Phlebectomy is a well-established treatment for superficial vein diseases, such as varicose veins, that has been used for many years. This procedure involves the doctor making several small incisions to access the veins, interrupting blood flow and removing small segments of the vein with a surgical hook and under local anesthesia. In a prospective, observational, multicenter report, Bishawi and his collaborators (201) evaluated the effectiveness of a non-tumescent technique using MOCA in selected patients with chronic venous disease of the lower extremities. A systematic review of the evidence reported that the rates of GSV and small saphenous vein (SSV) occlusion observed in endovenous laser therapy studies within 6 months were over 90%. In addition, an UpToDate review of “Sclerotherapy Techniques with Liquid, Foam and Glue for the Treatment of Lower Extremity Veins” (Scovell, 201) states that “cyanoacrylate glue, a system that removes the vein treated with an adhesive agent (VenaSeal)”, has been approved for use in the United States.
In practice, specific treatments are largely based on doctor and patient preferences, along with symptomatology. In the 1990s, sclerosing detergents used to create foam to treat varicose veins and trunk reflux experienced a resurgence that has continued to this day. Todd et al. (201) reported an RCT to determine the efficacy and safety of polidocanol intravenous microfoam in treating symptoms and appearance in patients with incompetent saphenophemoral junction due to reflux from the large saphenous vein or major accessory veins. Using the skin tags as a guide, a small incision is made over the varicosity with a 5.0 mm and 15 degree castor blade (Beaver-Visitec International, Waltham, MA), and a venous hook is used to capture a vein and carry it through the incision. Morrison and colleagues (201) noted that preliminary evidence suggests that CAPE could be effective in treating incompetent GSV.
Before we discuss the main venous treatments available, let's take a closer look at what varicose veins are and how they differ from spider veins. Wilczko et al. (202) state that current treatments for venous disease focus on minimally invasive exclusion of the affected vein. Before modern vein treatments were available, surgery or compression therapy were the only options. Chen and his colleagues (201) observed that veins in the lower extremities are equipped with an efficient wall, contractile vascular smooth muscle (VSM), and competent valves to withstand high venous hydrostatic pressure in the lower limb and allow unidirectional movement of deoxygenated blood to the heart.
Belramman et al. (201) stated that thermal ablation techniques have become the first-line treatment of trunk veins in treating chronic venous disease (CVD).The success rate of ambulatory phlebectomy for treating vein diseases in St. Louis, Missouri is high. Studies have shown that endovenous laser therapy has a success rate of over 90% within 6 months.
Additionally, sclerotherapy techniques such as cyanoacrylate glue have been approved for use in the United States and have been found to be effective in treating varicose veins. Thermal ablation techniques are also commonly used as first-line treatments for trunk veins. Overall, ambulatory phlebectomy is an effective treatment option for varicose veins and other vein diseases in St. Louis, Missouri. It is minimally invasive and has been found to be safe and effective when performed by experienced professionals. At St.
Louis Vein Care, we specialize in ambulatory phlebectomy procedures for treating vein diseases. Our team of experienced professionals has extensive experience performing these procedures with high success rates. We understand how important it is to get relief from your symptoms quickly and safely, which is why we strive to provide our patients with quality care. If you are suffering from varicose veins or other vein diseases in St. Louis, Missouri, contact us today to learn more about our ambulatory phlebectomy services.
We look forward to helping you find relief from your symptoms!.
