Current practice of cyanoacrylate endovenous ablation: American vein and lymphatic society position statement

Phlebology. 2024 May;39(4):245-250. doi: 10.1177/02683555231221862. Epub 2023 Dec 11.

Abstract

Background: Cyanoacrylate endovenous ablation and closure of incompetent saphenous veins have become increasingly utilized since its approval for use in the United States in 2015. This increase in usage necessitates a societal update to guide treatment and ensure optimal and consistent patient outcomes.

Method: The American Vein and Lymphatic Society convened an expert panel to write an updated Position Statement with explanations and recommendations for the appropriate use of cyanoacrylate endovenous ablation for patients with venous insufficiency.

Result: A Position Statement was produced by the expert panel with recommendations for appropriate use, treatment technique, outcomes review, and potential adverse events. Their recommendations were reviewed, edited, and approved by the Guidelines Committee of the Society.

Conclusion: This societal Position Statement provides a useful document for reference for physicians and venous specialists to assist in the appropriate use of cyanoacrylate endovenous ablation in the treatment of patients with venous insufficiency.

Keywords: Catheter-based interventions; endovascular treatment; pharmacologic agents; saphenous vein; venous reflux.

MeSH terms

  • Cyanoacrylates / therapeutic use
  • Endovascular Procedures* / adverse effects
  • Humans
  • Saphenous Vein / surgery
  • Treatment Outcome
  • United States
  • Varicose Veins* / surgery
  • Venous Insufficiency* / surgery

Substances

  • Cyanoacrylates