Effect of Ablation of Superficial Vein Incompetence in Patient with Symptomatic Chronic Peripheral Arterial Disease - Case Report

Sasko Nikolov; Milka  Zdravkovska; Gordana  Kamceva-Mihailova

doi:10.3889/oamjms.2025.11991

Authors

Sasko Nikolov Faculty of Medical Sciences, Goce Delchev University, Shtip, Republic of North Macedonia; Department of Cardiology, Clinical Hospital, Shtip, Republic of North Macedonia https://orcid.org/0009-0006-5666-7754
Milka Zdravkovska Faculty of Medical Sciences, Goce Delchev University, Shtip, Republic of North Macedonia
Gordana Kamceva-Mihailova Faculty of Medical Sciences, Goce Delchev University, Shtip, Republic of North Macedonia; Department of Cardiology, Clinical Hospital, Shtip, Republic of North Macedonia

DOI:

https://doi.org/10.3889/oamjms.2025.11991

Keywords:

Peripheral arterial disease, Superficial vein incompetence, Cyanoacrylate ablation, CT scan angiography, Doppler ultrasound

Abstract

BACKGROUND: The importance and relation of superficial vein incompetence (SVI) in patients with peripheral arterial disease (PAD) were all surgical and PTA interventions are used for saving extremities. In order to protect patients from amputation we have provide a case where with ablation of the SVI we provide better peripheral arterial circulation with forming a completely new arterial collateral network for revascularization of the lower extremities.

CASE REPORT: This case is about a patient diagnosed with PAD with previous PTA/stent interventions and all stents are occluded now it’s in critical limb ischemia. It was made of a medical Consilium with vascular surgeon and interventionalist and there was no other option of treatment of arterial system of lower limb. We have done Doppler ultrasound of arterial and vein system of lower limbs and CT scan angiography.

CONCLUSION: In our patient with PAD and Buerger’s disease with SVI, with ablation of SVI we provide better arterial revascularization of the arterial system of lower limb and new arterial collaterals were formed sufficient to provide enough arterial blood supply to the lower limb. After ablation of SVI we had a much better objective and subjective symptoms.

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