Diagnosis and therapy for venous diseases

The most common venous diseases are varicose veins and thrombosis. Varicose veins can lead to chronic venous insufficiency and phlebitis, thromboses to pulmonary embolisms. Early diagnosis and treatment is crucial to avoid complications.

In our practice, we offer modern diagnostic and treatment procedures for the most common venous diseases. Our minimally invasive varicose vein treatments are all performed on an outpatient basis by our experienced specialist.

Diagnostics

Minimally invasive varicose vein treatments

Therapy of venous thrombosis

Color-coded ultrasound

High-resolution ultrasound methods such as duplex sonography enable detailed visualization of the veins. These methods are non-invasive and reduce the need for X-ray examinations, which reduces radiation exposure. This enables the doctor to obtain a precise overview of the functional condition of the venous system and to precisely localize and document venous thrombosis.

If the situation is unclear, additional functional examinations can be carried out.

Medical treatments

If conservative therapeutic measures such as increased physical activity and wearing compression stockings are not sufficient, a significant reduction in symptoms can often be achieved by means of minimally invasive therapeutic measures.

Endovenous laser ablation (EVLA) is a cornerstone of minimally invasive procedures for the treatment of varicose veins. This method has established itself as a gentle alternative to traditional surgical removal of varicose veins.

Phlebectomy, also known as the hook method, is a minimally invasive procedure for removing side branches of the main veins.

These two methods are often combined with foam sclerotherapy. A special foam containing a sclerosing agent is injected into the diseased vein. This foam displaces the blood from the vein and irritates the vein wall, which leads to a controlled inflammatory reaction. This causes the vein walls to stick together and the vein closes. Over time, the closed vein is broken down by the body and replaced by connective tissue. This can be used to treat remaining branch segments.

 

Cosmetic treatments

Liquid sclerotherapy is an effective and proven method for treating spider veins. A thorough examination should be carried out before treatment to rule out any underlying vein problems. As this is usually a cosmetic treatment, the costs are not usually covered by health insurance.

 

Therapy of venous thrombosis

If there is a deep vein thrombosis in the arm or leg, blood-thinning medication must be started immediately. This can prevent the thrombosis from growing and leading to pulmonary embolisms. Blood-thinning medication also helps to reduce or, ideally, dissolve the clot.

If there is significant swelling, the use of compression stockings may be advisable.

In the case of superficial vein thrombosis (“phlebitis”), it depends on the extent and proximity to the opening into the deep vein system whether anticoagulant medication needs to be used. Local measures such as the use of a cooling gel may be sufficient.