Venous Vascular Disorders Treatment in Israel

What are the treatment options for venous vascular disorder?

Treatment options for venous vascular disorder includes compression stockings, surgery or endovenous therapy. Compression stockings are the cornerstone of the treatment of venous insufficiency. Other options are:

Sclerotherapy: A sclerosing substance is injected directly into the varicose veins that make them collapse.

Endovenous laser therapy (EVLT): It uses high-frequency radio waves or laser that produces local heat in the affected vein and destroy it.

Radiofrequency ablation (RFA): In this technique a special radiofrequency catheter is passed from the knee to the groin which carry out controlled thermal injury to the targeted vein resulting in its shrinkage.

Surgical option is required in less than 10% of the patients. It is commonly in those with discomfort or ulcers refractory to medical management. It includes ligation and stripping, vein bypasss, phlebectomy or Subfascial endoscopic perforator surgery (SEPS) in which endoscopic techniques are used to find and ligate perforating veins. In case of congenital absence of functional valve valvuloplasty is done.

What is the success rate of vascular surgery for venous vascular disorders treatment?

Subfascial endoscopic perforator surgery (SEPS) has a recurrence rate of 3% in ulcer cases with lesser morbidity than that of traditional surgical techniques.

RFA has very good recovery rate. Valvuloplasty may be associated with postoperative deep venous thrombosis. When associated with perforating vein ligation it has a good outcome. EVLT has excellent long term results with low associated complications.