The role of glue ablation in patients with venous ulcer

Abstract

We read with interest the article by Sarac published entitled "Two-year follow-up of a n-butyl-2cyanoacrylate glue ablation for the treatment of saphenous vein insufficiency with a novel application catheter with guiding light" in Vascular. 2019 Feb 10:1708538118823838. 1 Venous insufficiency of the lower extremity is progressive, chronic disease and has a heavy financial burden upon healthcare systems. Non-tumescent-non thermal glue ablation is a new and hopeful technique for treatment of superficial saphenous vein insufficiency. 2 Venous ulceration is the most severe pathology of venous insufficiency, especially in the adult woman and obese populations, 3 and Kanchanabat et al. published the benefit of superficial venous intervention in patients with venous leg ulcers. 4 In this study, 24 patients (4%) were in C6 group by CEAP classification, but there are no data about ulcer numbers and size. We concern about the postoperative follow-up results of C6 patients. Also in material and methods section, the author stated that "No compression stockings were used after the procedure." In literature, the compression stockings are the mainstay of treatment for venous ulcers. 3 Why did not the author consider to use compression stockings during the follow-up period for C6 patients?We congratulate Sarac, for his valuable, long-term safe treatment methods of incompetent GSV. We would like to hear the authors' opinions on these matters.