Varicose Veins and Venous Diseases
Varicose Veins of the Legs
Varicose veins of the legs are an extraordinarily common disorder, especially among women with multiple children. It is important to note that varicose veins are a real medical disorder, and not “just cosmetic.” Today, there is a well proven and minimally invasive procedure with extremely high success rate (>90%), so there is no need to suffer from varicose veins.
Blood flowing in the wrong direction (“reflux”) is a very common cause of chronic pain, swelling, edema, even skin ulceration in the lower extremities. It is also the most common cause of varicose veins, which can be complicated by pain, leg heaviness, bleeding, thrombophlebitis (swollen “string like” veins), and deep venous thrombosis.
Traditionally, venous reflux has been treated with open surgery (saphenous vein ligation and stripping). There is an overwhelming body of evidence that endovenous ablation, a non-surgical catheter based treatment, is as effective as surgery and with far fewer complications, less pain, and much shorter recovery time. It is the standard of care in the United States and Western Europe.
At the Vascular Anomalies Clinic of Jerusalem, we offer endovenous ablation with a special catheter called the Venaseal device (similar to “laser” or “radiofrequency ablation”) Patients come for an initial evaluation in the angiography clinic where a history and physical examination is performed. A bedside duplex ultrasound is also performed to determine the anatomy of the patient’s veins, and most importantly, to determine if the patient has reflux in the affected veins.
A formal duplex ultrasound (does not have to be performed at our clinic) is necessary to exclude deep venous thrombosis. If patients are appropriate candidates for endovenous ablation, they will be scheduled for the endovenous ablation procedure. The procedure takes about 1 hour, and is done with local anesthesia. Patients typically experience zero to minimal discomfort during or after the procedure. Patients go home the same day and return to normal activities immediately. They will then follow up in the angiography clinic 2 weeks post procedure and no further follow up is necessary.
We would be happy to discuss UFE at our vascular anomalies clinic in Jerusalem and take all the time you need, to answer questions/concerns.
The UFE procedure is covered by many of the kuppot and insurance companies, though not all. We typically appeal to the kuppot/insurance companies on an individual basis, and will make every effort to assist in obtaining a hitchayvut for the procedure.