Treatment of varicose veins with radiofrequency and foam - foam sclerosis

Written by: Dr. Enrique Roche Rebollo
Published: | Updated: 12/12/2017
Edited by: Top Doctors®

What is the purpose of treatment of varicose veins with radiofrequency and foam?

Varicose veins are caused by venous insufficiency due to dilation of the internal saphenous vein or external saphenous vein, which have a permanent effect of blood reflux.. What the treatment seeks is to seal that reflux, to close it without having to eliminate the vein.

What is the treatment of varicose veins with radiofrequency and foam?

We access the inside of the vein for a small wound of 2 mm, we introduce a tiny catheter and we make it travel inside the vein to the point of origin of the venous insufficiency that is usually at the height of the saphenous-femoral arch or the saphenous arch. -pupliteus. At that point we begin to treat the vein from within by heat. The catheter closes the intima through the heat, which is the innermost layer of the vein, and as we treat the vein, we close and remove the catheter along the entire length of the vein.. In addition, to avoid doing the extraction of other branches, we add an injection of a substance in the form of foam called polidocanol. With this technique we get practically without scars to treat the entire length of the internal or external saphenous vein, and eliminate the branches that are tributary or collateral by the effect of the foam.

How is it different from traditional technique?

This technique offers to eliminate all the varicose veins without having to remove them from the body, that is, the controlled lesion that we produce on the vein progressively causes a retraction of the vein that fibrates (reduce the size) and dries until it disappears.

What type of anesthesia will be used?

The punching site is done with local anesthesia, the patient could be perfectly awake. Sometimes for the comfort of the patient we choose the use of sedation. This consists of the injection of a drug that allows the patient to be calmer and relaxed during the treatment.

Are there any risks or side effects?

We can not say that there are specific risks associated with this technique, but rather the risks of any technique for the treatment of varicose veins, such as venous thrombosis, that is, the appearance of a clot in the venous system.. There are other very specific cases of very thin patients where it can happen that the catheter used causes an inflammation around the vein and that could be a little more annoying than with the conventional technique, that is to tear the vein from the body. In general, the type of complications is similar to any other technique used for the elimination of varicose veins.

what results can be expected?

Once we eliminate varicose veins, it is convenient to have annual controls. It is understood as a correct result that out of every 100 people, in 25-30% of cases, patients may have new appearances of varicose veins.. The advantage of combining a non-aggressive technique such as sclerosis with foam, is that in that case, in that 25-30% of patients, we can avoid with a simple injection of this product that varicose veins go further.

When can I resume my normal activities after treatment?

The great advantage of this technique is that as the aggression is minimal, normal life can be achieved the following day. The case of violent efforts, such as running vigorously, is recommended to be postponed after two or three weeks of treatment.

*Translated with Google translator. We apologize for any imperfection

By Dr. Enrique Roche Rebollo
Vascular Surgery

Dr. Roche is a renowned specialist in Angiology and Vascular Surgery. He is currently head of service of this specialty at the University Hospital Sagrat Cor and the Hospital General de Catalunya, as well as having their own private practice. He has years of experience in the profession and extensive training, which has become a benchmark in a specialty trained in the US and a long career as chief and team manager. He stands out as an expert in sclerosis with foam, radiofrequency, cerebro-vascular disease, peripheral arterial disease and fistulas for hemodialysis, among many other treatments. She combines her clinical work with teaching, being associate professor of the Faculty of Medicine of the University of Barcelona. On the other hand, he is the author of numerous specialty items and has intervened in various presentations, both as a speaker and organizer.

*Translated with Google translator. We apologize for any imperfection

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