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ClariVein机械化学消融术:背景及操作细节

ClariVein mechanochemical ablation: background and procedural details.

作者信息

Mueller Richard L, Raines Jeffrey K

机构信息

Cosmetic Vein Solutions of New York, New York, NY, USA.

出版信息

Vasc Endovascular Surg. 2013 Apr;47(3):195-206. doi: 10.1177/1538574413477216.

DOI:10.1177/1538574413477216
PMID:23509062
Abstract

OBJECTIVES

The 2 primary objectives of this publication are to provide a practical step-by-step procedure for the ClariVein system and a focused literature review of endovenous ablation.

MATERIALS AND METHODS

The ClariVein system is the first venous ablation technique to employ a hybrid (dual-injury) technique built into 1 catheter-based delivery system. Endomechanical abrasion is produced by the tip of the catheter's rotating wire (mechanical component); and endovenous chemical ablation (EVCA) is via simultaneous injection of sclerosant over the rotating wire (chemical component). The author is an early adopter of this technique and via experience has developed a detailed step-by-step protocol.

DISCUSSION

To date, there have been 2 pivotal clinical studies published using the ClariVein system. These data are compared with the results using other methods of endovenous ablation.

CONCLUSIONS

The ClariVein system is an exciting addition to the phlebologist's toolbox and has the potential to become a first-line treatment.

摘要

目的

本出版物的两个主要目的是为ClariVein系统提供一个实用的分步操作程序,并对静脉内消融进行重点文献综述。

材料与方法

ClariVein系统是第一种采用混合(双重损伤)技术的静脉消融技术,该技术内置于一个基于导管的输送系统中。导管旋转钢丝尖端产生内膜机械磨损(机械部件);静脉内化学消融(EVCA)通过在旋转钢丝上同时注射硬化剂(化学成分)实现。作者是该技术的早期采用者,并通过经验制定了详细的分步方案。

讨论

迄今为止,已发表了两项使用ClariVein系统的关键临床研究。这些数据与使用其他静脉内消融方法的结果进行了比较。

结论

ClariVein系统是静脉病专家工具库中令人兴奋的新增工具,有潜力成为一线治疗方法。

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