Novosti
Khirurgii

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Year 2019 Vol. 27 No 6

SCIENTIFIC PUBLICATIONS
GENERAL & SPECIAL SURGE

V.YA. KHRYSHCHANOVICH 1, 2, I.P. KLIMCHUK 1, 3, R. PROCZKA 4, N.À. ROGOVOY 1, 3, S.S. KALININ 1, 3, S. MAZUR 4, Å.V. NELIPOVICH 3

RESULTS OF TRUNCAL ENDOVENOUS MECHANO-CHEMICAL ABLATION IN VARICOSE DISEASE

Belarusian State Medical University 1,
City Clinical Emergency Hospital 2,
4th City Clinical Hospital named after N.E. Savchenko 3, Minsk,
The Republic of Belarus,
Center OF Cardiology and Vascular Surgery «Jozefow» 4, Warsaw,
The Republic of Poland

Objective. To study the long-term (12-months follow-up) results of endovenous mechano-chemical ablation (MOCA) with FlebogrifTM occlusion catheter system for varicose veins (VV) in three vascular centers.
Methods. The study is based on the treatment results of 139 patients with VV. Surgeries were performed using the FlebogrifTM catheter. 123 patients (88.5%) were operated on for incompetence of the great saphenous vein (GSV) on the one side, 6 (4.3%) for bilateral lesions of the GSV, and 8 (5.8%) for the small saphenous vein (SSV) and 2 (1.4%) due to reflux in GSV and SSV. The average diameter of the target GSV and SSV segments was 8.2±1.3 mm and 4.2±1.2 mm, respectively (M±σ). Control examinations of patients were carried out 1, 3, 6 and 12 months after surgery.
Results. One month after the operation, the GSV was completely occluded in 132/136 (97.1%) veins and SSV completely closed in 10/10 (100%) veins. Six months after the endovenous mechano-chemical ablation, the GSV was completely occluded in 99/111 (89.2%) veins and SSV completely closed in 5/6 (83.3%) veins. 12 months after surgery, GSV and SSV occlusion rates were 72/85 (84.7%) and 5/6 (83.3%). There were no significant thrombotic and neurological complications related to the procedure. Skin hyperpigmentation was found in 30/137 GSV treated (21.9%), and along the varicose tributaries in 22 legs (15.2%). Transient superficial phlebitis was reported in 7 of 145 (4.8%) legs. Ecchymosis from the puncture site was reported in 26/145 legs (17.9%).
Conclusions. FlebogrifTM MOCA device is safe and effective method to eliminate the truncal venous reflux for varicose veins, associated with low perioperative pain and minimal complication rate.

Keywords: varicose veins, treatment, endovenous mechano-chemical ablation, truncal reflux, Flebogrif
p. 630-639 of the original issue
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Address for correspondence:
220116, The Republic of Belarus,
Minsk, Dzerzhinski Ave., 83,
Belarusian State Medical University,
2nd Department of Surgical Diseases.
Tel.: +375 17277-11-55,
e-mail: scienceprorektor@bsmu.by,
Vladimir Ya. Khryshchanovich
Information about the authors:
Khryshchanovich Vladimir Ya., MD, Professor, Vice-Rector for Scientific Work, Professor of the 2nd Department of Surgical Diseases, Belarusian State Medical University, Angiosurgeon, City Clinical Emergency Hospital, Minsk 4th City Clinical Hospital named after N.E. Savchenko, Minsk, Republic of Belarus.
http://orcid.org/0000-0001-5353-205X
Klimchuk Ivan P., PhD, Head of the Department of Vascular Surgery, Minsk 4th City Clinical Hospital named after N.E. Savchenko, Assistant of the General Surgery Department, Belarusian State Medical University, Minsk, Republic of Belarus.
http://orcid.org/0000-0001-9793-0084
Proczka Robert, MD, Head of Centre of Cardiology and Vascular Surgery «Jozefow», Warsaw, Poland.
http://orcid.org/0000-0003-2910-2951
Rogovoy Nickolay A., PhD, Assistant of the General Surgery Department, Belarusian State Medical University, Angiosurgeon of the Department of Vascular Surgery, Minsk 4th City Clinical Hospital named after N.E. Savchenko, Minsk, Republic of Belarus.
http://orcid.org/0000-0002-8386-1791
Kalinin Siarhei S., PhD, Angiosurgeon of the Department of Vascular Surgery, Minsk 4th City Clinical Hospital named after N.E. Savchenko, Assistant of the General Surgery Department, Belarusian State Medical University, Minsk, Republic of Belarus.
http://orcid.org/0000-0003-3180-0409
Mazur Stanislaw, Angiosurgeon, Centre of Cardiology and Vascular Surgery «Jozefow», Warsaw, Poland.
http://orcid.org/0000-0002-0747-9363
Nelipovich Evgenij V., Angiosurgeon of the Department of Vascular Surgery, Minsk 4th City Clinical Hospital named after N.E. Savchenko, Minsk, Republic of Belarus.
http://orcid.org/0000-0002-2921-6601
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