Heredity, age, sex, obesity etc. are key “guilty” for the appearance of spider veins and varicose veins. What else do not we know about the diseases of the veins? What we mean by venous insufficiency? What exactly are varicose veins?
Varicose veins are generated when increasing the diameter of the blood vessels which reintroduce the blood to the heart (veins). Very often offended the surface (superficial) venous network.To enable veins to carry blood to the heart even when someone is standing erect, have venous valves which allow flow only in the direction of the heart by preventing in this way the downward blood regurgitation.
The restoration of blood primarily ensure the deep venous strains which are located between the leg muscles. By venous insufficiency thus meant non sygkeisi correct some of the valves greater mainly along vein superficial venous system of the legs (Major saphenous) which has the effect reciprocation of the blood, a consequence of which is the creation of varicose veins.
What is the frequency of the disease (epidemiological evidence)?It is estimated that 70% of women and 45% of men aged over 60 have or will develop varicose veins to legs.
What are the predisposing factors, if any?
Among the factors implicated are heredity, patient age, gender, obesity, pregnancy and reduced atom activity (lack of movement).
Which is exactly the clinical picture? For which the patient complains of discomfort?
Symptoms vary depending on the severity of venous insufficiency. The gradually increasing with disease progression blood regurgitation leads to an increase of the internal venous pressure and chronic venous congestion. Besides therefore the existence of varicose veins and potential edema, the patient may suffer from pain, to complain about feeling tension and burning, in advanced stages bear skin lesions (pigmentation, dryness) and be suffering from recurring (superficial) thrombophlebitis.
This condition can potentially spread to the deep venous system resulting in a possible deep venous thrombosis which although not directly addressed with proper anticoagulation can lead to pulmonary embolism, a condition highly life threatening patient .
How put the exact diagnosis of the condition?
Accurate diagnosis is made by taking a detailed analytical history, physical examination and conducting triplex venous leg where there including the blood reflux (reflux) due to the failure of venous valves.
What are the appropriate methods of treatment / remedy of varicose veins?
The objectives of any of treatment selected should be as follows:
1. excellent aesthetic results
2. Control of unpleasant discomfort
3. avoid the deterioration of skin trophic lesions
4. healing ulcers if present.
The conventional classical surgery of varicose veins of the lower limbs (safinektomi-stripping), as a technique, monopolized for many years interventional treatment of venous insufficiency, recently threatened by the successful introduction of new techniques (newer intraluminal methods) belonging to the minimally invasive treatment methods varicose veins as the stent exclusion of insufficient major saphenous vein using thermal radiation Laser or RF.
What is the process of varicose vein laser therapy?
Becomes percutaneous puncture of major saphenous vein under ultrasound guidance. Subsequently promoted guidewire, catheter sheath and ultimately to bring the top of the optical fiber Laser along the insufficient vein to approximately 1-1.5 cm. Distal to safinomiriaias contribution.
Subsequently, it becomes embodiment leavening local anesthetic around the saphenous vein, throughout its length, which acts as a safeguard for perivenous tissue and skin. The Laser catheter is withdrawn approximately 2mm after each administration of energy wave. The Laser light beam supplied to the inner lumen of the vein through an optical fiber carrying the top of the probe leads to retraction and contraction of the vein wall and ultimately sealing the lumen of the diseased venous member.
What are the advantages of endoluminal exclusion Laser;
The intravenous elimination with Laser performed under local anesthesia and without creating skin incisions. Its duration is around 45 min and has proved the most convenient, safe, fast and effective method of treatment of venous insufficiency and varicose veins.
Recently the National Institute of Health of Great Britain (NICE) on guidelines for the treatment of venous insufficiency and varicose veins of the lower extremities indicates that classical surgery is offered only if the newer minimally invasive intraluminal methods can not implemented. The intraluminal blockade with Laser therefore offers besides improved cosmetic result, significantly reduced suffering of patients and application even in outpatients.
It also ensures quick return to daily activities of the individual parameter that significantly reduces the actual cost method.
They can all ill patients be treated with intraluminal method (Laser);
for varicose veins is contraindicated in the following cases: inability entry into the vein or promotion of a Laser catheter (eg extremely extensive tortuosity of the greater saphenous vein), hypercoagulable state, thrombophilia, paraneoplastic manifestation, post-thrombotic syndrome and general contraindications for implementing local anesthesia.
What is sclerotherapy of varicose veins with foam?
An additional in prothpotheseis, ability to cope with venous insufficiency is sclerotherapy. An infusion of hardener, very often used polidocanol (Aethoxysklerol) mixed with a specific amount of air to the affected vein. The method has the advantage of ultrasonic if needed monitoring the infusion. The injected foam strongly irritates the venous wall and leads to collapse and the final sealing of the lumen of the enlarged venous industry. Indicated in the following cases:
1. isolated superficial varicose venous branches
2. recurrent varicose veins after surgery
3. particularly tortuous varices
4. Patients who refuse to surgery
5. patients with varicose veins and lymphedema
6. varices accompanied by sluggish venous ulcers
7. in patients with contraindications for surgery.
How are spider veins treated?
The infusion purely hardener is today the most appropriate and safe treatment. Usually several sessions are required, the thorough knowledge of venous pathology, persistence, patience and experience of skilled clinician leading to excellent aesthetic results. The / the patient does not need any precautionary or restriction.