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Endovenous laser and RF are the gold standard in venous ablation


One of the newest methods used for the closure of the vessels with venous insufficiency causing varicose veins is glue or adhesive treatment. The first study in the literature was published in 2015. In the treatment of glue, a catheter is introduced into the vessel with a catheter, and an adhesive called cyanoacrylate is injected into the vein, while the vessel wall is adhered by pressing by hand. Cyanoacrylate closes the vein instantly and causes a vein to shrink over time. This shrinkage is thought to lead to permanent closure.











The advantages of glue treatment are that they do not require tumescent anesthesia, do not damage the vessel wall because of the lack of heat and the procedure is very short. However, as with other non-thermal ablation methods, glue treatment is relatively new and it is not known whether the long-term results in humans are as good as laser and radiofrequency (RF). In addition, a foreign substance is injected intravenously, which does not disappear and possibly does not completely destroy the treated vessel. It is not known whether this will create a problem in the long term.


In conclusion, glue treatment is an effective and safe method in the treatment of venous insufficiency, although its long-term results are not yet known.

Like MOCA, Glue treatment is also a non-thermal ablation method

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