VenaSeal closure despite allergic reaction to n-butyl cyanoacrylate

The VenaSeal closure system (Medtronic, Minneapolis, Minn) is a nonthermal, minimally invasive method for the treatment of superficial venous insufficiency using a proprietary n-butyl cyanoacrylate. We report the case of a 45-year-old woman who underwent right great saphenous vein closure with VenaS...

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Bibliographic Details
Main Authors: Leslie Fiengo, PhD, FRCS, Adam Gwozdz, MSc, MRCS, Laura Tincknell, BSc, MBBS, Vanessa Harvey, BA, BN, Timothy Watts, MSc, MRCP, Stephen Black, MD, MBBCh, FRCS(Ed), FEBVS
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428720300514
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Summary:The VenaSeal closure system (Medtronic, Minneapolis, Minn) is a nonthermal, minimally invasive method for the treatment of superficial venous insufficiency using a proprietary n-butyl cyanoacrylate. We report the case of a 45-year-old woman who underwent right great saphenous vein closure with VenaSeal and subsequently had a biphasic reaction to n-butyl cyanoacrylate, confirmed on patch testing that had negative results for other cyanoacrylates. Despite the initial allergic response, which settled with antihistamines, follow-up duplex ultrasound imaging confirmed successful great saphenous vein closure, and the affected vein remained in situ without further complication.
ISSN:2468-4287