Veins are blood vessels that return blood to the heart and lungs. During long standing or sitting, blood weight enlarges the veins. The veins and vein walls may, due to various factors, become weakened, even useless, and in that case, their function is compromised and the blood flow towards the heart endangered. This condition is called weakened venous circulation, venous tract or venous insufficiency.

What are the dangers?

Vein disease usually begins with a feeling of weight and pain in the legs, pain along the lines of the veins, spasms and swelling of the leg and ankles at the end of the day. It has a progressive character and therefore it is necessary to visit a vein specialist, who will perform the necessary clinical tests and Color Doppler of the veins.

Color Doppler detects changes of the veins, their function, and the blood flow, and thus reveals the cause of the problem and determines the treatment. The doctor must inspect all the veins (venipuncture), find the places where the valves have loosen up to precisely treat those spots.

In the first stage of the disease, the symptoms appear on the skin in the form of a very thin, dark blue shape. It is often similar to a spider’s net. Some patients also experience bruising of the legs. In the advanced stage, a few years later, the swelling of the feet and ankles can be permanent, with wavy, bluish, varicose veins protruding on the surface of the skin.

The second stage is characterized by the appearance of inflammatory processes on the skin in the form of reddish stains, swelling and crusting of the skin, while the third degree is manifested in yellowish-whitish skin debris areas.

The fourth stage is characterized by chronic wounds in the lower leg region.

The following therapies are available at our clinic:

Surgical procedures

They include various surgical methods for removing part or all of the affected veins. They can be performed in local or general anesthesia. Compression therapy is recommended after surgery.

Compressive therapy

Prerequisite for successful treatment of chronic venous disease is compressive therapy. Compression is a mechanical pressure on the veins (compressive bandage). The result of pressure on the vein is a reduction of the blood vessel lumen, which increases the flow, improves the blood flow of the veins and reduces the return of blood (reflux) in the veins. With properly selected compression therapy we relieve the symptoms and stop the progression of chronic venous disease.

Sclerotherapy

An enlarged vein is injected with a sclerosing agent that causes inflammation of the vein. This inflammation causes fibrosis, which closes the vein and within several weeks the varicose vein is gone. Sclerotherapy is applied to the removal of smaller veins and is not a method of treating the cause of enlarged veins and hence cannot prevent the emergence of new ones.

UGFS (Ultrasonic Foam Removal)

The most widely used method when it comes to treating varicose veins.

Method of administration: Special foam is inserted under ultrasonographic monitoring in the affected area, which results in the melting of the walls of the vein and its gradual disappearance within 2-3 months. The essence of this method is to treat the cause of the vein problems, and not to begin the treatment of the vein at the point where the problems are visible.

Well-performed surgery is almost painless and lasts from 20 to 30 minutes, after which elastic bandages are placed on the legs for a few days. The success rate of this method is 90-95% and complications are very rare. In a small number of cases, when the vein has not completely disappeared, the procedure may be repeated after 2 weeks.

RFA

Radiofrequency closure of the vein is a minimally invasive surgical technique.

Ultrasound is used to determine a sick vein in which a vein catheter is placed through a small opening on the skin. The thin catheter through the radiofrequency energy hastens the walls of the vein, clamps and closes them. As the sick vein is closed, the blood is redistributed to the healthy veins. Patients rarely experience mild pain during or after surgery. Local anesthesia is very precise and effective, and the procedure is done under ultrasonographic surveillance.

At the end of the procedure, a compressive sock is placed on the operated leg and the patient can move immediately. Everyday activities can be done the next day, avoiding long-term standing and heavy physical activity.

Unlike the classic surgery, where cuts are made in the hurdle or lower leg, through which the wrist strap is introduced and the vein is pulled out, with RFA technique a small catheter in the vein is introduced through a small incision on the leg. The vein is closed and there is no return of blood through it.

Benefits of RFA Procedures: the disappearance of symptoms (painful, tingling and tired legs), the procedure is done in an infirmary (local anesthesia), return to daily activities is possible within 1-2 days, excellent scratch-free cosmetic effect is guaranteed, without hematoma or swelling.

Variclose

An easy, fast and effective way to fight varicose veins. This method, using medical vein glue is extremely suitable for vein treatment in the summer period.

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