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用于慢性静脉功能不全的氰基丙烯酸酯胶水腔内消融治疗大隐静脉功能不全后穿刺点并发症

Exit site complications following cyanoacrylate glue endovenous ablation of incompetent truncal veins for chronic venous insufficiency.

作者信息

Sumarli Stephen Aditya, Lee Qing Wei Shaun, Yap Hao Yun, Tay Hsien Ts'ung Luke, Chong Tze Tec, Tang Tjun Yip

机构信息

Department of Vascular Surgery, Singapore General Hospital, Singapore.

Duke-NUS Graduate Medical School, Singapore.

出版信息

J Vasc Surg Cases Innov Tech. 2020 Sep 2;6(4):500-504. doi: 10.1016/j.jvscit.2020.08.010. eCollection 2020 Dec.

DOI:10.1016/j.jvscit.2020.08.010
PMID:33134630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7588813/
Abstract

In the last 5 years, the use of nonthermal, nontumescent endovenous ablation such as cyanoacrylate glue (CAG) for treatment of chronic venous insufficiency has gained global popularity. This case series discusses the presentation and management of delayed access sheath site infections in patients who have undergone CAG therapy. The authors believe such adverse effects are related to granuloma formation owing to a hypersensitivity reaction to CAG at the puncture exit site. The endovenous surgeon should be aware of preventing glue spillage into the subcutaneous space at the access site during treatment, to minimize the risk of this complication developing.

摘要

在过去5年中，使用非热、非肿胀性静脉内消融术，如氰基丙烯酸酯胶（CAG）治疗慢性静脉功能不全，已在全球范围内受到欢迎。本病例系列讨论了接受CAG治疗的患者延迟性穿刺鞘部位感染的表现及处理。作者认为，此类不良反应与穿刺出口部位对CAG的过敏反应导致肉芽肿形成有关。静脉内外科医生应注意在治疗期间防止胶水溢出到穿刺部位的皮下间隙，以尽量降低发生这种并发症的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/c42f62331b74/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/1d3496f66ce8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/84656b6838f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/e3f0c58786ac/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/c42f62331b74/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/1d3496f66ce8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/84656b6838f3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/e3f0c58786ac/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/510e/7588813/c42f62331b74/gr4.jpg

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J Vasc Surg Venous Lymphat Disord. 2020 Mar;8(2):280-284. doi: 10.1016/j.jvsv.2019.04.014. Epub 2019 Jul 4.
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