Cyanoacrylate Glue is a Novel Approach for the Treatment of Small Saphenous Vein Incompetence- A Case Report

Varicose veins are a medical condition in lower extremities, characterized by leg swelling, tortuosity and enlarged superficial veins involving both great saphenous vein and small saphenous vein due to incompetent saphenous vein. Varicose veins are very common, affecting both in male and female. But women (28%) are more common than male. Duplex ultrasound study of the affected lower limb is the gold standard of investigation for detection of presence of reflux or incompetence of saphenous vein. Treatment of incompetent saphenous vein has undergone wide changes during the past decade. Previously, the main therapeutic option was surgical stripping. However, endothermal ablation using laser or radiofrequency energy has mostly supplanted it. N-butyl-2 cyanoacrylate glue (NBCA), a medical tissue adhesive using VenaSeal closure system, a novel technique for the treatment of incompetent saphenous vein. Here we report a case of small saphenous venous incompetence or varicose vein treated with N-butyl-2 cyanoacrylate glue using VenaSeal Closure System.