Radial fiber fragment detection during radiological diagnostics of a knee
Borsuk D.A. Tauraginskii R.A. Fokin A.A.
2025Remedium Group Ltd
Ambulatornaya Khirurgiya
2025#22Issue 1213 - 218 pp.
This clinical case demonstrates the detection of the radial fiber fragment in subcutaneous fat of the upper calf during radiological diagnostics of the knee 8 years after endovenous laser ablation of the great saphenous vein. Due to moderate discomfort in this area, the encapsulated fragment was removed from a small incision without subsequent complications. The rarity of the incident and, more importantly, the radiographic picture determined interest and the relevance of the publication. The accumulated experience and the current case allow us to recommend obligatory intraoperative elimination of fragments due to possible local pain or, at least, ligation of the vein above the fragmentation for prevention of potential material embolism and subsequent observation and appropriate decision-making. The clinics regulations of endovenous laser ablation must prescribe a precise inspection of the integrity of the fibers both before and after the intervention.
clinical case , complication , endovenous laser ablation , radial fiber fragmentation , varicose veins
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Department of Surgery, Institute of Continuing Professional Education, South-Ural State Medical University, 64, Vorovsky St., Chelyabinsk, 454141, Russian Federation
Kazakhstan-Russian Medical University, 51/53, Abylay Khan St., Almaty, 050004, Kazakhstan
Research Laboratory of Venous Hemodynamics, Phlebocenter Kaliningrad LLC, 51, Frunze St., Kaliningrad, 236016, Russian Federation
Department of Surgery
Kazakhstan-Russian Medical University
Research Laboratory of Venous Hemodynamics
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