Yie Kilsoo, Jeong Eun-Hee, Shin A-Rom, Kim Bo-Mi, Hwang Eun-Jung
Jeju Soo Cardiovascular Clinic (JSCVC), Jeju, Korea.
Vasc Specialist Int. 2024 Dec 24;40:43. doi: 10.5758/vsi.240085.
The literature on minimally invasive techniques specifically targeting reflux in symptomatic femoral vein duplication (FVD) is limited. We present a rare case of symptomatic reflux in FVD, successfully treated with cyanoacrylate glue ablation under ultrasonographic guidance. Our findings suggest that the unique anatomy of FVD can be effectively addressed through percutaneous endovenous glue ablation, providing a technically safe and feasible alternative without open surgery. Our patient experienced symptom resolution, no post-procedural complications, and maintained stable occlusion at a 1-year follow-up. This outcome highlights the potential of endovenous glue ablation as an innovative approach in managing deep vein reflux, particularly in cases involving FVD. To broaden its application in clinical practice, further research is crucial to establish appropriate patient selection criteria and refine treatment protocols.
专门针对有症状的股静脉重复畸形(FVD)中反流的微创技术的文献有限。我们报告了一例罕见的有症状的FVD反流病例,在超声引导下用氰基丙烯酸酯胶水消融成功治疗。我们的研究结果表明,FVD的独特解剖结构可以通过经皮腔内胶水消融有效解决,提供了一种无需开放手术的技术上安全可行的替代方法。我们的患者症状得到缓解,术后无并发症,在1年随访中保持稳定闭塞。这一结果突出了腔内胶水消融作为管理深静脉反流的创新方法的潜力,特别是在涉及FVD的病例中。为了扩大其在临床实践中的应用,进一步的研究对于建立合适的患者选择标准和完善治疗方案至关重要。