CHRONIC VENOUS DISEASE, AN ANTISETIC DISEASE
Chronic venous disease is a pathology that affects 25% of the western adult population. According to the latest studies, varicose veins, its most paradigmatic manifestation, affects more than 60% of the Spanish population.
However, they are not only an aesthetic problem, but also produce physical and emotional limitations in patients. The complications derived from chronic venous disease can be relatively mild, such as the appearance of ulcers or superficial thrombophlebitis, but also potentially serious, such as deep vein thrombosis and its complication with higher morbidity and mortality, pulmonary thromboembolism.
Our mission is twofold. On the one hand, treating a disease, and on the other, making the physical signs of it disappear, the unsightly varicose veins and spider veins, returning to the person the perception of health in their legs. For this we have two weapons: on the one hand, the latest technology and the latest advances in the treatment of varicose veins on the market, including the latest generation laser platforms and the use of microfoam in its different varieties; on the other, the most qualified professionals, with years of recognized prestige.
They are intradermal or subdermal venules or capillaries that dilate and acquire a size between 0.1 and 1 mm. They have a tendency to converge and acquire different configurations: arboreal, combed, fanned, plate or tortuous. The phlebectatic crown describes a fanlike pattern of numerous small intradermal veins on the medial or lateral aspect of the ankle and is an early sign of advanced chronic venous disease.
They are subdermal veins located in the reticular dermis, tortuous and bluish in color, with a caliber between 1 and 3 mm, that is, larger than spider veins or telangiectasias and smaller than truncal varicose veins.
Treating the reticular veins is important as they are often the veins that feed the tiny spider veins.
They are dilated subcutaneous veins 3 or more millimeters in diameter, often tortuous. A particular type are recurrent varicose veins, those varicose veins that can appear after several years of varicose vein surgery.
Trunk varicose veins usually drain into major veins, that is, the saphenous trunks or deep veins using perforators. Its treatment requires a previous ultrasound.
Microfoam sclerotherapy consists of the injection into spider veins or varicose veins of a liquid or foam that makes the varicose vein disappear.
To locate these spider veins or telangiectasias, we use a special device that, through the transillumination technique, makes the varicose veins located under the skin evident that are not visible to the naked eye.
Through a perfected technique improved over the years thanks to continuous learning in European and American centers of excellence, we have managed to treat all types of varicose veins without surgery and to be a regional reference for the treatment of small and unsightly spiders. vascular.
VASCULAR LASER AND RADIOFREQUENCY
With the laser we can treat both spider veins and larger varicose veins. The former require the use of a transcutaneous laser, in which a laser light falls on the vascular spider and makes it disappear.
For larger varicose veins, we use endovascular laser and radiofrequency, where a micron-diameter fiber or radiofrequency catheter is inserted into the vein and sclerosus from within. We pride ourselves on being experts in the use of this energy source.
Both endovascular laser and radiofrequency are thermal energies, which differentiates them from other non-thermal endovascular techniques.
The VenaSeal method consists of the endovascular application of a sealant or glue inside the internal saphenous vein.
The advantages are numerous with respect to the rest of techniques that treat the saphenous vein (conventional surgery or saphenectomy, radiofrequency, endovascular laser and ClariVein) since it is totally ambulatory, does not require anesthesia beyond local in the puncture site, they do not occur bruises or stains and above all, you do not need to wear compression stockings, so it is a technique that can be performed at any time of the year. In addition, it is especially indicated for people with restricted leg mobility, due to knee osteoarthritis for example, who are not able to put on compression stockings daily.
MICROSPUMA WITH VARIXIO
The Dr. Valderrama Cardiovascular Clinic becomes one of the first centers in Europe to use the new automatic VARIXIO microfoam preparation system, the most advanced microfoam preparation system available today.
It is a system that eliminates the variability of manual systems, producing a quality microfoam unattainable with the traditional methods used until now.
Its potential advantages are the reduction of the risks of pigmentation, the reduction in the number of sessions necessary to make varicose veins disappear and the greater comfort perceived by the patient during the sessions, preserving, as up to now, the highest standards in terms of safety for the patient by using sterile capsules for the preparation of the product.
Through ultrasound-guided sclerotherapy we use Doppler ultrasound to guide a needle and inject a foam into the vessel. It is used in collateral or truncal varicose veins, where the amount and concentration of the sclerosant make the injection without eco an inappropriate approach that could cause part of the foam to leak into the subcutaneous tissue.
This technique, when indicated, gives exceptional results. It is not painful, therefore does not require anesthesia, it is performed in consultation and the patient goes home living a life without limitations beyond the use of a compression stocking, and surgery can be avoided,
It is known as conventional because the varicose vein operation is the most common treatment among most vascular surgeons and it is the one that has been performed for the longest time. Varicose vein surgery is based on the removal of all visible varicose veins as well as the internal or external saphenous vein. The internal and external saphenous veins are veins located on the surface of the leg and are usually the origin of most varicose veins.
through mini or micro incisions. Phleboextraction of the internal saphenous vein is usually performed with a phleboextractor, a procedure known as "stripping". Flow can also be redirected hemodynamically using the CHIVA technique.
Thanks to our training we can ensure an optimal result in all types of varicose veins, no matter how variegated or tortuous they may be. We systematically ligate the arch of the internal saphenous vein, where it empties into the deep circulation, to prevent subsequent recurrence of varicose veins.