Dra. Julia Ocaña Guaita

Dra. Julia Ocaña Guaita
Vascular Surgery
Madrid


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Dra. Julia Ocaña Guaita

Vascular surgeon in
Madrid

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Dra. Julia Ocaña Guaita areas of expertise:

Professional statement

Doctor cum laude in Medicine and Vascular Surgery. It is a vascular surgeon with over 25 years experience specializing in Angiology and Vascular Surgery. Head of Unit Phlebology Aesthetic of San Francisco de Asis Hospital since 1996 and cooperating MDM fee as a surgeon in the Balkan conflict.

*Translated with Google translator. We apologize for any imperfection

 Videos of doctor

Esclerosis de varices con espuma: venta...

 Doctor's articles

varices piernas
Removing varicose veins: technique with...

 Credentials

GMC: ‍282833467

 Professional experience

• More than 30 years of experience
• Deputy Medical Angiology and Vascular Surgery Hospital Ramon y Cajal from January 1991
• Head of Unit Phlebology Aesthetic San Francisco de Asis Hospital from (1996)
• MdM cooperating with assistance as surgeon in the Balkan conflict
• Deputy Medical Angiology and Vascular Surgery Hospital Ramon y Cajal (1991-present)

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 Positions in public associations

• Member of the Board documentation of the Ramon y Cajal Hospital since 2004
• Committee member of the Emergency Clinic Hospital Ramon y Cajal since 2009

 Teaching posts

• Tutor residents Ramón y Cajal Hospital (2011-present)
• teaching as a lecturer in refresher courses in Vascular Surgery (20 courses)

 Education

• Degree in Medicine from the Complutense University of Madrid (1981)
• MIR in Angiology and Vascular Surgery at the Ramon y Cajal Hospital (1986-1990)
• Rotation period in the Department of Cardiovascular Surgery Hospital Brouke Der Ser (Canada, 1987)
• International Postgraduate Course of Vascular Surgery Amsterdam (Netherlands, 1989)
• PhD in Medicine and Vascular Surgery with the qualification of "Cum Laude". Department of Morphological Sciences and Surgery, Faculty of Medicine of the University of Alcala de Henares (1994)

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 Publications and conferences

• 120 Communications to national conferences
• 50 Communications to international congresses
• 5 Posts in international journals of Angiology and Vascular Surgery specialty

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 Professional membership

• tenured member of the Spanish Society of Angiology and Vascular Surgery
• Member of the Society of Surgeons of Hispanic
• Member of society Center Angiology and Vascular Surgery
• Member of the expert group, set up by the Ministry of Health on Thromboembolism in Madrid (1994)
• elected member of the Personnel Board Ramon y Cajal Hospital

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Languages spoken

  • Spanish
  • French

*Translated with Google translator. We apologize for any imperfection

Patient reviews for Dr. Julia Ocaña Guaita

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All reviews are from verified patients booked through Top Doctors.

Patient reviews

Verified Patient
11/10/2018

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Patients comments

Buena atención por parte de la doctora, cercana y me propuso una solución a mi problema. el punto negativo el largo tiempo de espera.

Verified Patient
01/10/2018

Would you recommend this doctor?

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Verified Patient
05/09/2018

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Verified Patient
21/08/2018

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Diseases, Medical Tests and Treatments

Crioesclerosis liquid

  Crioesclerosis liquid is a treatment that eliminates varicose veins and small capillaries gradually. It comprises introducing into the capillary ...

Foam sclerotherapy

  Sclerosis with foam is a technique that involves injecting this type of foam inside the dilated veins. Thus, a reaction inflmatoria vascular wall ...

Varicophlebitis

  The varicophlebitis is inflammation of a varicose vein (those swollen, twisted, painful veins in which blood has accumulated more than usual). Th ...

Acute Ischemia

  Acute ischemia is the reduction or abolition of blood supply in an area or organ. The causes may be varied: external to the vessel, compression, tumors, scars, etc; or internal, such as thickening of the vessel wall by chronic inflammation, tumor thrombus ... In any case, the three major causes of this clinical picture thrombosis, strokes and injuries. Clinically manifested by a sudden and intense pain that does not respond to normal painkillers. It occurs more frequently in the lower extremities, but can affect any area of the body. Ultimately, the lack of blood nutrition can trigger gangrene of ischemic tissue. ...

Aneurysm

Aneurysms are dilatations of the arteries due to a fault in the vessel wall which triggers an increase in diameter and carries the risk of rupture and massive internal bleeding. Most cerebral aneurysms are congenital, but can also be traumatic, tumor cause, arteriosclerosis, by common infectious cause or drug consumption. Depending on the shape of the aneurysm are divided into secular, fusiform, and use as side; They may also be classified by size. All aneurysms may be complicated by rupture of the vessel and cause bleeding in the brain, causing a stroke acidente, which can cause irreversible nerve damage. Aneurysms are asymptomatic, symptoms only when they break, causing intense headaches, nausea, vomiting, stiff neck, seizures or sudden loss of consciousness. For diagnosis, several tests such as angiography or CT are used, and the treatment depends on the size of the aneurysm and associated risk factors. There are several alternatives for both conservative and surgical treatment, which must evaluate a neurosurgeon. ...

Angiopathy

The amyloid angiopathy or vascular cerebral angiopathy is a neurological pathology characterized by the accumulation of amyloid protein in the walls of cerebral vessels, causing an increased risk of stroke. Clinically, the disease manifests the affected vessel rupture occur, causing ischemia of brain tissue bathed by this. Symptoms that produces bleeding depend on the affected part, but the most common are: drowsiness, headache, double or reduced vision, slurred speech, muscle weakness... Currently, there is no cure for this condition, so the basically treatment should be directed at reducing symptomatology. ...

Arteriovenous fistula

This content has not yet been translated into your language, we apologise for any inconvenience. You can access the content in its original language by following this link. ...

Atherosclerosis

Arteriosclerosis or atherosclerosis is the most common disease of the arteries. Is a hardening, thickening and loss of elasticity of arteries. Several factors may be involved in the etiology of atherosclerosis are known, such as: pathologies such as cholesterol or blood pressure; factors related to sex, heredity, ethnic, snuff consumption, sedentary lifestyle, stress nerve…All these factors seem to play a very important role in the appearance of this pathology. The clinic will depend on the affected vascular territory and manifest themselves with symptoms of the affected organ. In addition, treatment is aimed at guiding people with a family history to control what risk factors soon as possible, insisting that they follow a proper diet, regular physical activity performed, and in the event that these measures were not enough, would require medical treatment. ...

carotid endarterectomy

  Carotid surgery or carotid endarterectomy, is a type of surgery used to remove plaque (fatty deposits) that occurs in carotid arteries. The aim of the operation of extraction of the plate is to improve the blood supply to the brain and reduce the risk of suffering a stroke. This type of surgery is indicated when the blockage of the carotid is a considerable degree, normally if through various medical tests it detects that the artery has narrowed 50%. Clinically manifested by numbness, tingling, confusion, muscle weakness ... Although endarterectomy can prevent the onset of a stroke, it would not be indicated for patients who suffer TIAs (transient vascular accident). ...

Diabetic Foot

  The diabetic foot is a complication of vascular and nervous level that affects patients with chronic diabetic control irregular sugar levels. The effect on vascular level may lead to arterial closure with loss of blood supply to the feet, and even get to cause gangrene. Besides, a neurological level, involvement can be motor and / or sensitive. Feature is the feeling of wearing a tight or excessive cold or heat sock, and the loss of muscle mass at foot level. Both causes, vascular and neurological, are responsible for the appearance on the floor of the neuropathic diabetic foot ulcer, which often can be complicated by infection. In addition, the diabetic foot is often very delicate and vulnerable to scratches shoe, although in many patients the symptoms are painless. ...

Embolism

  Embolism means embedding a foreign body or plunger (blood clot, fat droplets ...), which travels through the bloodstream through the vessels, until it enters one of its dimensions lower caliber cause clogging. As a result, ischemia occurs in the area of the affected vessel. There are several clinical forms of stroke: ischemic stroke, in which the obstruction affects a cerebral vessel and is manifested by a more or less severe symptoms of stroke; pulmonary embolism, pulmonary artery occlusion which may result in non-functioning part of the lung, or in severe cases the instantaneous death; embolism of central retinal artery, which can lead to blindness in the affected eye. ...

endovascular surgery

  Endovascular surgery is a minimally invasive pathologies of vessels from the circulation, both venous blood level to level. Its indications are multiple to treat various diseases: intermittent claudication, which occurs as a result of the gradual clogging of the arteries; showcase disease, which is the most common manifestation of atherosclerosis in the legs; aortic aneurysms, with the use of stents; construction of vascular access in chemotherapy; ovla using stents or angioplasty to achieve improved irrigation deficit in a particular area in the treatment of varices. Although it is very safe and techniques that involve little risk to the patient, they must be maintained at all times optimum aseptic conditions (extreme maximum hygiene) to prevent infection. It is also essential to know what are the most frequent complications that can occur in each case, to enable immediate treatment. ...

Intestinal ischemia

  Intestinal ischemia or mesenteric ischemia is a condition in which part of the intestine has poor vascular supply, causing tissue damage. When this deficit is more intense and lasting can cause death. Some of the causes that can cause this disease: tumors, intestinal hernias, abdominal level prior to surgery, arrhythmias, or atherosclerotic disease. In complicated cases, the end result may be the visceral ischemia or intestinal infarction affected area. Clinically, it manifests with abdominal pain, as most characteristic symptom, but may also occur diarrhea, nausea and vomiting. The diagnosis is often clinical and surgical treatment, as appropriate. ...

Lymphedema

  Lymphedema is an excessive accumulation of a protein called lymph in a limb, caused by an alteration of the lymphatic system (immune system that helps fight infection and disease). The accumulation of this substance in the tissues produces edema and chronic swelling of one or more parts of the body especially in your arms or legs. There are several factors causing lymphedema, such as infections or congenital disease processes, but the most common cause is the removal or lymph node irradiation for the treatment of patients with breast cancer, causing the swelling of the arms and consequent disability. Currently, there are two lymphedema surgery procedures that solve successfully pathology: microsurgical transfer and lymph node-venous shunt microsurgical. The first technique involves the removal of healthy lymph with blood vessels elsewhere in the body, such as the superficial inguinal area, and its placement in the armpit. Thus, the transferred vessels create a new drainage system and reduce the accumulated lymph. Moreover, surgery microsurgical lymph-venous shunt is based on binding of superficial lymphatic vessels subcutaneous veins of the affected limb. Thus, it is possible to divert the lymph veins to download area lymphedema.   ...

Minimally invasive artery surgery

  Blood minimally invasive surgery is the set of techniques used to treat inflammatory and other damaging pathologies Arterial arteries. In Angiology and Vascular Surgery Endoscopic surgical techniques, laparoscopic and robotic are used in order to surgically treat diseases of the arterial system. These minimally invasive techniques can also be applied with other traditional surgical techniques where necessary. ...

Peripheral Arterial Disease

PAD is clogged leg arteries. These narrow and harden (arteriosclerosis) hindering blood flow. It is a common disease that affects mainly men over 50 years. Risk factors for PAD: High cholesterol Diabetes Heart disease Hypertension Hemodialysis patient Smoking ...

Phlebectomy

  Phlebectomy is a surgical technique for removal of varicose veins, performed through small incisions (less than 2mm) into the skin of the area concerned. The procedure involves introducing a hooked instrument with which the varicose segments are extracted. Recovery will depend on the number and size of the vein, but in general, the patient will need two or three days to resume normal activity and shall keep elastic compression stockings for approximately two to four. With the technique of vein stripping is improved circulation in the area of the varicose vein relieving common symptoms they cause, such as pain and heavy legs usually manifest. ...

Phlebitis

  Phlebitis is an inflammation of the vein walls. Almost always added to injury of the walls, the formation of blood clots inside (thrombi). Therefore, the names of phlebitis and thrombophlebitis are used almost interchangeably. The most common causes of this disease are usually infectious, but can also be caused by trauma or be toxic cause. Both traumatic and toxic presumed the existence of possible infection, as well as post-operative, which occur from an infection that can occur in a surgery of any kind and location. Among the causes that can facilitate the appearance of highlights phlebitis varices (dilated veins), external traumatic factors and, above all, constitutional weakness. ...

Placing Port-a-Cath (Cath)

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Radio frequency treatment

Radiofrequency is a specific treatment of varicose veins consisting seal them and close them without having to be removed. The technique is performed by accessing the inside of the affected vein through a small incision of about 2 mm and introducing a catheter leads to the point of origin of venous insufficiency. At this level, closing heat layered anger insufficient glass is introduced. Meanwhile, a substance is injected as foam called polidocanol. Thanks to this technique radiofrequency varices with microfoam, these can be treated without being extracted from the body getting in a controlled and gradual increase fibrosis of the vessel lumen until completely dry. To remove varicose veins with foam local anesthesia is used. ...

spider venis

Spider veins are a physical condition like varicose veins but smaller size. Its appearance is usually red or blue and similar to tree branches or spider webs color, hence its name. It manifests in the legs, facial areas such as the nose, cheekbones and other parts of the face and can appear in a small area or spread. It arises because of the weak or damaged valves of the veins. The factors favoring the appearance of spider veins are aging, medical history, birth with weak valves increases the risk; hormonal changes, pregnancy, obesity, lack of exercise or exposure to sor. Currently, the best treatment for removal is the laser. ...

Stent

An endoprosthesis is a small, flexible tube called a stent, which is usually made ​​of plastic and biocompatible material, which is used to repair or prevent body conduits. It is usually enters the body through a small incision and is used to treat the tubes that have been narrowed or blocked by diseases:the esophagus, bile ducts, trachea or bronchi. In addition, it is used in the treatment of aortic aneurysms. In this case, the stent is inserted through a small incision in the groin and advanced through the femoral artery into the aorta and the aneurysm to strengthen the vessel wall. Placed in the esophagus, the endoprosthesis is used to allow the passage of food;in the bile ducts used to open the passage of bile into the intestine;and the trachea and bronchi, allowing normal breathing. This method of surgery is minimally invasive vascular endoprosthesis. ...

Thrombosis

  A venous thrombosis is the formation of a blood clot inside a vein, which may be due to a problem with hypercoagulation, injuries to the vessel wall or a problem of ecstasy (stagnation) of blood. Two types of thrombosis and thrombophlebitis the flebotrombosis. The first is the formation of a clot within the vein without inflammation but great peelability, since it is poorly bonded to the vessel wall. Usually affects the deep venous system and can even cause a pulmonary embolism. For thrombophlebitis, usually attached to the vein wall and is clinically manifested as a palpable cord, hard, pain, heat and redness in the area of the affected vessel. The treatment in this case is usually based on anti-inflammatories or antibiotics. In patients in whom deep venous thrombosis affecting the system pierma (DVT), an emergency hospitalization is required because if it appears may cause a heart attack, a stroke or pulmonary embolism. ...

Transient Ischemic Attack

Transient ischemic attacks (TIAs) occur when blood flow to reach part of the brain it stops for a short time. Unlike a stroke (cerebrovascular accident), an AIT lasts a few hours and does not cause the death of brain tissue. Loss of blood flow to part of the brain can be caused by a blood clot in a brain artery, a blood vessel lesion or stenosis. Hypertension is the main risk for TIAs and stroke, although there are also other important: cardiac arrhythmia, heart disease, high cholesterol, diabetes etc. Clinically, a TIA is manifested by the sudden onset of certain symptoms, which can last from a few minutes to a few hours, and that would be the same as those of a stroke: a sense of instability, changes in sensation, difficulty reading or talk, inability to recognize objects or people ... The treatment is based on control, prevent and deal with the aftermath of the AIT. ...

Varicone veins surgery

This content has not yet been translated into your language, we apologise for any inconvenience. You can access the content in its original language by following this link.  ...

Varicose veins laser surgery

  Laser treatments for varicose veins is a minimally invasive technique that is used in cosmetic surgery to treat varicose veins that are dilated veins located mainly in the lower limbs superficial and deep venous system. It is a technique of fast recovery that does not require hospitalization, is less painful than conventional surgery and recovery is faster. To do it locally and is about 45 minutes anesthesia is used. The laser operation of varicose veins is the introduction of a needle into the vein and concrete by a guide, enter it as a laser fiber to provide heat. This closes the dilated vein, forcing blood to circulate in other deeper and healthy vessels. Although the results of this type of surgery are usually very reliable, there is always risk of complications (thrombophlebitis, bleeding varicorragia a varix or varicose ulcers ...). ...

Varocone veins bleeding

  The varicorragia is bleeding resulting from the rupture of a varicose vein. In some cases, it may have been caused by trauma or scraped. It is considered the most dangerous complication that can result in varicose veins. Although not common, sometimes these complications can cause death. Usually it occurs in the superficial veins that are located in Lapart lower leg. It often affects people who have had varicose veins for years. At the time that the patient must lie bleeding occurs, place the leg posicón vertically (perpendicular to the body) and press the hole through which blood leaves for 5 minutes. In this way, the body's natural clotting is activated. Sometimes it is necessary to put a stitch or a bandage. ...

Vascular Injuries

  It means any impairment to vascular trauma arterial, venous or lymphatic level. The most common location is in the extremities and often associated with neurological damage bone or limb. The time since the traumatic injury occurs to the start of treatment is essential to avoid serious complications. Among the most common causes of vascular injury are road accidents, domestic, work ... Besides, they can manifest as spider veins, varicose veins, or telangiectasias, but the most important common symptom is bleeding. Diagnosis is crucial to perform physical and complementary examinations and assess the condition of the patient to rule out other associated injuries such as chest, abdominal or skull-brain. It is also very important to maintain the vital functions of the patient and stop the bleeding with medical or surgical treatment. ...

Vascular malformations

It's a birthmark or a congenital malformation that is made up of veins, capillaries, arteries and lymph vessels. There are different types of vascular malformations that differ in function of the affected blood vessel. Are persententes from birth and increase its size parallel to the birth of the child. ...

Vasculitis

  Vasculitis means inflammation of blood vessels. It can affect both arteries and veins. For inflammation affect the second called phlebitis, whereas if the damage is in the arteries is called arteritis. The classification of these clinical pictures is performed according to the size of the affected vessel, the severity of lesions, the type and the cause infiltration process. The causes of vasculitis can be infectious, immunologic or cause, often for no apparent reason. Clinical manifestations appear depending on the location of the affected vessel: a cutaneous level (ulcers), kidney and genital level (hypertension), a neurological level (headaches), and bone and joint or muscle level (joint pain). In any case, treatment should be swift and adapted to each pathology and patient. ...

Venous insufficiency

  It means venous insufficiency difficulties in the venous return of blood flow through the veins, either by the presence of a stenosis in the vessel, by an insufficiency of valves therein, or because they have lost the elasticity of its walls, expanding and leading to varicose veins. Risk factors that predispose to this disease are obesity, age, genetic factors, multiple pregnancies, remain standing long hours ... Venous insufficiency is manifested by symptoms such as itching, redness of the skin at the ankles and distal part of the foot, swelling, discoloration in the area, superficial varicose veins and leg ulcers, among others. Treatment consists of the use of elastic stockings and avoid spending long hours in one position, and other factors that predispose to its formation. If these measures prove insufficient, the drug treatment will be necessary and / or surgery. ...

Venous ulcer

  Venous ulcers arise after a skin lesion produced in the long wall of a varicose vein venous blood stagnation or insufficient nutrition of the skin. The most common cause in adults is venous insufficiency usually affects the inside of the leg, while arterial ulcers often affect the external side. To prevent their occurrence is important taking preventive measures, especially those with a predisposition to dilated veins: make a careful foot care, maintain extreme cleanliness, ensuring good skin hydration ... The ulcer treatment once formed will depend upon the case, but will usually indicated reduce edema or swelling that cause and the pressure in the veins. Moreover, it should protect the area with a bandage to prevent infection, which should be treated with antibiotics. ...

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