
dc.identifier.epage249-
dc.identifier.isiWOS:000640116200007-
dc.publisher.placeSingapore-

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