<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-0420</journal-id>
<journal-title><![CDATA[Cirugía paraguaya]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. parag.]]></abbrev-journal-title>
<issn>2307-0420</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-04202022000200022</article-id>
<article-id pub-id-type="doi">10.18004/sopaci.2022.agosto.22</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Ablación mecánico química (MOCA) de la vena safena con el Cateter Clarivein®. Primera experiencia en Paraguay en el Centro Paraguayo de Varices (CEPAVA). Reporte de tres primeros casos]]></article-title>
<article-title xml:lang="en"><![CDATA[Mechanochemical intravenous ablation (MOCA) of saphenous vein with the Clarivein® Catheter. First experience at Centro Paraguayo de Varices (CEPAVA), Paraguay. Report of the first 3 cases.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canata]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Moraes]]></surname>
<given-names><![CDATA[Altino]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Esquivel]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera]]></surname>
<given-names><![CDATA[Juan]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Chavez]]></surname>
<given-names><![CDATA[Cristhian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Hospital de Clínicas ]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Metropolitano de Maringá  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>46</volume>
<numero>2</numero>
<fpage>22</fpage>
<lpage>24</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-04202022000200022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-04202022000200022&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-04202022000200022&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN Los procedimientos endovenosos térmicos son los procedimientos de elección en el tratamiento de las varices por insuficiencia de la vena safena en la actualidad. Sin embargo, estas técnicas requieren anestesia tumescente, lo que incrementa las molestias y el dolor durante el procedimiento. Así mismo, el calor produce malestar postoperatorio y conlleva un riesgo de lesión neurológica y de la piel. La ablación mecánico química con el catéter ClariVein®, al no emplear anestesia tumescente ni calor, se asocia con una baja tasa de dolor durante y después del procedimiento, un menor riesgo de lesión neurológica y de la piel, con unas tasas de oclusión anatómica y de mejoría en las escalas de severidad y de calidad de vida similares a las técnicas de ablación térmica en el corto plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Currently, thermal intravenous procedures are the procedures of choice to treat varices due to saphenous vein insufficiency. However, these techniques require tumescent anesthesia, which increases discomfort and pain during the procedure. In addition, heat causes postoperative discomfort and is associated with a risk of neurological and skin lesions. Since mechanochemical ablation with the ClariVein® catheter does not use tumescent anesthesia or heat, it is associated with a low rate of pain during and after the procedure, less risk of neurological and skin lesions, and anatomical occlusions, and better rates on the severity and quality of life scales similar to those of thermal ablation techniques in the short term. We describe the results of the first three patients treated at Centro Paraguayo de Varices.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[procedimientos endovenosos]]></kwd>
<kwd lng="es"><![CDATA[varices]]></kwd>
<kwd lng="es"><![CDATA[vena safena]]></kwd>
<kwd lng="es"><![CDATA[ablación mecánico química]]></kwd>
<kwd lng="es"><![CDATA[catéter ClariVein]]></kwd>
<kwd lng="en"><![CDATA[endovenous procedures]]></kwd>
<kwd lng="en"><![CDATA[varicose veins]]></kwd>
<kwd lng="en"><![CDATA[saphenous vein]]></kwd>
<kwd lng="en"><![CDATA[chemical mechanical ablation]]></kwd>
<kwd lng="en"><![CDATA[ClariVein catheter]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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