Endovenous Thermal Ablation for a Varicose Vein Patient with Factor XII Deficiency: A Case Report

Nozomu Shirasugi; Sadaaki Horiguchi; Takamitsu Tanaka; Hiroyuki Shirato; Hisako Ono; Kazuo Kawasugi

doi:10.3400/avd.cr.20-00137

Endovenous Thermal Ablation for a Varicose Vein Patient with Factor XII Deficiency: A Case Report

Ann Vasc Dis. 2020 Dec 25;13(4):461-464. doi: 10.3400/avd.cr.20-00137.

Authors

Nozomu Shirasugi¹, Sadaaki Horiguchi², Takamitsu Tanaka³, Hiroyuki Shirato², Hisako Ono⁴, Kazuo Kawasugi⁵

Affiliations

¹ Varicose Vein Center and Department of Vascular Surgery, Yokohama Asahi Chuo General Hospital, Yokohama, Kanagawa, Japan.
² Varicose Vein Center, Aisei Hospital, Tokyo, Japan.
³ Department of Dermatology, Teikyo University School of Medicine, Tokyo, Japan.
⁴ Department of Clinical Laboratory, Aisei Hospital, Tokyo, Japan.
⁵ Department of Hematology, Teikyo University School of Medicine, Tokyo, Japan.

Abstract

Factor XII (FXII) deficiency is a rare coagulation disorder, and its potential relationship with venous thrombosis was reported. Here we present a case of a 67-year-old woman with FXII deficiency who successfully underwent endovenous thermal ablation (ETA) for primary varicose vein due to the incompetent great saphenous vein (GSV). The FXII deficiency was revealed through preoperative examinations, and the patient underwent ETA as a day surgery. For prophylaxis of thrombosis, she received compression therapy alone. Her postoperative course was uneventful, without any kind of thrombosis. In the presence of FXII deficiency, ETA could be safely performed.

Keywords: endovenous thermal ablation (ETA); factor XII (FXII) deficiency; surgery; varicose veins.