Venous insufficiency should be treated before the varicose veins
TREATMENT OF VENOUS INSUFFICIENCY
Venous insufficiency is the underlying cause of the majority of varicose veins and should be treated before varicose veins. More than 95% of varicose veins are caused by superficial vein insufficiency, and because the superficial veins are the "spare" veins of our legs, their elimination will not be a problem for the leg as long as the deep veins are healthy. In addition, as the task of the incompetent superficial vein has already been imposed on the other vessels by the body, the destruction of these vessels will not cause any circulation problems and on the contrary, the leg circulation will be relieved as leakage will be eliminated. Since incompetent superficial veins are wider and more tortuous than normal, they are not suitable for coronary bypass operations where arteries of the breast and wrist are more preferred today. In conclusion, if deep veins are normal in varicose veins patients, surgical removal or ablation of the incompetent superficial vein will improve the circulation and not cause any health problem.
Minimally invasive treatment of venous incompetence
In the treatment of varicose veins, the current treatment of superficial vein insufficiency, that is, the veins that cause varicose veins by leaking back dirty blood, is to destroy the inner surface of these vessels by various methods. It destroys these damaged veins over time, just as the body destroys a wound by shrinking it, using its natural mechanism. Thus, for example, a large saphenous vein, which is sealed by laser or radiofrequency, becomes invisible even at ultrasound one year after the procedure. That is, in modern venous insufficiency treatment, the superficial veins that leak are destroyed by a pinhole and closed and destroyed by the body in a natural way.
Laser and radiofrequency are the most commonly used methods
Today, heat-based ablations such as laser and radiofrequency are the most commonly performed methods for the treatment of venous insufficiency. Steam ablation also closes the vessels with heat, but is used much less. In the MOCA method, the vein is closed by mechanical and chemical effect and in the Glue method, by injecting an adhesive into the incompetent vein. Each of these methods has its own advantages and disadvantages. What is essential in the treatment of venous insufficiency is the detection of incompetent veins correctly and precisely with color Doppler ultrasound, and careful and accurate treatment by a physician experienced in ultrasound and varicose vein treatments.
In venous insufficiency, the incompetent veins are generally wide and tortuous and thus, not suitable for bypass operations. For such operations, artery of the breast and wrist are more commonly preferred.
In venous insufficiency, the type of the ablation to be used is upto the physician and is not very important. On the contrary, it is very critical that the color Doppler ultrasound be done correctly and the treatment be done by a physician who is experienced on ultrasound and varicose veins.