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Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Published on: December 9, 2022

Massive spouting bleeding from chronic stasis ulceration caused by arteriovenous communication of the lower extremity

Hiroyoshi Komai1, Mitsumasa Kawago, Masanobu Juri

  • 1Department of Cardiovascular Surgery, Saiseikai Wakayama Hospital, Wakayama 640-8158, Japan. h-komai@saiseikai-wakayama.jp

Journal of Vascular Surgery
|September 5, 2006
PubMed

We report a case of massive bleeding from a varicose vein in a calf. A 56-year-old man was brought into the emergency unit of our hospital with massive bleeding from an ulcer on his left calf. A duplex scan and arteriography revealed arteriovenous communication at the site of stasis ulceration. After primary hemostasis, coil embolization of the feeding artery to the arteriovenous communication was successfully performed, followed by stripping of the greater saphenous vein. Careful attention thus needs to be paid to arteriovenous communication that can cause life-threatening bleeding from stasis ulceration. Coil embolization of the feeding arterial branch can safely and effectively treat this disease.

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