Non-surgical treatment of severe varicose veins
|
|
- Marlene Tate
- 8 years ago
- Views:
Transcription
1 Non-surgical treatment of severe varicose veins Yasu Harasaki UCHSC Department of Surgery General Surgery Grand Rounds March 19, 2007
2 Definition Dilated, palpable, subcutaneous veins generally >3mm in diameter Manifestation of chronic venous disease
3 Epidemiology Prevalence of varicose veins 5-30% in adult population 3:1 female predominance Framingham study : annual incidence 2.6% in women, 1.9% in men Evans CJ et al. J Epidemiol Community Health, Eberhardt RT and Raffetto JD. Circulation, 2005
4 Risk factors Gender Age Family history Both parents -> 90% One parent -> 62% for women, 25% for men Obesity Pregnancy h/o leg injury Rutherford Vascular Surgery 6 th Ed, Pp Cornu-Thenard A, et al, J Derm Surg Oncol.
5 Pathophysiology Primary varicose veins Structural changes in vein wall Secondary disease: Valve incompetence Venous hypertension Chronic inflammation Obstruction (thrombosis), valve incompetence (trauma)
6 Anatomy Superficial veins Great Saphenous, Small saphenous, nonsaphenous Superficial compartment -> not supported by muscular fascia Perforator veins Deep veins
7 Anatomy Great saphenous Small saphenous
8 Treatment algorithm
9 Treatment: Conservative
10 Compression Therapy Effective for symptom reduction Requires indefinite use Studied in venous ulcer healing Series of 113 pts, 93% ulcer healing in mean 5.3 months High recurrence rate with non-compliance (60-100%) Poor compliance difficulty of application in elderly, aesthetic concerns
11 Treatment: interventional
12 Treatment: Interventional Objectives Treat saphenous vein hypertension hydrostatic forces of saphenous vein reflux hydrodynamic forces of perforator vein reflux Remove varicose clusters
13 Treatment: Interventional Objectives Treat saphenous vein hypertension hydrostatic forces of saphenous vein reflux hydrodynamic forces of perforator vein reflux Remove varicose clusters
14 Treatment of saphenous HTN Surgical Ligation of saphenous vein Does not address perforator incompetence Ligation and stripping of saphenous vein Non-surgical Endovascular ablation
15 Treatment: Stripping and Ligation
16 Treatment: Saphenous hypertension Endovascular ablation Radiofrequency ablation Laser ablation
17 Treatment: RFA
18 Treatment: RFA
19 RFA vs S&L: EVOLVES Stripping & ligation (S&L) vs RFA: EVOLVES study Multi-center prospective RCT 79 patients (80 limbs) Follow-up at 72 hrs, 1 week, 3 weeks, 4 months, 1 year, and 2 years Lurie F et al. J Vasc Surg, Lurie F et al. Eur J Vasc Endovasc Surg, 2005
20 RFA vs S&L: EVOLVES Endpoints QOL score at each timepoint(civiq2 questionnaire) Time to return to work Time to return to regular activity Adverse sequelae
21 RFA vs S&L: EVOLVES Time to return to work RFA: 4.7 days (95% CI ) S&L: 12.4 days (95% CI ) Time to return to normal activity RFA: <1 day in 80.5% S&L: <1 day in 46.9% p<0.01
22 CIVIQ2 RFA vs S&L: EVOLVES
23 RFA vs S&L: EVOLVES QOL scores (higher score -> decreased QoL) Lurie F et al. J Vasc Surg, Lurie F et al. Eur J Vasc Endovasc Surg, 2005
24 RFA vs S&L: EVOLVES Prevalence of recurrence (p>0.05) Lurie F et al. J Vasc Surg, Lurie F et al. Eur J Vasc Endovasc Surg, 2005
25 Treatment: Saphenous Adverse sequelae hypertension Lurie F et al. J Vasc Surg, Lurie F et al. Eur J Vasc Endovasc Surg, 2005
26 Treatment: Saphenous hypertension Cost analysis: Rautio, 2002 S&L RFA Fixed cost (RFA generator) $0.00 $18.90 Variable cost (OR costs) $ $ Indirect cost (lost working days) $1, $ Total $1, $1, Rautio T, et al. J Vasc Surg, 2002.
27 Treatment: Saphenous hypertension Nerve injuries Great saphenous vein: saphenous nerve Decreased injury with groin-to-knee treatment No evidence for difference between S&L and endoablation techniques: 0-8.5% in RFA, 6-13% in PIN Small saphenous vein: sural nerve Sam RC et al. Eur J Vasc Endovasc Surg
28 Treatment: Saphenous hypertension What about laser ablation? Min, 2002 Prospective consecutive-enrollment series at single center 499 GSVs in 423 patients, followed for 2 years 3 months: 99.3% (444/447) 1 year: 97.5% (310/318) 2 years: 93.4% (113/121)
29 Treatment: Saphenous hypertension Laser ablation vs RFA? Almeda et al, Almeda JI and Raines JK, Ann Vasc Surg, 2006
30 Treatment: Interventional Objectives Treat saphenous vein hypertension hydrostatic forces of saphenous vein reflux hydrodynamic forces of perforator vein reflux Remove varicose clusters
31 Treatment: Varicose clusters Surgical Ambulatory phlebectomy Powered phlebectomy (Trivex) Non-surgical sclerotherapy
32 Treatment: Varicose clusters Ambulatory phlebectomy
33 Treatment: Varicose clusters Powered phlebectomy
34 Treatment: Varicose clusters Treatment: Varicose clusters Non-surgical: sclerotherapy
35 Treatment: phlebectomy vs sclerotherapy De Roos KP, et al Prospective RCT Sclerotherapy with polidocanol (N=49 legs) vs ambulatory phlebectomy (N=49 legs) End points: recurrence at 1 and 2 yrs, complications
36 Treatment: phlebectomy vs sclerotherapy phlebectomy sclero p value recurrence 2.10% 37.50% <0.001 blister 31% 0% <0.001 bandage 19% 4% 0.02 phlebitis 12% 27% 0.07 scar 17% 0% <0.001
37 Treatment: sclerotherapy Myers et al Prospective series with previously untreated varicose veins: 677 legs, 489 pts Primary and secondary success rates at 3 years Meyers KA, et al. Eur J Vasc Endovasc Surg, 2007.
38 Treatment: sclerotherapy Primary success: 52.4% (95%CI 46-58%) Secondary success: 76.8% (95%CI 71-82%) Meyers KA, et al. Eur J Vasc Endovasc Surg, 2007.
39 Treatment: sclerotherapy Primary success rates by vein type: 83.4% in tributaries (95%CI 69-91%) Meyers KA, et al. Eur J Vasc Endovasc Surg, 2007.
40 Summary Endovascular ablation vs S&L RFA superior to S&L in return to work, return to normal activity, QoL, complications, and overall cost Laser ablation may be superior to RFA in primary closure rates
41 Summary Sclerotherapy vs ambulatory phlebectomy Higher primary recurrence rates with sclerotherapy BUT good long-term success with repeat therapy, less invasive, fewer complications, easily performed as outpatient procedure
42 References Rautio T et al. Endovenous obliteration versus conventional stripping operation in the treatment of primary varicose veins: A randomized controlled trial with comparison of the costs J Vasc Surg. 35: Lurie F et al. Prospective randomized study of endovenous radiofrequency obliteration (Closure procedure) versus ligation and stripping in a selected patient population (EVOLVeS Study) J Vasc Surg. 38: Lurie F et al. Prospective randomized study of endovenous radiofrequency obliteration (Closure) versus ligation and vein stripping (EVOLVeS): Two year followup Eur J Vasc Endovasc Surg. 29:67-73 Aleida JI and Raines JK. Radiofrequency ablation and laser ablation in the treatment of varicose veins Ann Vasc Surg 20: De Roos KP et al. Ambulatory phlebectomy versus compression sclerotherapy: Results of a randomized controlled trial Derm Surg. 293): Meyers KA et al. Outcome of ultrasound-guided sclerotherapy for varicose veins: medium-term results assessed by ultrasound surveillance Eur J Endovasc Vasc Surg. 33: Sam RC et al. Nerve injuries and varicose vein surgery Eur J Vasc Endovasc Surg 27: Min RJ et al. Endovenous laser treatment of saphenous vein reflux: long-term results J Vasc Interv Radiol 14:
RANDOMIZED CONTROL TRIALS (RCT s) on VARICOSE VEIN ENDOVENOUS TREATMENT
RANDOMIZED CONTROL TRIALS (RCT s) on VARICOSE VEIN ENDOVENOUS TREATMENT M. PERRIN Lyon - France CONTROVERSIES AND UPDATES IN VASCULAR SURGERY JANUARY 19-21, 2012 Paris B. Eklof Helsingborg, Sweden Thirty
More informationSurgical Options for Venous Disease. Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart
Surgical Options for Venous Disease Sandra C Carr MD Vascular Surgery Meriter Wisconsin Heart Chronic Venous Disease Approximately 23% of adults in the US have varicose veins Estimated 22 million women
More informationDEBATE ON Management of primary Varicose Veins SURGERY. Adel Husseiny, Kamhawy Vascular Surgery Unit Tanta University
DEBATE ON Management of primary Varicose Veins SURGERY Adel Husseiny, Kamhawy Vascular Surgery Unit Tanta University Efficacy of treatment alternatives Durability of results Cosmetically acceptable results
More informationVenous Reflux Disease and Current Treatments VN20-87-A 01/06
Venous Reflux Disease and Current Treatments Leg Vein Anatomy Your legs are made up of a network of veins and vessels that carry blood back to the heart The venous system is comprised of: Deep veins Veins
More informationClinical Review Criteria
Clinical Review Criteria Treatment of Varicose Veins Radiofrequency Catheter Closure Sclerotherapy Surgical Stripping Trivex System for Outpatient Varicose Vein Surgery VenaSeal Closure System VNUS Closure
More informationEffective Date: March 2, 2016
Medical Review Criteria Varicose Vein Procedures Effective Date: March 2, 2016 Treatmetn Subject: Varicose Vein Procedures VeinTreatment of Varicose Policy: Veins HPHC covers specific non-experimental
More informationLOWER EXTREMITY VENOUS DUPLEX ULTRASOUND:
LOWER EXTREMITY VENOUS DUPLEX ULTRASOUND: Chronic Venous Insufficiency Phillip J Bendick, PhD William Beaumont Hospital Royal Oak, Michigan Prevalence: Carotid ASO ~ 3M Peripheral Arterial Dz ~ 5M + CAD
More informationYes when meets criteria below
Vein Disease Treatment MP9241 Covered Service: Prior Authorization Required: Additional Information: Medicare Policy: BadgerCare Plus Policy: Yes when meets criteria below Yes None Dean Health Plan covers
More informationSpotlight Series: Interventional Radiology. Varicose Veins and Venous Insufficiency
Spotlight Series: Interventional Radiology Varicose Veins and Venous Insufficiency What is venous insufficiency? Spectrum of Disease Spider veins and telangiectasias Small reddish and purple veins near
More informationMedical Coverage Policy Treatment for Varicose Veins-PREAUTH
Medical Coverage Policy Treatment for Varicose Veins-PREAUTH Device/Equipment Drug Medical Surgery Test Other Effective Date: 9/1/2001 Policy Last Updated: 12/20/2011 Prospective review is recommended/required.
More informationX-Plain Varicose Veins Reference Summary
X-Plain Varicose Veins Reference Summary Introduction Varicose veins are very common, in both women and men. Varicose veins can be painful and unattractive. Vein doctors use non-invasive ultrasound imaging
More informationTREATMENT OF VARICOSE VEINS: CAN IT BE IMPROVED BY MECHANOCHEMICAL ABLATION USING THE CLARIVEIN DEVICE?
TREATMENT OF VARICOSE VEINS: CAN IT BE IMPROVED BY MECHANOCHEMICAL ABLATION USING THE CLARIVEIN DEVICE? Michel MJP Reijnen Rijnstate Hospital, Arnhem The Netherlands mmpj.reijnen@gmail.com Disclosures
More informationMedicare C/D Medical Coverage Policy
Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: September 16, 2015 Next Review: September, 2017 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins
More informationMEDICAL COVERAGE POLICY. SERVICE: Varicose Veins of the Lower Extremities. PRIOR AUTHORIZATION: Required.
Page 1 of 5 MEDICAL COVERAGE POLICY Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your
More informationClinical Medical Policy Varicose Vein Treatment
Benefit Coverage Covered Benefit for lines of business including: Health Benefits Exchange (HBE), Rite Care (MED), Children with Special Needs (CSN), Substitute Care (SUB), Rhody Health Partners (RHP),
More informationVenous leg ulcers. Venous Ulcers. Treat the source, not just the symptom
Venous leg ulcers Venous Ulcers Treat the source, not just the symptom Topics What causes venous ulcers (VU) Treating the source, not just the symptom Diagnosis with venous duplex ultrasound scan Treatment
More informationPROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES SCLEROTHERAPY TREATMENT OF SUPERFICIAL VARICOSE VEINS OF THE LEGS The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance
More informationMedicare C/D Medical Coverage Policy
Varicose Vein Treatment Origination Date: June 1, 1993 Review Date: July 20, 2016 Next Review: July, 2018 Medicare C/D Medical Coverage Policy DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins of the
More informationVaricose Veins: Causes, Symptoms and Management. Andrew C. Stanley MD Section of Vascular Surgery
Varicose Veins: Causes, Symptoms and Management Andrew C. Stanley MD Section of Vascular Surgery Circulation Heart (Pump)-MI, Sudden Death Arteries (Stroke, Aneurysms, Walking dysfunction, Limb loss) Veins
More informationPatient Information Understanding Varicose Veins
Patient Information Understanding Varicose Veins The Circulatory System Arteries carry oxygenated blood to your legs and the veins carry de-oxygenated blood away from your legs. The blood returns to the
More informationEmory Healthcare s model for a PA based vein clinic
Emory Healthcare s model for a PA based vein clinic Stephen Konigsberg PA-C No relationships to disclose Society for Vascular Surgery 2011 Vascular Annual Meeting Chicago, IL June 17, 2011 Division of
More informationVaricose veins: Surgery can still be considered as an option in the treatment
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 13, Issue 12 Ver. I (Dec. 2014), PP 72-77 Varicose veins: Surgery can still be considered as an option
More informationVaricose Vein Therapy: An Introduction to Surgical and Endovascular Treatment
Varicose Vein Therapy: An Introduction to Surgical and Endovascular Treatment Lower Extremity Venous Anatomy Deep, Superficial, Perforating, Reticular veins Located in two separate compartments (deep and
More informationLocal Coverage Determination (LCD): Varicose Veins of the Lower Extremities (L31796)
Local Coverage Determination (LCD): Varicose Veins of the Lower Extremities (L31796) Contractor Information Contractor Name Palmetto GBA LCD Information Document Information LCD ID L31796 LCD Title Varicose
More informationHealth Technology Assessment of Scheduled Surgical Procedures
HTA of Scheduled Surgical Procedures April 2013 Health Technology Assessment of Scheduled Surgical Procedures Varicose Vein Surgery April 2013 Safer Better Care About the The (HIQA) is the independent
More informationModern Management of Varicose Veins
Modern Management of Varicose Veins GPCME 2008 David Ferrar Vascular and Endovascular Surgeon Vascular Ultrasound Specialist Multimodality treatment Compression stockings Sclerotherapy Ultrasound guided
More informationMEDICAL COVERAGE POLICY SERVICE: Varicose Veins of the Lower Extremities. SERVICE: Treatment of Varicose Veins of the Lower Extremities
Important note Even though this policy may indicate that a particular service or supply may be considered covered, this conclusion is not based upon the terms of your particular benefit plan. Each benefit
More informationTHE RELATIONSHIP BETWEEN PATIENT STATUS AND RECURRENCY RATE FOLLOWING LASER SURGERY OF VARICOSE VEINS
THE RELATIONSHIP BETWEEN PATIENT STATUS AND RECURRENCY RATE FOLLOWING LASER SURGERY OF VARICOSE VEINS Dr Imre Bihari PhD Budapest, Hungary What can influence laser surgery results? Instrument and method
More informationMedical Coverage Policy Varicose Vein Treatment sad
Medical Coverage Policy Varicose Vein Treatment sad EFFECTIVE DATE: 10 28 2001 POLICY LAST UPDATED: 05 07 2013 OVERVIEW Varicose veins are large superficial veins that have become swollen. These veins
More informationRecurrent Varicose Veins. Vineet Mishra, MD Director of Mohs Surgery and Procedural Dermatology University of Texas Health Science Center San Antonio
Recurrent Varicose Veins Vineet Mishra, MD Director of Mohs Surgery and Procedural Dermatology University of Texas Health Science Center San Antonio Disclosures None Possible Causes of Recurrence DNA:
More informationMedical Affairs Policy
Service: Varicose Vein Treatments PUM 250-0032 Medical Affairs Policy Implemented 04/04/14, 04/01/15, 4/1/16 Reviewed 12/12/14 Revised 12/12/14, 12/11/15 Developed Arise/WPS Policy 12/12/14, 12/11/15 Committee
More informationThe Treatment of Varicose Veins and Spider Veins
The Treatment of Varicose Veins and Spider Veins St. Joseph Vein Center Surgical Specialists of St. Joseph, P.C. Glen H. Hastings, M.D., F.A.C.S. 820 Lester Ave., Suite 105 St. Joseph, MI 49085 (269) 983-3368
More informationPrevalence and surgical outcomes of varicose veins at Regional Institute of Medical Sciences, Imphal
ORIGINAL ARTICLE JIACM 2013; 14(3-4): 209-13 Prevalence and surgical outcomes of varicose veins at Regional Institute of Medical Sciences, Imphal Ksh Kala Singh*, A Surjyalal Sharma**, L Sunil Singh***,
More informationtreatment of varicose and spider veins patient information SAMPLE a publication by advancing vein care
treatment of varicose and spider veins patient information a publication by advancing vein care Since most veins lie deep to the skin s surface, vein disorders are not always visible to the naked eye.
More informationTreatment by LASER. Understanding Varicose veins and. Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD)
Understanding Varicose veins and Treatment by LASER Dr. Rajesh Mundhada (MD. DNB) Dr. Atul Rewatkar (MD) Orange city Hospital & Research Institute 19, Pandey Lay out, Veer Sawarkar Square, Nagpur 440015
More informationVARICOSE VEINS. Information Leaflet. Your Health. Our Priority. VTE Ambulatory Clinic Stepping Hill Hospital
VARICOSE VEINS Information Leaflet Your Health. Our Priority. Page 2 of 7 Varicose Veins There are no accurate figures for the number of people with varicose veins. Some studies suggest that 3 in 100 people
More informationVaricose veins - 1 -
Varicose veins - 1 - Varicose Veins About 3 in 10 adults develop varicose veins at some time in their life. Most people with varicose veins do not have an underlying disease and they usually occur for
More informationModern Varicose Vein Treatments: What Every Patient Should Know
The Skin and Vein Center Oneonta Laser Derm & Day Spa Natural Good Looks and Leg Veins Our Specialty Dr Eric Dohner, MD 41-45 Dietz St Oneonta, NY 13820 607/431-2525 www.oneontalaserderm.com Modern Varicose
More informationSuffering from varicose veins? Patient Information. ELVeS Radial Minimally invasive laser therapy of venous insufficiency
Suffering from varicose veins? Patient Information ELVeS Radial Minimally invasive laser therapy of venous insufficiency Do you suffer from heavy legs or visible veins? This makes diseases of the veins
More informationV03 Varicose Veins Surgery
V03 Varicose Veins Surgery What are varicose veins? Varicose veins are enlarged and twisted veins in the leg. They are common and affect up to 3 in 10 people. More women than men ask for treatment, with
More informationthis period, elimination of saphenous vein reflux was accomplished surgically (ie, with ligation and stripping)
Radiofrequency Endovenous ClosureFAST versus Laser Ablation for the Treatment of Great Saphenous Reflux: A Multicenter, Single-blinded, Randomized Study (RECOVERY Study) Jose I. Almeida, MD, RVT, John
More informationPeninsula Commissioning Priorities Group. Commissioning Policy Varicose Vein Referral
NHS Devon NHS Plymouth Torbay Care Trust Peninsula Commissioning Priorities Group Commissioning Policy Varicose Vein Referral Varicose Vein Referral Guidelines 1. Description of service/treatment Most
More informationCHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE
CHINOOK VASCULAR - ENDOVENOUS LASER ABLATION PROCEDURE Endovenous Laser Ablation is a minimally invasive option for treating great saphenous vein incompetence (leaky valves). The first stage of your surgery
More informationCHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE
Introduction CHAPTER 15 SCLEROTHERAPY FOR VENOUS DISEASE Original authors: Niren Angle, John J. Bergan, Joshua I. Greenberg, and J. Leonel Villavicencio Abstracted by Teresa L. Carman New technology has
More informationDr. Linde is an international beauty expert and an acclaimed keynote speaker at conferences all over the world. He is specialized in the treatment of
VEINS Dr. Linde is an international beauty expert and an acclaimed keynote speaker at conferences all over the world. He is specialized in the treatment of fat pads, wrinkles and transformations of the
More informationInstitute of Health Economics ENDOVENOUS ABLATION INTERVENTIONS FOR SYMPTOMATIC VARICOSE VEINS OF THE LEGS
Institute of Health Economics ENDOVENOUS ABLATION INTERVENTIONS FOR SYMPTOMATIC VARICOSE VEINS OF THE LEGS September 2014 INSTITUTE OF HEALTH ECONOMICS The Institute of Health Economics (IHE) is an independent,
More informationTHE VEIN CENTER. State-of-the-Art Treatment for Varicose Veins and Spider Veins
THE VEIN CENTER State-of-the-Art Treatment for Varicose Veins and Spider Veins Vein Disorders Nearly 50 percent of the adult population suffers from undesirable, sometimes painful vein disease. The most
More informationProvided by the American Venous Forum: veinforum.org
CHAPTER 17 SURGICAL THERAPY FOR DEEP VALVE INCOMPETENCE Original author: Seshadri Raju Abstracted by Gary W. Lemmon Introduction Deep vein valvular incompetence happens when the valves in the veins (tubes
More informationDevelopments in Endovascular and Endoscopic Surgery
Developments in Endovascular and Endoscopic Surgery Radiofrequency Ablation and Laser Ablation in the Treatment of Varicose Veins Jose I. Almeida, MD, FACS, RVT, 1,2 and Jeffrey K. Raines, PhD, RVT, 1,2
More informationSEDICO Newsletter Issue 8. Varicose veins
SEDICO Newsletter Issue 8 Definition: Varicose veins Varicose veins are veins that have become enlarged and twisted. The term commonly refers to the veins on the leg, although varicose veins occur elsewhere.
More informationVeins. Zapping Varicose. Venous diseases affect many people and represent a major cost to the health-care system.
Zapping Varicose Veins Improving the Quality of Life for Sufferers By Jeannette Soriano, MD Venous diseases affect many people and represent a major cost to the health-care system. Hippocrates used compression
More informationMicrofoam Ultrasound-Guided Sclerotherapy of Varicose Veins in 100 Legs
Microfoam Ultrasound-Guided Sclerotherapy of Varicose Veins in 1 Legs JOHN M. BARRETT, FRNZCGP, n BRUCE ALLEN, FRACR, n ANNE OCKELFORD, FRNZCGP, n AND MITCHEL P. GOLDMAN, MD w n Palm Clinic, Auckland,
More informationVaricose Vein Treatment (Endovenous Ablation of Varicose Veins)
Scan for mobile link. Varicose Vein Treatment (Endovenous Ablation of Varicose Veins) Varicose vein treatment, also known as endovenous ablation, uses radiofrequency or laser energy to cauterize and close
More informationCorporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: varicose_veins_treatment_for 12/2000 11/2014 11/2015 11/2014 Description of Procedure or Service A variety
More informationRecurrent Varicose Veins
Information for patients Recurrent Varicose Veins Sheffield Vascular Institute Northern General Hospital You have been diagnosed as having Varicose Veins that have recurred (come back). This leaflet explains
More informationLONG TERM FOLLOW-UP AFTER ENDOVENOUS LASER ABLATION
LONG TERM FOLLOW-UP AFTER ENDOVENOUS LASER ABLATION Giorgio Spreafico Centro Multidisciplinare Day Surgery Azienda Ospedaliera Università Padova - Italy Faculty Disclosure I have no financial relationships
More informationVenous and Lymphatic Disorders
Venous and Lymphatic Disorders. ก. Venous and Lymphatic Disorders Varicose Veins Deep Vein Thrombosis (DVT) Lymphedema What Is Varicose Veins? Latin: Varicose = Varix = twisted Abnormal venous dilatation
More informationCorporate Medical Policy Treatment of Varicose Veins/Venous Insufficiency. Medical Policy
Corporate Medical Policy Treatment of Varicose Veins/Venous Insufficiency File name: Treatment of Varicose Veins/ Venous Insufficiency File code: UM.SURG.03 Origination: 9/01/2010 Last Review: 07/15/2010,
More informationVARICOSE VEINS; OUTCOME OF SURGICAL MANAGEMENT AND RECURRENCES
The Professional Medical Journal www.theprofesional.com ORIGINAL PROF-2328 VARICOSE VEINS; OUTCOME OF SURGICAL MANAGEMENT AND RECURRENCES 1. FCPS Consultant surgeon Department of general surgery Liaquat
More informationVerification of Participation & Certificate Request 28 th Annual Congress Phoenix, Arizona November 6 9, 2014
Complete this form in its entirety to claim the credits commensurate with your participation at the ACP s 28 th Annual Congress. You can only claim credit for one session if it runs concurrently with others.
More informationJose Almeida MD, FACS, RVT Jeff Raines PhD, RVT. Oliver Göckeritz MD Christian Wentzel MD. Tim Richards MD Daniel F. Hoheim, MD.
Final Results 1 Jose Almeida MD, FACS, RVT Jeff Raines PhD, RVT Miami Vein Center Miami, Florida Oliver Göckeritz MD Christian Wentzel MD Venenzentrum Elserpark Leipzig, Germany John Kaufman MD Dotter
More informationRandomized clinical trial comparing endovenous laser ablation and stripping of the great saphenous vein with clinical and duplex outcome after 5 years
Randomized clinical trial comparing endovenous laser ablation and stripping of the great saphenous vein with clinical and duplex outcome after 5 years Lars Rasmussen, MD, Martin Lawaetz, MB, Lars Bjoern,
More informationVaricose Veins Backgrounder
What Are Varicose Veins? Varicose veins are a clinical presentation of superficial venous insufficiency a condition in which veins are inefficient in returning blood to the heart due to venous hypertension.
More informationPRIMARY VARICOSE VEIN management has undergone a
Treatment of Primary Varicose Veins Has Changed with the Introduction of New Techniques Eric Mowatt-Larssen* and Cynthia K. Shortell* New technologies have produced a revolution in primary varicose vein
More informationTreatment of Varicose Veins
Varicose Vein Treatment of Varicose Veins JMAJ 47(3): 146 151, 2004 Osamu SATO Associate Professor, Department of Surgery, Saitama Medical Center Abstract: Varicose vein is a condition that was first described
More informationVaricose veins and spider veins
Varicose veins and spider veins Summary Varicose veins are knobbly, twisted and darkish-blue in appearance, and are most commonly found on people s legs. Varicose veins are caused by faulty valves within
More informationA clinical trial designed to discover if the primary treatment of varicose veins should be by Fegan s method or by an operation
Br. J. Surg. Vol. 62 (1975) 72-76 A clinical trial designed to discover if the primary treatment of varicose veins should be by Fegan s method or by an operation F. S. A. DORAN AND MARY WHITE* SUMMARY
More informationDay surgery varicose vein treatment using endovenous laser
O R I G I N A L A R T I C L E Day surgery varicose vein treatment using endovenous laser P Ho Jensen TC Poon SY Cho Grace Cheung YF Tam WK Yuen Stephen WK Cheng 何 蓓 潘 冬 松 曹 素 賢 張 頌 恩 譚 婉 芳 袁 維 基 鄭 永 強
More informationVaricose Veins and Spider Veins
page 1 Varicose Veins and Spider Veins Q: What are varicose veins and spider A: Varicose (VAR-i-kos) veins are enlarged veins that can be blue, red, or fleshcolored. They often look like cords and appear
More informationTREATMENT OF VARICOSE AND SPIDER VEINS Patient Info
TREATMENT OF VARICOSE AND SPIDER VEINS Patient Info www.heartofthevillages.com TIRED & ACHING LEGS? If you suffer from varicose and spider veins, you are not alone. It is estimated that there are more
More informationEndovenous Laser Therapy
Information for patients Endovenous Laser Therapy Northern General Hospital You have been given this leaflet because you will be having Endovenous Laser Therapy (EVLT). This leaflet explains more about
More informationEndovenous Treatment of Varicose Veins
Supplement to Produced under an unrestricted educational grant from Diomed, Inc. November/December 2004 Endovenous A comprehensive guide to the techniques and technology necessary to establish and maintain
More informationEndovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results
Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results Robert J. Min, MD, Neil Khilnani, MD, and Steven E. Zimmet, MD PURPOSE: To report long-term follow-up results of endovenous laser
More informationEffectiveness of foam sclerotherapy for the treatment of varicose veins
Effectiveness of foam sclerotherapy for the treatment of varicose veins Vascular Medicine 15(1) 27 32 The Author(s) 2009 Reprints and permission: http://www. sagepub.co.uk/journalspermission.nav DOI: 10.1177/1358863X09106325
More informationENTITLEMENT ELIGIBILITY GUIDELINES VARICOSE VEINS AND SUPERFICIAL THROMBOPHLEBITIS
ENTITLEMENT ELIGIBILITY GUIDELINES VARICOSE VEINS AND SUPERFICIAL THROMBOPHLEBITIS 1. VARICOSE VEINS MPC 00727 ICD-9 454 DEFINITION Varicose Veins of the lower extremities are a dilatation, lengthening
More informationPOLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY
Original Issue Date (Created): 7/12/2003 Most Recent Review Date (Revised): 3/29/2016 Effective Date: 8/1/2016 I. POLICY Great or Small Saphenous Veins Treatment of the greater small saphenous veins by
More informationLASER TREATMENT FOR VARICOSE VEINS
LASER TREATMENT FOR VARICOSE VEINS How can varicose veins be treated by laser? Laser treatment of varicose veins, Endovascular Laser Ablation (known as EVLA), is a minimally invasive procedure for treating
More informationBeaumont Hospital. Varicose Veins. and their TREATMENT. Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM
Beaumont Hospital Varicose Veins and their TREATMENT Professor Austin Leahy, MCh, FRCS, FRCSI WWW.VEINCLINICSOFIRELAND.COM Department of Surgery Beaumont Hospital and Royal College of Surgeons in Ireland
More informationVascular Surgery: Varicose Veins
Technical Guidance for Surgical Specialty Quality Dashboard: Vascular Surgery: Varicose Veins V1.1 Contents 1. Introduction... 3 Spell Identification... 3 2. Dashboard Guidance... 4 2.1. Spine Charts...
More informationMedical Policy Manual. Date of Origin: October 11, 1999. Topic: Varicose Vein Treatment. Last Reviewed Date: May 2015.
Medical Policy Manual Topic: Varicose Vein Treatment Section: Surgery Policy No: 104 Date of Origin: October 11, 1999 Last Reviewed Date: May 2015 Effective Date: September 1, 2015 IMPORTANT REMINDER Medical
More information11 Varicose Veins and Venous Ulcers*
11 Varicose Veins and Venous Ulcers* Sue Simpson and Paul Roderick 1 Summary Introduction/statement of the problem Chronic venous disease is the most common vascular condition to affect the lower limb.
More informationVaricose veins in the legs
National Clinical Guideline Centre. Varicose veins in the legs The diagnosis and management of varicose veins Clinical guideline Methods, evidence and recommendations July 203 Final Version Commissioned
More informationDr Marc Vuylsteke Sint-Andriesziekenhuis Tielt Belgium
Endovenous Laser Treatment of non-gsv truncs Dr Marc Vuylsteke Sint-Andriesziekenhuis Tielt Belgium Superficial venous insufficiency Very common Evolution to chronic venous insufficiency Varicose Disease
More informationGreater Manchester EUR Policy Statement. Title/Topic: Varicose Veins Reference: GM003 Date: January 2015
Greater Manchester EUR Policy Statement Title/Topic: Varicose Veins Reference: GM003 Date: January 2015 VERSION CONTROL Version Date Details Page number 0.1 23/10/2013 Initial Draft for consideration by
More informationMEDICAL POLICY SUBJECT: VARICOSITIES, TREATMENT ALTERNATIVES TO VEIN STRIPPING AND LIGATION
MEDICAL POLICY SUBJECT: VARICOSITIES, TREATMENT PAGE: 1 OF: 10 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including
More informationTreatment of Varicose Veins/Venous Insufficiency
MEDICAL POLICY POLICY RELATED POLICIES POLICY GUIDELINES DESCRIPTION SCOPE BENEFIT APPLICATION RATIONALE REFERENCES CODING APPENDIX HISTORY Treatment of Varicose Veins/Venous Insufficiency Number 7.01.519
More informationAustralian Safety and Efficacy Register of New Interventional Procedures Surgical. Rapid review ASERNIP-S REPORT NO. 66
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Rapid review Treatments for varicose veins ASERNIP-S REPORT NO. 66 Australian Safety & Efficacy Register of New
More informationWhat are spider veins? What is the best treatment for spider veins?
Laser Spider/Leg Vein Q & A What are spider veins? Millions of women and men are bothered by unsightly spider veins on their faces and legs. Spider veins or telangiectasias are those small red, blue and
More informationNew approaches for the treatment of varicose veins
Surg Clin N Am 84 (2004) 1397 1417 New approaches for the treatment of varicose veins Theodore H. Teruya, MD, FACS a, Jeffrey L. Ballard, MD, FACS b,c, * a Division of Vascular Surgery, Loma Linda University,
More informationThe veins of the lower limbs can be subdivided into three subtypes: deep veins, superficial veins, and connecting veins (figure 1).
VEIN DISEASE Vein disease may seem insignificant and harmless at first, but if left untreated, it can develop into a major problem. It occurs when veins have trouble transporting blood back to the heart
More informationAustralian Safety and Efficacy Register of New Interventional Procedures Surgical. Systematic review ASERNIP-S REPORT NO. 69
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Systematic review Treatments for varicose veins ASERNIP-S REPORT NO. 69 Australian Safety & Efficacy Register
More informationEndoVenous Laser Therapy (EVLT) Information Booklet. Dr. Dueck. Varicose Veins
EndoVenous Laser Therapy (EVLT) Information Booklet Dr. Dueck Varicose Veins Varicose veins are abnormally large veins that protrude from under the skin in the legs. They can be associated with a brown
More informationL. H. Rasmussen, M. Lawaetz, L. Bjoern, B. Vennits, A. Blemings and B. Eklof
Randomized clinical trial Randomized clinical trial comparing endovenous laser ablation, radiofrequency ablation, foam sclerotherapy and surgical stripping for great saphenous varicose veins L. H. Rasmussen,
More informationVaricose veins and venous thrombosis: The latest treatment options
Varicose veins and venous thrombosis: The latest treatment options DR ROBERT McBANE: I'm Rob McBane from the Vascular Center at Mayo Clinic in Rochester. Today we have the pleasure of talking with my esteemed
More informationCol league. SMMC Vascular Center Opens A PUBLICATION FOR SOUTHERN MAINE PHYSICIANS
A PUBLICATION FOR SOUTHERN MAINE PHYSICIANS Col league 8 2012 SMMC Vascular Center Opens By Frank Lavoie, MD, Executive Vice President and Chief Operating Officer During the last year, Southern Maine Medical
More informationChronic Venous Disease
Varicose Veins Steven M. Dean, DO, FACP, RPVI Associate Professor of Internal Medicine Department of Internal Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical Center
More informationDiagnosis and Treatment of Venous Insufficiency and Varicose Veins
Diagnosis and Treatment of Venous Insufficiency and Varicose Veins Joseph Conley, MD Scott and White Memorial Hospital Temple, TX September 22, 2012 Objectives Anatomy and Pathophysiology of venous insufficiency
More informationVaricose Veins Operation. Patient information Leaflet
Varicose Veins Operation Patient information Leaflet 22 nd August 2014 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
CLINICAL POLICY SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: OUTPATIENT 013.24 T2 Effective Date: July 1, 2014 Table of Contents CONDITIONS OF COVERAGE...
More informationEVRA (Early Venous Reflux Ablation) ulcer trial
EVRA (Early Venous Reflux Ablation) ulcer trial A randomised clinical trial to compare early versus delayed endovenous treatment of superficial venous reflux in patients with chronic venous ulceration.
More information