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Vol 29, No 1 (2023)
Research paper
Published online: 2023-06-27

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Safety and efficacy of venous mechano-chemical ablation of the great saphenous vein

Ahmed A. Shaker1, Ahmed Maged Farghaly1, Ahmed Mohsen Hafez1, Mohamed Fawzy Khattab1, Marwan Yousry1
Acta Angiologica 2023;29(1):10-14.


Introduction: Endovenous mechano-chemical ablation of the incompetent great saphenous vein (MOCA) is a new technique that combines mechanical endothelial injury and infusion of a sclerosant agent.

Material and methods: This is a prospective study was conducted on 40 patients who presented with the chronic venous disease at Kasr Al Ainy outpatient vascular surgery clinic with CEAP classification namely C2-C6.

Results: A total of 40 patients were presented with great saphenous vein incompetency, the mean age was (30), 23 patients were male and 17 were female. The vein occlusion rate at one month was 93 percent and at six months was 87 percent respectively.

Conclusions: Endovenous mechanochemical ablation is a safe and effective method for the management of incompetent great saphenous veins compared to open surgery.

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