Application of endovenous mechanochemical  ablation (MOCA) with Flebogrif™ to treat varicose veins of the lower extremities: a single center  experience over 3 months of observation

Zubilewicz, Tomasz; Terlecki, Piotr; Terlecki, Karol; Przywara, Stanisław; Rybak, Janusz; Iłżecki, Marek

doi:10.5603/aa.2016.0012

Cited by 15 publications

(15 citation statements)

References 22 publications

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“…z o.o. seems to be an interesting proposal, extending the possibilities of effective solution of the problem of GSV/SSV insufficiency, perfectly matching the definition of the minimally invasive procedure [5,6].…”

Section: Introductionmentioning

confidence: 79%

“…Due to its low invasiveness, it can certainly be classified as a minimally invasive procedure. This position is supported by the opinion of patients undergoing the Flebogrif treatment, as well as physicians -Phlebologists performing the surgery [6,8]. This is certainly not the final solution to the problem of venous insufficiency, but it should be stated that it broadens the possibilities of the treatment and is an interesting option especially in the context of the results obtained during the two-year observation.…”

Section: Discussionmentioning

confidence: 99%

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The novel minimally invasive mechano-chemical technique of the saphenous vein ablation. Our center experience: results of 24 months follow-up

et al. 2019

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Introduction: The aim of the study was to evaluate the efficacy of the endovascular ablation method of GSV/ /SSV superficial venous insufficiency using Flebogrif ® catheter, the safety of the method, expressed in number and quality of observed complications in 24-month observation. Material and methods: Initially, the observed group included 200 patients undergoing ablation of insufficient GSV/SSV. During 24 months of observation, this number decreased to 158, which seems to be a natural process. All patients signed the informed consent form approved by the Bioethics Committee of the Medical University of Lublin. Based on clinical evaluation, including ultrasound assessment, 200 patients, including 170 women and 30 men, were admitted to the study using the adopted criteria of inclusion/exclusion. In the studied group of patients, 172 great saphenous veins (GSV) and 28 short saphenous veins (SSV) were ablated. The treated inefficient veins were punctured at three levels depending on the length of the segment of insufficient GSV/SSV. Each patient was treated with a compression agent in the form of a second compression class elastic stockings (20-30 mm Hg). Control visits on the basis of the accepted protocol were established in 1, 3, 6, 12, 24, 36 months after the procedure. Results: During 24 months of observation, the evaluation of the Flebogrif ® catheter method was based on the analysis of results obtained in four categories: effectiveness of the method, expressed as the ratio of the number of successfully closed veins ablated with the Flebogrif ® catheter to the number of observed cases of recanalization; clinical improvement of venous insufficiency symptoms, based on the VCSS, CEAP, VAPS scale; safety of the method, expressed in terms of quantity and quality of observed complications; technical characteristics of the method. The obtained results were analyzed statistically using tests for non-parametric variables. The effectiveness of the method based on the obtained results was 92%. A statistically significant decrease in the intensity of clinical symptoms in relation to the preoperative condition was observed. The number and quality of the observed complications allow considering the procedure of vein ablation with the use of Flebogrif ® catheter as safe, possible to perform in ambulatory conditions. Conclusions: Effectiveness of the method of 92% in 24-month observation; good cosmetic effect; a statistically significant decrease in the intensity of clinical symptoms in 24-month observation; the low incidence of complications allows to consider the method safe; the method of surgery allows to perform the procedure in ambulatory conditions.

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Section: Introductionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

The novel minimally invasive mechano-chemical technique of the saphenous vein ablation. Our center experience: results of 24 months follow-up

et al. 2019

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“…When performing operations on a small diameter vein (<4mm) the risk of vessel perforation in the Flebogrif system appears to be minimal. The system also allows effective operation on veins with a diameter exceeding 20mm, our results reached 92 % after 3 months of follow-up [13] .…”

Section: Discussionmentioning

confidence: 63%

Mechano-Chemical Endo-Venous Ablation of Varicose Veins with Flebogrif Occlusion Catheter

Soliman

2019

The Medical Journal of Cairo University

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Background: Varicose veins may present a major health problem nowadays, as it has been detected in about 70% of population worldwide. This created a sense of urgency to develop less invasive techniques to manage such a condition. Aim of Study:The aim of this study was to evaluate the effectiveness and safety of mechano-chemical ablation technique in management of varicose veins using the flebogrif endo-venous occlusion catheter. Patients and Methods:A total of 30 patients (35 lower limbs) had mechan-ochemical ablation for their varicose veins using the flebogrif endo-venous catheter; 22 for great saphenous vein (GSV) incompetence, 9 bilateral GSV, 3 shorts saphenous vein (SSV), one bilateral SSV and 2 combined unilateral great saphenous vein and SSV. Patients came back for follow-up one week, one month and 3 months post procedure having ultrasound duplex done. Recanalization, pigmentation, intra and post procedural pain were recorded, as postoperative complications.Results: All 35 procedures were under local anaesthesia. Complete occlusion of the treated vein was initially achieved in all the patients, but at 3 months' follow-up, there was only partial recanalization in 2 from 35 (6%) of the veins. Those two were successfully treated with additional complementary ultrasound guided foam sclerotherapy. No significant complications were reported. Conclusions:Flebogrif is an effective treatment for chronic venous insufficiency of the long and short saphenous veins. Bilateral procedures can be successfully performed and tolerated as can multiple veins in the same setting and same leg.

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“…Although 15 of 200 patients experienced recanalization, some of them did not require reintervention-partial recanalization, whereas remaining 10 cases had their vein successfully closed with a second procedure. The low number of complications and a cosmetic effect widely accepted by patients allowed us to add this method to the list of minimally-invasive procedures and should be seriously considered by medical professionals treating superficial vein insufficiencies [14,19,20].…”

Section: Discussionmentioning

confidence: 99%

A new device for minimally invasive mechano-chemical method of saphenous vein ablation. Report of 12 months of follow up

et al. 2018

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Introduction. The purpose of the study was to assess the effectiveness of endovascular mechanochemical ablation of the Great Saphenous vein and the Small Saphenous vein (GSV/SSV) using the use of Flebogrif ® catheter and method, based on results obtained from the analysis of 200 patients. Material and methods. 200 patients underwent mechanochemical ablation using the Flebogrif ® technique, of the 200 patients, 172 patients experienced insufficiency of the GSV and 28 experienced insufficiencies of the SSV. Follow-up assessment was established by outpatient appointments at 1, 3, 6, and 12 months postoperatively. During each subsequent visit, the result of the procedure was evaluated with the use of ultrasound. Furthermore, the intensity of clinical manifestations was assessed with the use of VCSS, CEAP, VASP scales. Any complications were also noted. Results. During 12-month follow-up the number of participants decreased to 168 (152 female, 16 male). Complete closure of the vein was achieved in 154 patients (140 female, 14 male). According to adopted criteria, 15 cases of recanalization were detected (10 complete and 5 partial). Based on the obtained results the effectiveness of the method was assessed at 92%. Conclusions. The statistical analysis of the 12-month follow-up data allowed us to conclude the following the procedural method had 92% of effectiveness at 12-month follow-up, vein diameter was not a significant limitation for the application of the technique, there was a low rate of serious complications, and adverse cosmetic effect was minimal. However , the method requires further long-term follow-up to allow for a complete assessment.

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Application of endovenous mechanochemical ablation (MOCA) with Flebogrif™ to treat varicose veins of the lower extremities: a single center experience over 3 months of observation

Abstract: Introduction.

Cited by 15 publications

References 22 publications

The novel minimally invasive mechano-chemical technique of the saphenous vein ablation. Our center experience: results of 24 months follow-up

The novel minimally invasive mechano-chemical technique of the saphenous vein ablation. Our center experience: results of 24 months follow-up

Mechano-Chemical Endo-Venous Ablation of Varicose Veins with Flebogrif Occlusion Catheter

A new device for minimally invasive mechano-chemical method of saphenous vein ablation. Report of 12 months of follow up

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