Saphenous vein varices. Medical search. Frequent questions

Although the risk factors associated with varicose veins are well described, the basic pathophysiology leading to venous valvular incompetence, and thus, varicosities are less well known. (medscape.com)
o analyse the effect of superficial and perforating veins surgery on deep vein incompetence. (unboundmedicine.com)
Duplex ultrasonography before surgery showed femoral vein incompetence in 28 and the popliteal incompetence in 26 cases. (unboundmedicine.com)
Incompetence of the perforator and short saphenous veins can result in posterior calf varicosities. (medscape.com)
It is now an accepted and effective treatment of saphenous vein incompetence. (hunterveinclinic.com.au)
The main early complication of ultrasound guided sclerotherapy for saphenous vein incompetence is thrombophlebitis, and in long term follow-up is recanalization. (hunterveinclinic.com.au)
Occasionally phlebectomy is the only treatment needed if no incompetence at the sapheno-femoral junction is present, but these veins are also suitably treated by sclerotherapy.Tiny incisions and the use of hooks or fine forceps greatly enhance the cosmesis of this procedure. (hunterveinclinic.com.au)
BACKGROUND: endovenous laser ablation (EVLA) represents the gold standard in treating both great and small saphenous veins (GSV and SSV) incompetence. (bvsalud.org)
The aim of this study is to present a single-centre experience on EVLA + UGFS for patients with CVI secondary to varicose veins and saphenous trunk incompetence, analysing ling-term outcomes. (bvsalud.org)
The document also includes recommendations on the management of superficial and perforating vein incompetence in patients with associated, more advanced chronic venous diseases (CVDs), including edema, skin changes, or venous ulcers. (qxmd.com)
These phenomena probably involve the flexion of the popliteal vein, the contraction of the calf muscles, and also popliteal valvular incompetence frequently demonstrated in patients who develop short saphenous vein insufficiency. (veinsurg.com)

Endovenous ablation using catheter-based techniques achieve vein closure with minimal surgical risk. (medscape.com)
We published some years ago a new approach for the treatment of varicose veins (VVs) called ASVAL (Ambulatory Selective Varices Ablation under Local anesthesia), which showed that single phlebectomies improve the hemodynamics of the venous system and the clinical outcomes even in presence of a saphenous vein (SV) reflux. (veindirectory.org)
In presence of saphenous reflux, and up until a certain stage of the disease, first-line therapy should include ablation of the varicose reservoir (VR) and not stripping/ablation of the saphenous vein for which the reflux is potentially reversible (fig. 1). (veindirectory.org)
Saphenous stripping or ablation would only be indicated in cases where saphenous reflux seems to be irreversible. (veindirectory.org)
We have 10 years of successful experience in daily practice, with a continuous increase in favor of ASVAL compared to saphenous ablation (fig. 2). (veindirectory.org)
Fig. 2: Evolution of ASVAL and stripping/ endothermal ablation procedures from 2003 at the Riviera Vein Institute. (veindirectory.org)
Most of the varicose veins procedures are performed in private practice and it is hard to randomize a patient between ablation/ conservation of the SV in private practice. (veindirectory.org)
Image courtesy of Rustempasic N, Cvorak A, Agincic A. Outcome of endovenous laser ablation of varicose veins. (medscape.com)
In both these cases, additional interventions with subfascial endoscopic perforating vein surgery (SEPS), perforator vein ablation, and/or venous reconstruction can be attempted, but these details are not further discussed in this article. (medscape.com)
Stab avulsion phlebectomy is indicated to remove superficial varicosities and is usually performed at the same time as endovenous ablation or stripping of the saphenous veins. (hunterveinclinic.com.au)
RF vs. Laser Vein Ablation: Similar Outcomes? (texasvascular.com)
RF and laser vein ablation are the two most common treatments available for varicose veins. (texasvascular.com)
Laser and radiofrequency ablation (RFA) are the two most common therapies available for individuals suffering from varicose veins. (texasvascular.com)
Thermal ablation has been the gold standard of varicose vein treatment for the past decade, and many vein specialists have experience with both laser and RFA. (texasvascular.com)
We suggest compression therapy for patients with symptomatic varicose veins (GRADE 2C) but recommend against compression therapy as the primary treatment if the patient is a candidate for saphenous vein ablation (GRADE 1B). (qxmd.com)
To decrease the recurrence of venous ulcers, we recommend ablation of the incompetent superficial veins in addition to compression therapy (GRADE 1A). (qxmd.com)
For treatment of the incompetent great saphenous vein (GSV), we recommend endovenous thermal ablation (radiofrequency or laser) rather than high ligation and inversion stripping of the saphenous vein to the level of the knee (GRADE 1B). (qxmd.com)
Mao J, Zhang C, Wang Z, Gan S, Li K. A retrospective study comparing endovenous laser ablation and microwave ablation for great saphenous varicose veins. (medscape.com)
Radiofrequency ablation of varicose veins: Best practice techniques and evidence. (medscape.com)

The treatment of superficial vein reflux has evolved in the past 10 years making open surgical ligation and stripping of the great saphenous vein largely a historic procedure. (medscape.com)
Surgical treatment of varicose veins and of calf perforators results in reduced deep vein reflux. (unboundmedicine.com)
Before the emergence of saphenous reflux, early treatment of VVs would be useful in order to prevent it spreading to the SV. (veindirectory.org)
The great saphenous vein (GSV) of such patients was investigated using duplex scanning (DS) to verify whether a reflux could occur in certain circumstances, ie, at the end of the day in an orthostatic position. (phlebolymphology.org)
C0s, En, An, Pn patients may present with a transient reflux in the GSV that occurs at the end of day. (phlebolymphology.org)
Treatment with MPFF (1000 mg of MPFF once a day in the morning for 2 months) resulted in the elimination of the evening GSV reflux in most of the treated patients, decrease in vein diameter and also resulted in beneficial effects on symptom relief and quality of life improvement. (phlebolymphology.org)
In 90% of cases where venous hypertension is from superficial and perforator vein reflux, removal or obliteration of the great saphenous vein (GSV) alone can resolve the venous hypertension. (medscape.com)
If saphenous vein reflux and varicose veins coexist, treatment of the varicose veins (and associated telangectasias) without addressing the saphenous reflux will usually be unsuccessful. (hunterveinclinic.com.au)
Sclerotherapy has traditionally been indicated for treatment of telangectasias, dilated reticular veins and varicosities not related to saphenous vein reflux.The advent of ultrasound guided sclerotherapy, which has become widely practised over the last 10 years, has revolutionised the indications for sclerotherapy. (hunterveinclinic.com.au)
Using ultrasound guidance, it is possible to accurately locate and treat most types of reflux including the great and small saphenous veins, post-operative residual veins, recurrent varicose veins and incompetent perforating veins. (hunterveinclinic.com.au)
From a functional point of view, these anatomical arrangements can transmit reflux of the saphenofemoral junction to the short saphenous trunk via a Giacomini vein. (phlebologia.com)
Inversely, reflux of the short saphenous network can induce overload of the veins of the long saphenous network. (phlebologia.com)
Le reflux pelvien est en cause chez 10 % des patients présentent des VMI (93% de femmes) [2]. (revue-phlebologie.org)

Great saphenous vein (GSV) stripping is accomplished by high ligation of the saphenous vein and all tributaries at the sapheno-femoral junction, with stripping to the knee. (hunterveinclinic.com.au)
17 patients had an intact short saphenous (13.6%) with either an inadequate incision ( too high or too lateral) or a simple recanalized suture (3 cases of ligation using non-adsorbable sutures). (veinsurg.com)
Almgren B., Bowald D., Erikson I. The posterior approach for subfascial ligation of perforating veins. (phlebologia.com)

The short saphenous trunk can become secondarily incompetent as a result of this overload. (phlebologia.com)

Varicose veins are an early manifestation of chronic venous insufficiency. (medscape.com)
However, cosmetics aside, the leg fatigue and heaviness that is associated with chronic venous insufficiency in the presence of varicose veins can be disabling. (medscape.com)
Although few studies document the natural history of varicose veins (shown) , superficial venous insufficiency is considered to be progressive over time, typically beginning as reticular veins or corona phlebectatica ("corona"), developing into isolated calf varicosities and, eventually, resulting in a tortuous and distended great saphenous vein. (medscape.com)
They usually translate a severe Venous Insufficiency into some main vein of the superficial system, although they can also be due to defects of function in the deep venous system. (iveivascular.com)
Superficial venous insufficiency of the lower limbs (IVSMI) is not always of saphenous origin. (revue-phlebologie.org)
Pelvic venous insufficiency (PVI) can be responsible for a pelvic congestion syndrome (PCS) as well as varicose veins of the lower limbs (VMI), via the anastomoses between the abdominal and lower limb venous networks [1]. (revue-phlebologie.org)
Chronic Venous Disease (CVD) is a condition involving venous hypertension caused by obstruction of the flow and/or insufficiency of the valves of the superficial or deep veins. (bvsalud.org)

To comprehensively tackle the varicose veins, ultrasound-guided sclerotherapy (UGS) was carried out. (melbournevein.com.au)
We recommend phlebectomy or sclerotherapy to treat varicose tributaries (GRADE 1B) and suggest foam sclerotherapy as an option for the treatment of the incompetent saphenous vein (GRADE 2C). (qxmd.com)
We suggest treatment of pelvic congestion syndrome and pelvic varices with coil embolization, plugs, or transcatheter sclerotherapy, used alone or together (GRADE 2B). (qxmd.com)
The selection of sclerosing agents and of concentrations and volumes to be used for sclerotherapy must be individualized for each patient and for each type and location of vein. (medscape.com)
I had something called Sclerotherapy perhaps 8 years ago, which is where saline is injected into the veins, causing the blood to clot. (wearedore.com)
Then, foam sclerosant is injected via these needles into the emptied varicose veins so that both they become visible on ultrasound and sclerotherapy becomes more effective to the vein surface. (varicoseveins.center)

they are typically found in the calf but may also occur in the thigh, corresponding to the course of the long saphenous vein. (medscape.com)
Intersaphenous anastomoses can connect the short and long saphenous networks in the thigh or the leg. (phlebologia.com)

The Linton procedure, introduced in the late 1930s, used a large linear medial leg incision that brought into view all the superficial and perforator veins of the leg. (medscape.com)

High pressure within the superficial system is transmitted to small subcutaneous veins, which can become dilated and tortuous varicosities. (medscape.com)
53 patients had a long stump recognized by its thicker texture (42.4%) with new superficial varicose communications via an tortuous fragile, thin walled vein. (veinsurg.com)
Enlarged and tortuous VEINS. (lookformedical.com)

In 21 cases subfascial endoscopic perforating vein surgery (SEPS) was performed to ligate incompetent perforating veins. (unboundmedicine.com)
1 The subfascial veins could be the first to dilate through decompensation of their parietal weakness. (veindirectory.org)

Results: Considering all types of varicose veins, prevalence of varicose disease was 72.7% (256 pregnant women). (scielo.br)

In more than 50% of the general population, superficial venous disease appears in the form of "spider" or reticular veins, but in approximately 20%-25% of the population, the disease can progress to visible varicosities at its extremes, such as ulceration or skin changes. (medscape.com)
It has been successfully used in arm varicosities and peri-ocular veins (around the eyes). (wikipedia.org)
Small telangectasias may be as symptomatic as larger varicosities, mainly because of the pressure on somatic nerves by the dilated veins. (hunterveinclinic.com.au)

During his first appointment , a Duplex Ultrasound (DU) test was done to determine the origin of these noticeable veins. (melbournevein.com.au)
The key recommendations of these guidelines are: We recommend that in patients with varicose veins or more severe CVD, a complete history and detailed physical examination are complemented by duplex ultrasound scanning of the deep and superficial veins (GRADE 1A). (qxmd.com)
The 5 patients reoperated after preoperative ultrasound exploration had a popliteal perforating vein. (veinsurg.com)
A therapeutic ultrasound system (Echotherapy) for the treatment of pathological varicose veins. (iveivascular.com)
Ultrasound only targets the diseased vein. (iveivascular.com)
In this technique, which we define as ultrasound-guided miniphlebectomy, needles are first placed in large varices and saline is injected around the varices under ultrasound guidance. (varicoseveins.center)
These varices, which become readily visible on ultrasound thanks to the foam inside, are then easily removed with very tiny hooks placed through the pinholes. (varicoseveins.center)
Makes the process easier by making the varices visible on ultrasound, 2. (varicoseveins.center)

5 Thanks to new publications about ASVAL, the European guidelines published in 2015 recommended the performance of ASVAL with a class/level of evidence 2B, saying that "in selected patients, with less evolved varicose veins (C2-C3) single phlebectomies with preservation of the saphenous trunk should be considered. (veindirectory.org)
EVLA was performed using a 1470-nm diode laser (LASEmaR® 1500, Eufoton, Trieste, Italy), adapting the linear endovenous energy density (LEED) depending on saphenous trunk diameter. (bvsalud.org)

Varicose veins , in a simple and easy way to understand, can be classified as aesthetic varicose veins (teleangiectasias or spider veins, varicose veins or reticular varicose veins) or pathological varicose veins (truncal, large and raised varicose veins). (iveivascular.com)

The ASVAL method is nowadays well-known and accepted as an option of treatment for varices in the vascular community. (veindirectory.org)
The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. (qxmd.com)
The Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) have developed clinical practice guidelines for the care of patients with varicose veins of the lower limbs and pelvis. (qxmd.com)
A compression of ILIAC VEIN that results in a decreased flow in the vein and in the left LOWER EXTREMITY due to a vascular malformation. (lookformedical.com)

The bulge of the medial head of the gastrocnemius muscle separates the two saphenous systems in the leg, but they may nevertheless communicate via the calf plexus ( Figure 70-3 ) or via direct communicating veins ( Figure 70-5 ) forming veritable saphenous arches. (phlebologia.com)

Traditionally, varicose veins were removed with multiple stab incisions and hook phlebectomy. (medscape.com)
The introduction of transilluminated-powered phlebectomy has allowed for removal of large clusters of varicose veins using fewer stab incisions and less procedural time. (medscape.com)
Stab incisions are made circumferentially around the vein clusters. (medscape.com)
citation needed] The procedure involves the removal of the varicose veins through multiple small 2-3 mm incisions in the skin overlying the varicose veins. (wikipedia.org)
However, this practice was to remove the varicose veins via large incisions made at the skin under general anesthesia, that is to say, by conventional surgery. (varicoseveins.center)
The removal of large varicose veins with mini-incisions from the skin was first described by the Swiss dermatologist Robert Müller and then became widespread all over the world. (varicoseveins.center)
The technique of Robert Müller was to remove the varices with mini-incisions under local anesthesia that do not require suturing. (varicoseveins.center)

Surgical removal or obliteration of varicose veins is often for cosmetic reasons alone. (medscape.com)
Surgical treatment of varicose veins has been under development for more than 2000 years, but until the present era, relatively little weight was given to the cosmetic outcome of treatment. (medscape.com)
Surgical removal of the saphenous veins has historically been the cornerstone of treatment for varicose veins. (hunterveinclinic.com.au)
The times (in years) between the first surgical procedure and the one for recurrence were recorded and compared to those of a previous study on 211 repeat procedures for recurrent inguinal varicose veins [1]. (veinsurg.com)

The Great Saphenous Veins (GSV) were shown to be the cause of the surface varices. (melbournevein.com.au)
Dr. Yazdani has achieved great results in solving the Vein issues. (melbournevein.com.au)
At the turn of the decade, a number of randomized controlled studiesᴬ demonstrated that both treatments had similar technical success rates, symptomatic / quality of life improvements, and long-term closure rates when treating the great saphenous vein (GSV). (texasvascular.com)

In this article, we compare and contrast laser and RFA for varicose vein treatment, and discuss why RFA has a better track record of minimizing post-procedure complications. (texasvascular.com)

Insufficient excision was observed in 75.2% of the cases, but 23.2% of the recurrences were due to the development of an incompetent popliteal perforating veins. (veinsurg.com)

Patterns in the management of superficial vein thrombosis. (europeanvenousforum.org)

Several years ago, Servier, based on a long-standing expertise in angiology, published an Atlas of the Anatomy of the Superficial Veins of the Lower Limbs. (phlebologia.com)

Ambulatory phlebectomy is a minisurgical treatment for superficial varicose veins and so-called side branches. (wikipedia.org)
The most important instrument for this technique is the vein retractor or phlebectomy hook. (wikipedia.org)
The phlebectomy hook is inserted through an incision and the varicose veins is hooked, extracted, and subsequently fixed with a clamp (e.g. (wikipedia.org)

Neither deep vein thrombosis nor pulmonary embolism were detected during follow-up, as well as superficial burns. (bvsalud.org)

As a general guide best results are obtained if the saphenous vein is less than 5 mm in diameter. (hunterveinclinic.com.au)
Polidocanol is a sclerosing agent indicated for uncomplicated spider veins (varicose veins ≤1 mm in diameter) and uncomplicated reticular veins (varicose veins 1-3 mm in diameter) in lower extremities. (medscape.com)

Ecchymoses (7%), transitory paraesthesia (2%), palpable vein induration/superficial vein thrombosis (15%) and transient dyschromia (1%) were registered. (bvsalud.org)

Ciostek P, Michalak J, Noszczyk W. Improvement in deep vein haemodynamics following surgery for varicose veins. (unboundmedicine.com)
Moreover, he wanted an alternative for the large eyecatching scars patients were left with after classical varicose vein surgery. (wikipedia.org)
Those patients who cannot remain active enough to reduce the risk of postoperative deep vein thrombosis (DVT) should not undergo surgery. (medscape.com)
Surgery during pregnancy is contraindicated because many varicose veins of pregnancy spontaneously regress after delivery. (medscape.com)
Indeed, recurrence is still frequent after surgery of the short saphenous vein. (veinsurg.com)
These 2 patients had undergone surgery for an incompetent short saphenous vein joining in the first case the sciatique nerve and in the second case the peroneal saphenous nerve. (veinsurg.com)
The time of reoperation for popliteal recurrence after surgery of the short saphenous ( 50% at 6 years) was significantly shorter than the time to reoperation for inguinal recurrence after surgery of the greater saphenous (50% at 12 years). (veinsurg.com)
Indication: Prophylaxis of Venous Thromboembolism (VTE) in patients undergoing surgery of the abdomen, pelvis and varicose veins. (bvsalud.org)

Most patients with confirmed proximal vein DVT may be safely treated on an outpatient basis. (medscape.com)

Telangiectasias or spider veins are varices of very low pathological grade, very superficial and located in the upper layers of the skin. (iveivascular.com)
And now, as fate would have it, I also have a fine web of spider veins that sprawl across my legs like those maps illustrating comprehensive cell phone coverage. (wearedore.com)
I started noticing my spider veins - a clustered pattern of thin, visible veins different from varicose veins, which are larger, more prominent, more bulge-y, and a blue/purple color - when I was in high school and, since then, I've been fixated/self-conscious/obsessed with the way they I thought they ruined whatever my legs aesthetic potential. (wearedore.com)
I asked Cosmetic Dermatologist, Dr. Paul Jarrod Frank , an expert on spider and varicose veins (amongst other things! (wearedore.com)
Turns out that spider veins are hereditary (thanks, mom) and an age related issue (sigh). (wearedore.com)

This procedure is often used as an adjunct to endovenous laser treatment or other endovenous ablations of the greater saphenous vein. (wikipedia.org)
In contrast, laser treatment generates heat via absorption of laser energy within the vein. (texasvascular.com)
We find the ClosureFast system easy to use, we like that it's pre-configured for optimal vein treatment (we don't have to dial it in), and it reliably minimizes pain and bruising so our patients can recover as quickly as possible. (texasvascular.com)
Nael R, Rathbun S. Treatment of varicose veins. (medscape.com)
Minimally invasive techniques in the treatment of saphenous varicose veins. (medscape.com)
Double-blind prospective comparative trial between foamed and liquid polidocanol and sodium tetradecyl sulfate in the treatment of varicose and telangiectatic leg veins. (medscape.com)
Brooks M. FDA OKs New Minimally Invasive Treatment for Varicose Veins. (medscape.com)
In the case of truncal varicose veins - so called because they originate from failure of one of the main saphenous trunks - the mere fact that they are accompanied by symptoms already indicates the need to apply a definitive treatment. (iveivascular.com)
Finally, the third fundamental aspect of our method when obtaining the best results is to have all the avant-garde techniques for the treatment of each type of varicose vein. (iveivascular.com)
Echotherapy with SONOVEIN® is the only 100% non-invasive method for the treatment of pathological varicose veins. (iveivascular.com)
Treatment of superficial vein thrombosis with intermediate does of tinzaparin. (europeanvenousforum.org)
I'm imagining it's the same with any treatment, that if there's an underlying cause for your veins doing that, they will come right back, as mine did! (wearedore.com)
Miniphlebectomy is now accepted as the most effective method in the treatment of large varices. (varicoseveins.center)
In fact, the removal of large varicose veins is not a new treatment and has been practiced in the world for nearly a hundred years. (varicoseveins.center)

These perforating veins were residual stumps of the short saphenous with complex pathways, unrecognized perforating veins associated with the short saphenous at the first operation or a new developing in several perforating vessels described in the popliteal fossa. (veinsurg.com)
The development of perforating veins in the popliteal fossa is a type of recurrence which is probably the expression of particular hemodynamic phenomena in the popliteal venous circulation. (veinsurg.com)
Anatomic types 1, 2 and 3 result from insufficient excision of an incompetent small saphenous (75%), type 4 from the development of perforating veins in the popliteal fossa, and type 5 from varicose communications with the vasa-nervorum of the posterior nerves of the thigh. (veinsurg.com)
In the thigh, this communication is sometimes ensured by a Giacomini vein ( Figure 70-2 ) or by an anterior tributary in the thigh which reaches the posterolateral border of the popliteal fossa. (phlebologia.com)

If the veins around the leg muscles are healthy, the elastic structure of the vein walls and the venous valves ensure that the blood is transported from the legs to the upper body against gravity. (iveivascular.com)

The visible veins were not only a cosmetic concern but also a source of worry regarding potential health implications, which were starting to encroach upon his daily life. (melbournevein.com.au)

All patients underwent removal of varices with stripping of the saphenous veins, if appropriate. (unboundmedicine.com)
Reticular veins are typically small (1-3 mm), highly visible, and often pose a cosmetic problem for patients. (medscape.com)
29 patients had incompetent popliteal perforating veins. (veinsurg.com)
Muller-Buhl U, Leutgeb R, Engeser P, Achankeng EN, Szecsenyi J, Laux G. Varicose veins are a risk factor for deep venous thrombosis in general practice patients. (medscape.com)
Prevention of edema and flight microangiopathy with Venoruton (HR), (0-[beta-hydroxyethyl]-rutosides) in patients with varicose veins. (medscape.com)

the inferior mesenteric vein empties into the splenic vein, the superior mesenteric vein joins the splenic vein to form the portal vein. (lookformedical.com)

Intervention is more strongly indicated when varicose veins are part of more extensive venous disease as manifested by ankle hyperpigmentation, lipodermatosclerosis, atrophic leg changes and venous ulcers. (hunterveinclinic.com.au)
Biomarkers in chronic venous disease and deep vein thrombosis. (europeanvenousforum.org)

Neovascular glaucoma is a secondary glaucoma occurring as a result of severely reduced blood flow to the eye as may be observed in central retinal vein occlusion or with severe diabetic retinopathy. (pharmacology2000.com)

Recurrence of popliteal varicose veins has long been attributed to insufficient excision of an incompetent short saphenous vein. (veinsurg.com)
In order to assess the risk of insufficient excision and study the mechanism of recurrence, we reviewed 125 popliteal procedures for recurrence after excision of an incompetent short saphenous vein. (veinsurg.com)

Anatomy40

Organisms1

Diseases32

Chemicals and Drugs15

Analytical, Diagnostic and Therapeutic Techniques and Equipment48

Phenomena and Processes9

Technology, Industry, Agriculture4

Health Care5

Incompetence11

Ablation19

Reflux13

Ligation3

Short saphenous trunk1

Insufficiency7

Sclerotherapy6

Long saphenous2

Perforator1

Tortuous3

Subfascial2

Types of varicose veins1

Varicosities3

Ultrasound8

Trunk2

Reticular varicose veins1

Vascular4

Calf1

Incisions7

Surgical4

Great3

Varicose vein treatment1

Recurrences1

Management of superficial1

Lower limbs1

Phlebectomy3

Pulmonary embolism1

Diameter2

Transitory1

Surgery8

Proximal1

Spider5

Treatment14

Popliteal fossa4

Muscles1

Visible veins1

Patients5

Empties1

Venous Disease2

Severe1

Insufficient2