Cyanoacrylate for the Treatment of Small Saphenous Vein Venous Incompetence

Purpose: Cyanoacrylate (glue) has been successfully used to stop bleeding in gastric varices and cerebral aneurysms. Recently, it has been used successfully in the endovenous closure of incompetent great saphenous veins. We present the first case of successfully treating the small saphenous vein (SSV) with cyanoacrylate. Case Report: A 67-year-old woman with a history of right leg swelling, discolouration, and pain was treated with VenaSeal® Sapheon Closure for her SSV reflux. No tumescence anaesthesia was used. The procedure was completed with immediate technical success. There were no procedure-related complications. Follow-up at six weeks and four months showed improvement in symptoms and complete occlusion of SSV with no evidence of DVT. Conclusions: Treatment of SSV with VenaSeal® Sapheon Closure system is feasible. Categories: Cardiac/Thoracic/Vascular Surgery, General Surgery