title: Retrograde mechanochemical ablation of the small saphenous vein for the treatment of a venous ulcer.
abstract: We present the first case of retrograde ablation of the small saphenous vein to treat active venous ulceration. A 73-year-old gentleman with complicated varicose veins of the left leg and a non-healing venous ulcer despite previous successful endovenous treatment to his left great saphenous vein underwent mechanochemical ablation of his small saphenous vein with the ClariVein® system, under local anaesthetic, using a retrograde cannulation technique. Post-operatively the patient had improved symptomatically and the ulcer size had reduced. This report highlights that patients with small saphenous vein incompetence and active ulceration can be treated successfully with retrograde mechanochemical ablation.
authors.affiliation: Academic Section of Vascular Surgery, Imperial College London, London.
authors.forename: Hayley M
authors.initials: HM
authors.lastname: Moore
authors.affiliation: Academic Section of Vascular Surgery, Imperial College London, London tristan.lane@imperial.ac.uk.
authors.forename: Tristan R A
authors.initials: TR
authors.lastname: Lane
authors.affiliation: Academic Section of Vascular Surgery, Imperial College London, London.
authors.forename: Ian J
authors.initials: IJ
authors.lastname: Franklin
authors.affiliation: Academic Section of Vascular Surgery, Imperial College London, London.
authors.forename: Alun H
authors.initials: AH
authors.lastname: Davies
mesh_terms: D055011:Ablation Techniques / Q000295:instrumentation*; D000368:Aged; D001458:Bandages; D002406:Catheterization, Peripheral; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D012501:Saphenous Vein; D012597:Sclerosing Solutions / Q000627:therapeutic use; D012981:Sodium Tetradecyl Sulfate / Q000627:therapeutic use; D014463:Ultrasonography; D014647:Varicose Ulcer / Q000000981:diagnostic imaging / Q000628:therapy*
chemical_list: D012597:Sclerosing Solutions; D012981:Sodium Tetradecyl Sulfate
keywords: ClariVein; endovenous ablation; mechanochemical ablation; ulcer; varicose veins