TREATMENT OF VARICOSE VEINS: CAN IT BE IMPROVED BY MECHANOCHEMICAL ABLATION USING THE CLARIVEIN DEVICE?
|
|
|
- Jonathan Andrews
- 9 years ago
- Views:
Transcription
1 TREATMENT OF VARICOSE VEINS: CAN IT BE IMPROVED BY MECHANOCHEMICAL ABLATION USING THE CLARIVEIN DEVICE? Michel MJP Reijnen Rijnstate Hospital, Arnhem The Netherlands
2 Disclosures Consultancy and research funding W.L. Gore and associates Vascular Insights LLC Atrium Maquet Getinge Group
3 Current ablative techniques Need for tumescence Risk for thermal injury Postoperative pain Hardware
4 Mechanochemical endovenous ablation MOCA Mechanism of action: Combination: Mechanical damage + Sclerotherapy Mechanical: rotating wire intimal / cellular damage and spasm of the vein Pharmacotherapy: sclerosans penetrates vessel wall scar formation MOCA is NOT a variation on foam sclerosing
5 Mechanochemical endovenous ablation MOCA
6 MOCA : The Clarivein catheter 4 Fr. micropuncture sheath Small caliber catheter (2.7 Fr) Soft, flexible infusion catheter Rotating wire included in the catheter Bended tip facilitates catheterization
7 Initial trials U.S.A. 30 GSV Sotradecol Mean diameter GSVs Mean length GSVs GSV treatment time Treatment time 8 mm 36 cm 5 min 14 min Elias S, Raines, JK. Mechanochemical tumiscentless endovenous ablation: Final Results of the initial clinical trial. Phlebology Phlebology Feb;27(2):67-72.
8 Initial trials U.S.A. Obliteration 1 month: 30/30 6 months: 29/30 12 months: 20/20 3 patients with ecchymoses (side branches?) Elias S, Raines, JK. Mechanochemical tumiscentless endovenous ablation: Final Results of the initial clinical trial. Phlebology Phlebology Feb;27(2):67-72.
9 Initial trials Netherlands Polidocanol 1.5% 30 GSV in 25 patients M:F = 7:18 GSV diameter GSV length 6.1 ±2.1 mm 40.0±6.6 cm Treatment time 20±4.8 min van Eekeren RR, Boersma D, Elias S, Holewijn S, Werson DA, de Vries JP, Reijnen MM. Endovenous mechanochemical ablation of great saphenous vein incompetence using the ClariVein device: a safety study. J Endovasc Ther Jun;18(3):
10 Initial trials Netherlands No nerve injury No DVT No skin injury No neurological or vision disturbances 9 (30%) minor haematoma 4 (13%) induration van Eekeren RR, Boersma D, Elias S, Holewijn S, Werson DA, de Vries JP, Reijnen MM. Endovenous mechanochemical ablation of great saphenous vein incompetence using the ClariVein device: a safety study. J Endovasc Ther Jun;18(3):
11 Initial trials Netherlands 6 weeks follow-up (n = 30) 29/30 (97%) obliterated 1 recanalization 3 patients proximal open segment (>4 cm) GSV Anatomical success 87% Fine tuning of technique VCSS: 3.0 (IQR ) to 1.0 (IQR ) Improvement also in group with open proximal segment van Eekeren RR, Boersma D, Elias S, Holewijn S, Werson DA, de Vries JP, Reijnen MM. Endovenous mechanochemical ablation of great saphenous vein incompetence using the ClariVein device: a safety study. J Endovasc Ther Jun;18(3):
12 Final results of Clarivein registry study Polidocanol 2.0% (2mL) and 1.5% 105 GSV 2 Dutch centers Primary endpoints Anatomical success at 12 months Clinical success at 12 months Secondary endpoints Complications QOL; SF-36 and AVVQ
13 Final results of Clarivein registry study Inclusion criteria C2-C6 Insufficient GSV Suitable for endovenous treatment (>3mm, tortuosity) Age > 18 years Signed informed consent Exclusion criteria Vein > 12mm Pregnancy and lactation Allergy Polidocanol Previous treatment of ipsilateral leg History of deep venous thrombosis Use of anticoagulant
14 Final results of Clarivein registry study M:F 3:7 CEAP C2 37 C3 36 C4 34 C5 32 C6 2 VCSS 4 (IQR 3-5) GSV diameter 6.0 ±1.8 mm GSV length 45 ±8 cm
15 Final results of Clarivein registry study Treatment time Volume polidocanol 11 ±3 min 5.4 ± 1.4 ml Complications: No nerve injury, DVT, neurological or vision disturbances 3 (3%) phlebitis 8 (8%) minor hematoma 11 (10%) induration Patient satisfaction: 8.8 ± 1.1
16 Final results of Clarivein registry study 6 months 12 months Clinical success 94% Clinical success 95% Improvement 94% Improvement 95% Deterioration 0% Deterioration 1% Identical 6% Identical 4% VCSS 1 (IQR 0-2) VCSS 1 (IQR 0-1)
17 Final results of Clarivein registry study 6 months 12 months 102 patients 100 patients Anatomical success 93% Anatomical success 88% 3 open GSV 5 open GSV 4 proximal open segment 7 proximal open segment
18 Final results of Clarivein registry study Aberdeen Varicose Vein Questionaire Instrument which measures HR-QOL in patients with whole spectrum of venous disease (C1-C6) Pre-operative 11.1 (IQR ) One-year 2.2 (IQR )
19 Postoperative pain and early QOL after MOCA and ClosureFast of incompetent GSV Non-randomised cohort study N=34 in each group Endpoints Postoperative pain Use of pain medication Resumption of normal activities and work VCSS QOL (AVVQ, RAND 36) Van Eekeren RRJP, Boersma D, Konijn V, De Vries JPPM, Reijnen MMPJ. Postoperative pain and early quality of life after radiofrequency and mechanochemical endovenous ablation of incompetent great saphenous veins. J Vasc Surg 2012 Nov 7. [Epub ahead of print].
20 Postoperative pain and early QOL after MOCA and ClosureFast of incompetent GSV Complication rate, clinical outcome and postoperative QOL identical MOCA : Less postoperative pain Less days of pain medication Earlier resumption of normal activities Earlier resumption of work Van Eekeren RRJP, Boersma D, Konijn V, De Vries JPPM, Reijnen MMPJ. Postoperative pain and early quality of life after radiofrequency and mechanochemical endovenous ablation of incompetent great saphenous veins. J Vasc Surg 2012 Nov 7. [Epub ahead of print].
21 MOCA of the short saphenous vein Incidence sural nerve injury 1.3% -11% First 50 consecutive patients Technical success 100% No major complications, especially no nerve injury or DVT 1-year anatomical success 94% VCSS pre-treatment 3.0 (IQR 2-5) 6 weeks 1.0 (IQR 1-3) 1 year 1.0 (IQR 1-2) P < Boersma D, Van Eekeren RJA, Werson, DAB, Van der Waal RIF, Reijnen MMPJ, De Vries JPPM. Mechanochemical endovenous ablation of small saphenous vein insufficiency using the ClariVein device: One-year results of a prospective series. Eur J Vasc Endovasc Surg, in press.
22 Duplex during follow-up Early postoperative period: no flow but often a compressible vein At 6 months: Vein is visible, but not compressible At 1 year: Vein often not visible anymore
23 Histology 1-year after MOCA Circumferential disappearance of the endothelial layer Considerable damage to the tunica media in an inhomogeneous pattern The original lumen is organized with complex structure of collagen fibers and fibroblasts
24 Conclusions MOCA is a fast and safe technique for GSV and SSV insufficiency The early results are promising with acceptable closure rates MOCA is related to a very low incidence of major complications Learning curve, less forgiving than laser / RFA
25 Critical issues Polidocanol versus sotradecol Optimal dose and pull-back rate Long-term and comparative data Maradona trial randomizing MOCA to ClosureFast for GSV insufficiency
Non-surgical treatment of severe varicose veins
Non-surgical treatment of severe varicose veins Yasu Harasaki UCHSC Department of Surgery General Surgery Grand Rounds March 19, 2007 Definition Dilated, palpable, subcutaneous veins generally >3mm in
Effective 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
Clinical 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
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
Clinical 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),
Medicare 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
Surgical 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
LOWER 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
Yes 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
Medicare 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
Varicose 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
Recurrent 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:
Venous 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
Jose 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
DEBATE 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
Medical 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.
SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Protocol: SUR037 Effective Date: 5/1/2015 Table of Contents COMMERCIAL INDICATIONS FOR COVERAGE DEFINITIONS MEDICARE AND MEDICAID
Modern 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
Microfoam 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,
this 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
PROVIDER 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
SURGICAL 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...
SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
COVERAGE POLICY SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: 237.E Effective Date: March 1, 2015 Table of Contents BENEFIT CONSIDERATIONS. COVERAGE RATIONALE...
Dr 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
SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
MEDICAL POLICY SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: 2015T0447O Effective Date: March 1, 2015 Table of Contents BENEFIT CONSIDERATIONS COVERAGE RATIONALE
LONG 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
AMERICAN VENOUS FORUM
Revised Venous Clinical Severity Score AMERICAN VENOUS FORUM Pain : 0 Mild: 1 or other discomfort (ie, aching, heaviness, fatigue, soreness, burning) origin Occasional pain or other discomfort (ie, not
Endovenous 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
Suffering 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
Treatment 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
MEDICAL 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
The anthropometric characteristics in the two groups were not significantly different.
Studio prospettico, randomizzato monocentrico per il trattamento sintomatico dell insufficienza venosa cronica degli arti inferiori in pazienti trattati con calze preventive con filato SpikEnergy rispetto
Modern 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
Local 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
Medical 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
THE 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
THE 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
Successful Endovenous Ablation
Successful Endovenous Ablation Is it the technology or the technique? PANEL Moderator: Steve Elias, MD, is Director, Center for Vein Disease, Englewood Hospital and Medical Center, New Jersey; and Assistant
POLICY 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
New 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,
Endovenous 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
CHAPTER 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
Varicose 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
Medical 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
Varicose 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
Spotlight 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
Varicose 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
Randomized 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,
National Medical Policy
National Medical Policy Subject: Policy Number: Varicose Veins Surgical Interventions NMP148 Effective Date*: September 2003 Updated: July 2016 Please contact the Medical Policy Department for an archive
X-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
SEDICO 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.
V03 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
Peninsula 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
Veins. 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
MEDICAL 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
Corporate 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,
The 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
treatment 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.
Lower extremity venous insufficiency is a very common medical
Diagn Interv Radiol 2012; 18:417 422 Turkish Society of Radiology 2012 INTERVENTIONAL RADIOLOGY REVIEW Endovenous laser ablation for the treatment of varicose veins Levent Oğuzkurt ABSTRACT Lower extremity
VARICOSE 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
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
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
TREATMENT 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
Patient 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
Prevalence 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***,
CHINOOK 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
Recurrent 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
Emory 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
Beaumont 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
Varicose 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
PRIMARY 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
OVER 45 YEARS TEXTILE GRAFT TECHNOLOGY EXPERIENCE MAQUET THE GOLD STANDARD
OVER 45 YEARS TEXTILE GRAFT TECHNOLOGY EXPERIENCE MAQUET THE GOLD STANDARD A comprehensive, proven vascular graft portfolio and exceptional professional support make MAQUET Cardiovascular a valuable asset
Confirmed Deep Vein Thrombosis (DVT)
Confirmed Deep Vein Thrombosis (DVT) Information for patients What is deep vein thrombosis? Blood clotting provides us with essential protection against severe loss of blood from an injury to a vein or
VARICOSE VEINS AND VENOUS INSUFFICIENCY
VARICOSE VEINS AND VENOUS INSUFFICIENCY SURGICAL AND ABLATION TREATMENTS Policy Number: 2014M0064A Effective Date: September 1, 2014 Table of Contents: Page: Cross Reference Policy: POLICY DESCRIPTION
Measure #420: Varicose Vein Treatment with Saphenous Ablation: Outcome Survey National Quality Strategy Domain: Effective Clinical Care
Measure #420: Varicose Vein Treatment with Saphenous Ablation: Outcome Survey National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY DESCRIPTION:
Diode Lasers. Diode Lasers
Diode Lasers Diode Lasers VenaCure 1470 Laser THE POWER OF WATER The new VenaCure 1470nm laser from AngioDynamics offers physicians better patient results with all the same features and reliability that
EVRA (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.
Diagnosis 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