In May 2019 the Australasian College of Phlebology conference was in Cairns and guest speakers were invited from all around the world.

Dr Lowell Kabnick from the USA and the Immediate Past President of the American Venous Forum informed us that not one person in the USA had their varicose veins treated by conventional surgical stripping in 2018.

Surgical stripping of varicose veins has been superceded by newer technologies such as endothermal venous ablation, endovenous cyanoacrylate closure (Glue) and ultrasound guided sclerotherapy which are now considered best practice.

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60 yr old lady with skin damage from refluxing Great saphenous vein.

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Treatment:

Endovenous Laser Ablation and U

ltrasound Guided Sclerotherapy.

Not hospitalized - Treated as an outpatient.

Appearance at Six months post treatment.

Posted
AuthorNicholas Kemp
CategoriesVaricose Veins

Spider veins often cause concern because of their unsightly appearance if they become extensive. They can occur anywhere on the body but are most frequently seen on the legs. Telangiectasia is the medical term for spider veins. Incompetent feeder veins or reticular veins deeper under the skin causing “backwash” of blood back into the skin are the usual cause.

Gold standard treatment is sclerotherapy. Vascular laser is rarely indicated for the treatment of telangiectasia on the legs.

However for the treatment of varicose veins Endovascular laser is often the first step in treatment.

Sclerotherapy usually requires a number of sessions for optimal results.

Before

Before

After. At 3 months. Sclerotherapy 2 treatments.

After. At 3 months. Sclerotherapy 2 treatments.

Before

Before

After. 6 Months Sclerotherapy 4 sessions.

After. 6 Months Sclerotherapy 4 sessions.

Before

Before

After - 3 months. Sclerotherapy 2 treatments

After - 3 months. Sclerotherapy 2 treatments

Posted
AuthorNicholas Kemp

Normal circulation involves blood carrying oxygen being pumped from the heart into the tissues via arteries and then returning de-oxygenated blood carrying other waste products from the tissues back to the heart through the veins. Your arteries might be in good health but if your veins are not working properly and leaking back into the tissues due to varicose veins then in the long term tissue damage to your lower legs can occur leaving you at risk of varicose leg ulcers later in life.  

Walking compresses the deep veins in the leg muscles and this pumps the blood out of the legs. This is the most important mechanism to improve clearance of venous blood out of the legs. If you sit on an aeroplane for a long flight you might be aware of some ankle swelling because you haven’t been walking.

People with venous disease will often find relief from their swollen feet and ankles and alleviation of tired and aching legs by elevating their legs at the end of the day.

There are many and varied medications and devices marketed as circulation boosters (e.g. the brand Revitive).   Medical Graduated Compression Stockings have Evidence Based Medicine to support their use to improve leg vein circulation and improve leg vein health.  

But these methods only provide temporary relief and do not prevent tissue damage from occurring in the long term. An Ultrasound investigation can establish if your aching or swollen legs are caused by poor venous circulation. 

The price of the initial consultation at our Vein Clinic in Brisbane and Toowoomba includes a venous duplex ultrasound examination for which there is a medicare rebate. 

Posted
AuthorNicholas Kemp

If you are at all worried about your leg health or are in pain, winter is a great time to book in at our leg vein clinic for a initial consultation. You will receive a complete medical examination and ultrasound investigation on your legs, I will discuss the findings with you and the best course of action. From there you will have a treatment plan is put together outlining all costs and any Medicare and health fund rebates.   

Most patients require multiple sessions, usually over a few months in order to achieve optimal results. From start to finish you will be taken care of by me (Dr Nicholas Kemp) and we also offer complementary post treatment reviews for a year in order to ensure procedures are fully successful and that you are happy with the results.

Booking in advance offers you the freedom to choose treatment days and accommodate work and family commitments. At The Leg Vein Doctor after-hours sessions are particularly popular as the nature of our treatments means there is NO downtime and you can go straight back to work or home to cook dinner for your family!

Modern varicose vein treatments are designed to be walk-in walk-out and this is the model that has practiced in Europe and the United States for many years. General anesthetics are discouraged because they prevent a patient from being mobile following a procedure, therefore putting them at greater risk of  DVTs.  Not to mention the inconvenience of not being able to drive and requiring someone to collect you from the hospital.

Early booking also allows you to complete your treatment before it gets hot, which is most patients preference as the compression stockings can be hidden under trousers or worn as tights (black available). Perhaps most importantly it means your legs will be ready for the beach before the next heatwave.

Call our friendly receptionists at our varicose vein clinic on 37209912 to book an appointment for Brisbane or Toowoomba. 

Source: Brisbane Body Expert

Venaseal is one of two types of Glue now available in Australia for the treatment of varicose veins. Venaseal is N-butyl cyanoacrylate which is similar to superglue. 

Venaseal treatment may also be referred to as 

  • Endovenous adhesive ablation
  • Cyanoacrylate adhesive ablation
  • Cyanoacrylate embolization

These images show the degree contraction of the saphenous vein one week after insertion of Venaseal.

Posted
AuthorNicholas Kemp
CategoriesVaricose Veins

Venaseal® and Venablock® are two new cyanoacrylate glue products which have now been approved for use in the treatment of varicose veins. Several peer reviewed randomized controlled studies now support the use of glue in terms of safety and efficacy. Glue has been widely used for nearly 40 years for treating of other medical conditions such as vascular malformations. Millions of patients have been treated with glue and there is no record of an increased risk of cancer.

Advantages of glue

  • High degree of safety. Theoretically no risk of injury to nerves or arteries or lymphatics.
  • Minimal discomfort. Just one injection of local anaesthetic for insertion of the catheter.
  • Relatively quick procedure.
  • No compression stockings. Walk straight out and resume normal activities.
  • Next to no discomfort following the procedure (except inflammation on occasions)
  • Success rates equivalent to endovenous thermal ablation (Laser and Radiofrequency).

Disadvantages

  • Does not treat superficial varicose veins – only treats underlying refluxing veins such as incompetent saphenous veins which are the cause of superficial varicose veins.
  • Complementary treatment with sclerotherapy or phlebectomy is required to treat surface varicose veins - same limitations as endovenous laser and radiofrequency ablation.
  • Inflammation (phlebitis) can sometimes occur.
Posted
AuthorNicholas Kemp
CategoriesVaricose Veins