A Case of Decannulating Incompetent Great Saphenous Vein Filling Cyanoacrylate because of Type IV Hypersensitivity

• Published in: Japanese Journal of Vascular Surgery Vol. 31; no. 3; pp. 123 - 127
• Main Authors: Suzuki, Hiroyuki, Nakayama, Mayuko, Wada, Hideichi
• Format: Journal Article
• Language: Japanese
• Published: JAPANESE SOCIETY FOR VASCULAR SURGERY 31.05.2022; 特定非営利活動法人 日本血管外科学会
• Subjects: allergic-like reaction; cyanoacrylate closure; DLST; endovenous technique; side effects; シアノアクリレート血管内塞栓術; 下肢静脈瘤; 薬剤誘発性リンパ球刺激試験; 遅発型アレルギー; 静脈炎
• ISSN: 0918-6778; 1881-767X
• DOI: 10.11401/jsvs.22-00007

Cyanoacrylate closure for the treatment of incompetent great saphenous vein have accepted as insurance coverage in Japan. This treatment is non-thermal and non-tumescent technique. However, there are some cases develop postoperative complication. We describe allergic-like reaction caused by cyanoacrylate closure for the treatment of incompetent great saphenous vein. A 79-years-old woman had this treatment, developed swelling of diseased side leg seven days after the treatment. We suspected that there was some kind of allergic reaction. This case got a DLST, and the result was positive. We diagnosed this case as type IV hypersensitivity, administered drugs. But, the symptoms were not improved. As a result, we decannulate left saphenous vein filling CA.