Glue, steam and Clarivein – Best practice techniques and evidence

In July 2013, the National Institute of Health and Clinical Excellence (NICE) recommended “endothermal” ablation (meaning endovenous thermal ablation) is the first line treatment for truncal venous reflux in varicose veins. The initial endovenous thermoablation devices were radiofrequency ablation a...

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Veröffentlicht in:Phlebology 2015-11, Vol.30 (2_suppl), p.24-28
1. Verfasser: Whiteley, Mark S
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description In July 2013, the National Institute of Health and Clinical Excellence (NICE) recommended “endothermal” ablation (meaning endovenous thermal ablation) is the first line treatment for truncal venous reflux in varicose veins. The initial endovenous thermoablation devices were radiofrequency ablation and endovenous laser ablation. More recently, Glue (cyanoacrylate), endovenous steam and Clarivein (mechanochemical ablation or MOCA) have entered the market as new endovenous techniques for the treatment of varicose veins. Glue and Clarivein do not require tumescent anaesthesia and do not use heat and therefore termed non-tumescent non-thermal (NTNT). Steam both requires tumescence and is also a thermal technique (TT). This article reviews the current position of these 3 new technologies in the treatment of varicose veins.
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subjects Adhesives - chemistry
Anesthesia
Catheter Ablation - methods
Cyanoacrylates - chemistry
Endovascular Procedures - methods
Humans
Laser Therapy
Saphenous Vein - surgery
Sclerosing Solutions - chemistry
Sclerotherapy - instrumentation
Steam
Stress, Mechanical
Varicose Veins - therapy
title Glue, steam and Clarivein – Best practice techniques and evidence
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