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Case report reports late vein recanalization after cyanoacrylate adhesive closure in a patient on long-term warfarin, highlighting the need for extended follow-up during antithrombotic therapy.
Cyanoacrylate adhesive closure (CAC) of varicose veins of the lower limbs has been in practical use for more than a decade. The main advantages of CAC are avoidance of tumescent anesthesia and post-interventional compression. In this clinical report we illustrate a case of glue ablation in a patient receiving life-long antithrombotic therapy (warfarin). The follow-up on 1, 3, 6 and 12 months post-procedure has shown occlusion of the target saphenous veins. However, following 36 months post intervention, recanalization of one of the two previously occluded veins has been detected.
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Shirinbek et al. (2024) studied this question.
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