A one stop vein shop: the ideal option?
|
|
- Curtis Cooper
- 6 years ago
- Views:
Transcription
1 A one stop vein shop: the ideal option? Professor Alun H Davies Section of Vascular Surgery Imperial College, Charing Cross & St Mary s Hospitals London
2 Conflicts of Interest None to declare
3 Which treatment?
4 Truncal Veins
5 Branch Varicosities Despite adequate treatment superficial varicosities may not resolve The treatment of residual varicosities is currently a matter of debate
6 Phlebectomies Concomitant Delayed One stop treatment Shorter initial procedure Greater anaesthetic requirements Can monitor for varicosity regression Longer procedure Need for secondary procedures? Over-treating patients
7 Recommendations 6/7/8 -Treatment
8 2014
9 Search Outcomes Study Study Type Participants (Simultaneous/ Delayed) Follow Up (weeks) Intervention Anaesthesia Outcomes Measured Carradice (2009) RCT 50 (25/25) 52 EVLA +/Phleb LA Phleb/QOL Theivacumar (2008) RCT 68 (22/46) 12 EVLA +/UGFS LA Phleb/QOL Kim (2009) Case Series 265 (132/133) 104 EVLA +/Phleb GA/LA Phleb Knipp (2008) Case Series 456 (135/321) 28 EVLA +/Phleb GA/LA DVT Puggioni (2009) Case Series 293 (90/203)? EVLA +/Phleb GA/LA DVT Marsh (2010) Case Series 2820 (2470/350) 1 EVLA +/Phleb GA/LA DVT RCT Randomised Controlled Trial. EVLA Endovenous Laser Ablation. Phleb Phlebectomy. UGFS Ultrasound Guided Foam Sclerotherapy. QOL Quality of Life. DVT Deep Venous Thrombosis.
10 Quality of Life Outcomes Two RCTs assessed Aberdeen Varicose Vein Questionnaire scores Scores at 6 weeks Scores at 12 weeks Small but significantly improved QoL with simultaneous phlebectomy within the first 6 weeks of treatment The difference is not maintained at 12 weeks
11 Need for further intervention Two Randomised Controlled Trials Significant trend to favouring combined procedures Total randomised number 118
12 Deep Venous Thrombosis Three studies examined the role of combined phlebectomy and venous ablation in the incidence of DVT Retrospective analyses DVT Deep Venous Thrombosis. EHIT Endovenous Heat Induced Thrombosis Significant difference in favour of delayed phlebectomies in order to prevent DVT DVT rate 0.13% under LA
13 2014
14 2014
15 36% vs 2% RR
16 2014
17 But of those screened and deemed suitable fo entry to the trial over 50% declined the trial as they had a preference for single visit treatment 2014
18 Conclusion There is substantial evidence in favour of combined venous ablation and varicosity treatment at a single treatment.
19 Current Patient Pathway
20 Proposed New Clinic
21 Questionnaire Survey Questionnaire Survey of patients attending Vascular Outpatient Clinic for venous complaint at Charing Cross Hospital Assess patient perception of current varicose vein provision Determine whether patients might be interested in alternative options to reduce waiting times
22 Results 106 patients (62% females) recruited Mean age: 51 ± 15 years (range: years) Most common symptom: Pain/Achiness (73%) Waiting times: O/P Clinic and venous scan: 90% think should be no more than 1 month O/P Clinic and treatment: 85% believed should be within 1 month Patients favoured less appointments Half wanted only 2 appointments 44% thought same day diagnosis and treatment would be ideal
23 Results 106 patients (62% females) recruited Mean age: 51 ± 15 years (range: years) Most common symptom: Pain/Achiness (73%) Waiting times: O/P Clinic and venous scan: 90% think should be no more than 1 month O/P Clinic treatment: 85% believed beclinic within 1 90%and of patients would attend such a Oneshould Stop Vein month Patients favoured less appointments Half wanted only 2 appointments 44% thought same day diagnosis and treatment would be ideal
24 Conclusion Current provision of varicose vein service potentially inadequate and need improvement One Stop clinic model appears to be a preferred option with patients and need exploring further
25 Methods Patients selected from GP referral letters and invited to attend One Stop Clinic Information pack sent: Information about the clinic Information about varicose vein procedures Consent form QoL questionnaires
26 One Stop Vein Clinic SAME DAY DIAGNOSIS & TREATMENT Outpatient Clinic Treatment Venous Duplex
27 Inclusion & Exclusion Criteria Inclusion Criteria Exclusion Criteria Adults > 18 years Unilateral symptoms suggestive of venous disease (from referral letter) Recurrent varicose veins ABPI < 0.8 Current DVT Patients withdrawing their consent Inability to complete questionnaires Currently enrolled in other venous studies
28 Potential Benefits Reduction of waiting time to be seen in clinic Increased satisfaction of patients Sooner improvement in QoL scores for patients Clinic appointment slots could be used for more urgent cases Cost savings to the trust
29 Thank You!
30 Thank You!
31 Thank You!
Conflict of Interest. None
Conflict of Interest None American Venous Forum Guidelines on Superficial Venous Disease TOP 10 GUIDELINES 10. We recommend using the CEAP classification to describe chronic venous disorders. (GRADE 1B)
More informationWHAT ABOUT FOAM SCLEROTHERAPY IN REVAS? Dr O CRETON Ste FOY LES LYON
WHAT ABOUT FOAM SCLEROTHERAPY IN REVAS? Dr O CRETON Ste FOY LES LYON Disclosure of Interest I have the following potential conflicts of interest to report: Consulting: Medtronic WHAT ABOUT REVAS? Source
More informationN.S. Theivacumar, R.J. Darwood, M.J. Gough*
Eur J Vasc Endovasc Surg (2009) 37, 477e481 Endovenous Laser Ablation (EVLA) of the Anterior Accessory Great Saphenous Vein (): Abolition of Sapheno-Femoral Reflux with Preservation of the Great Saphenous
More informationAmbulatory Varicosity avulsion Later or Synchronised (AVULS): A Randomised Clinical Trial
MiniAbstract Ambulatory Varicosity avulsion Later or Synchronised (AVULS): A Randomised Clinical Trial Tristan R A Lane 1, Damian Kelleher 2, Amanda C Shepherd 1, Ian J Franklin 1,3 and Alun H Davies 1
More informationVein Disease Treatment
MP9241 Covered Service: Yes when meets criteria below Prior Authorization Required: Yes as indicated in 2.0, 3.0, 4.0 and 5.0 Additional Information: None Prevea360 Health Plan Medical Policy: Vein disease
More informationEndo-Thermal Heat Induced Thrombosis (E-HIT)
Endo-Thermal Heat Induced Thrombosis (E-HIT) Michael Ombrellino MD FACS The Cardiovascular Care Group Clinical Associate Professor of Surgery Rutgers School of Medicine Objectives: What is E-HIT? How do
More informationThermal Techniques: Outcomes and Complications
Thermal Techniques: Outcomes and Complications Meet The Experts: Thermal and Non-Thermal Ablation Techniques Joseph D. Raffetto MD VA Boston HCS, West Roxbury, MA, Harvard Medical School, Boston, MA; Brigham
More informationPerforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015
Perforators: When to Treat and How Best to Do It? Eric Hager, MD September 10, 2015 Anatomy of Perforating veins Cadaveric studies 1 have shown >60 vein perforating veins from superficial to deep Normal
More informationEndovenous Laser Ablation (EVLA) to Treat Recurrent Varicose Veins
Eur J Vasc Endovasc Surg (2011) 41, 691e696 Endovenous Laser Ablation (EVLA) to Treat Recurrent Varicose Veins N.S. Theivacumar, M.J. Gough* Leeds Vascular Institute, The General Infirmary at Leeds, Great
More informationThe Early Venous Reflux Ablation (EVRA) ulcer study
The Early Venous Reflux Ablation (EVRA) ulcer study MS Gohel, F Heatley, X Liu, A Bradbury, R Bulbulia, N Cullum, DM Epstein, I Nyamekye, KR Poskitt, S Renton MS, J Warwick, AH Davies on behalf of the
More informationLe varici recidive Recurrent varices: how to manage them?
Le varici recidive Recurrent varices: how to manage them? Marianne De Maeseneer MD PhD, Vascular Surgeon Department of Dermatology, Rotterdam, Netherlands & Faculty of Medicine and Health Sciences University
More informationNew Guideline in venous ulcer treatment: dressing, medication, intervention
New Guideline in venous ulcer treatment: dressing, medication, intervention Kittipan Rerkasem, FRCS(T), PhD Department of Surgery Faculty of Medicine Chiang Mai University Topic Overview venous ulcer treatment
More informationLong-term follow up for different varicose vein therapies: is surgery still. the best?
Long-term follow up for different varicose vein therapies: is surgery still the best? Mr Roshan BOOTUN [BSc, MBBS, MRCS] Clinical Research Fellow in Vascular Surgery Professor Alun H. DAVIES [BA, BM BCh,
More informationTREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY
TREATMENT OPTIONS FOR CHRONIC VENOUS INSUFFICIENCY TL LUK Consultant Vascular Surgeon Sarawak General Hospital HKL Vascular Conference 19/06/2013 PREVALENCE OF LOWER LIMB VENOUS DISEASE Affects half of
More informationClinical case. Symptomatic anterior accessory great saphenous vein (AAGSV) reflux
Clinical case Symptomatic anterior accessory great saphenous vein (AAGSV) reflux A 70 year-old female presents with symptomatic varicose veins on left leg for more than 10 years. She complains of heaviness,
More informationHow to choose which treatment method(s) to use for a particular varicose veins patient ESTABLISHING A TREATMENT PLAN.
How to choose which treatment method(s) to use for a particular varicose veins patient ESTABLISHING A TREATMENT PLAN Surgeon Dr G Mark Malouf Sydney Australia Following History and Physical examination
More informationVaricose Vein Surgery
What are varicose veins? Varicose veins are enlarged and twisted veins in your leg. Varicose veins are common, affecting up to 3 in 10 people. Varicose veins tend to run in families and are made worse
More informationInfluence of Warfarin on the Success of Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein (GSV)
Eur J Vasc Endovasc Surg (2009) 38, 506e510 Influence of Warfarin on the Success of Endovenous Laser Ablation (EVLA) of the Great Saphenous Vein (GSV) N.S. Theivacumar, M.J. Gough* Leeds Vascular Institute,
More informationLondon Choosing Wisely. Draft Policy Template: Varicose Veins. Version Date Notes. Draft for T&F 1 25/04/18 Initial Draft
London Choosing Wisely Draft Policy Template: Varicose Veins Version Date Notes Draft for T&F 1 25/04/18 Initial Draft Revised version post T&F 1 15/05/18 Revised version 07/06/18 Revised version 25/06/18
More informationPriorities Forum Statement
Priorities Forum Statement Number 9 Subject Varicose Vein Surgery Date of decision September 2014 Date refreshed March 2017 Date of review September 2018 Relevant OPCS codes: L841-46, L848-49, L851-53,
More informationQuality of Life Evaluation and Chronic Venous Disease: How to carry this out during our daily practice? Armando Mansilha MD, PhD, FEBVS
Quality of Life Evaluation and Chronic Venous Disease: How to carry this out during our daily practice? Armando Mansilha MD, PhD, FEBVS Faculty Disclosure Armando Mansilha I have no financial relationships
More informationVaricose veins. Information for patients Sheffield Vascular Institute
Varicose veins Information for patients Sheffield Vascular Institute You have been diagnosed as having varicose veins. This leaflet explains more about varicose veins and answers some of the most frequently
More informationThe role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
More informationTable VIII. OS versus EVLA. New article
Table VIII. OS EVLA. New article Operative procedure OS EVLA for for GSV or SSV incompetence Reference Abstracts corresponding to references can be found using the listing RCTs by alphabetical order or
More informationPATIENT STUDY INFORMATION LEAFLET
PATIENT STUDY INFORMATION LEAFLET BOOKLET 1 You are invited to take part in this research study. Before you decide, it is important for you to understand why the research is being done and what it will
More informationPATIENT STUDY INFORMATION LEAFLET
PATIENT STUDY INFORMATION LEAFLET BOOKLET 1 You are invited to take part in this research study. Before you decide, it is important for you to understand why the research is being done and what it will
More informationLINC, Christine Teichert, MD University Medicine of Rostock, Dept. of diagnostic and interventional radiology, Germany
Comparison of the efficacy, safety, the primary and secondary technical success of the endovenous nonthermal, tumescensless mechanochemical ablation of varicose veins with the subjective outcome using
More informationRecurrent varicose veins. Information for patients Sheffield Vascular Institute
Recurrent varicose veins Information for patients Sheffield Vascular Institute You have been diagnosed as having varicose veins that have recurred (come back). This leaflet explains more about recurrent
More informationMedicare C/D Medical Coverage Policy
Varicose Vein Treatment Medicare C/D Medical Coverage Policy Origination Date: June 1, 1993 Review Date: February 15, 2017 Next Review: February, 2019 DESCRIPTION OF PROCEDURE OR SERVICE Varicose veins
More informationKathleen Gibson, MD FACS Lake Washington Vascular Surgeons, Bellevue, WA, USA
Cyanoacrylate Closure of Incompetent Great, Small and Accessory Saphenous Veins without the use of Post-Procedure Compression: Post-Market Evaluation of the VenaSeal System (WAVES trial): 12 Month Data
More informationN.S. Theivacumar, R. Darwood, M.J. Gough* KEYWORDS Neovascularisation; Recurrence; Varicose vein; EVLA; Sapheno-femoral junction; GSV
Eur J Vasc Endovasc Surg (2009) 38, 203e207 Neovascularisation and Recurrence 2 Years After Varicose Vein Treatment for Sapheno-Femoral and Great Saphenous Vein Reflux: A Comparison of Surgery and Endovenous
More informationClosurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results
Closurefast radiofrequency ablation for the treatment of GSV: Technique and outcome results Stephen Black Consultant Vascular Surgeon Clinical Lead for Venous and Lymphoedema Surgery Guy s and St Thomas
More informationOHTAC Recommendation. Endovascular Laser Treatment for Varicose Veins. Presented to the Ontario Health Technology Advisory Committee in November 2009
OHTAC Recommendation Endovascular Laser Treatment for Varicose Veins Presented to the Ontario Health Technology Advisory Committee in November 2009 April 2010 Issue Background The Ontario Health Technology
More informationAre there differences in guidelines for management of CVD between Europe and the US? Bo Eklöf, MD, PhD Lund University Sweden
Are there differences in guidelines for management of CVD between Europe and the US? Bo Eklöf, MD, PhD Lund University Sweden Disclosures No disclosures Five sources for comparison SVS/AVF US guidelines
More informationKathleen Gibson, MD. Lake Washington Vascular Surgeons Bellevue, WA
Cyanoacrylate Closure of Incompetent Great, Small and Accessory Saphenous Veins without the use of Post-Procedure Compression: a Post-Market Evaluation of the VenaSeal System (WAVES trial): Three Month
More informationComparison of Monopolar and Segmental Radiofrequency Ablation in the Treatment of Lower Limb Chronic Venous Insufficiency
ARC Journal of Surgery Volume 4, Issue 3, 218, PP 5-1 ISSN 2455-572X DOI: http://dx.doi.org/1.2431/2455-572x.432 www.arcjournals.org Comparison of Monopolar and Segmental Radiofrequency Ablation in the
More informationWhy Tumescent-Free Therapy Will Replace RF and Laser
C SCOTT MCENROE Medical Director Vein Center of Virginia Sentara Medical Group April 27, 2018 Why Tumescent-Free Therapy Will Replace RF and Laser History of Venous Surgery 1950 s GSV/SSV stripping became
More informationThe role of new reflux of accessory veins in clinical recurrence of varicose veins after endovascular laser ablation (EVLA)
Cyprus Society of Vascular and Endovascular Surgery The role of new reflux of accessory veins in clinical recurrence of varicose veins after endovascular laser ablation (EVLA) Toursidis Achilleas, MD,
More informationAppendix 7c Varicose Veins Task and Finish Group meeting, 3 May 2018 Notes of key discussion points
Appendix 7c Varicose Veins Task and Finish Group meeting, 3 May 2018 Notes of key discussion points Task and Finish Group members Attendees: Stella Vig Vascular Consultant Surgeon & Clinical SWL Director
More informationManagement of Side Branches and Perforating Veins
Management of Side Branches and Perforating Veins T. Noppeney Center for Vascular Diseases: Outpatient Dept. Obere Turnstrasse, Dept. for Vascular Surgery Martha-Maria Hospital (Academic Teaching Hospital
More informationCOMMISSIONING POLICY
Ref No. 1a7.5 COMMISSIONING POLICY Surgery for venous disease of the leg (Varicosities of the Long Saphenous Vein) April 2011 CONTENTS Section Page Summary 2 1. Background 2 2. Criteria for eligibility
More informationPioneers in venous surgery
Pioneers in venous surgery THE HOME OF KEYHOLE VARICOSE VEIN SURGERY thewhiteleyclinic.co.uk ONE CHAPEL PLACE LONDON W1 about us at the forefront The Whiteley Clinic introduced non-surgical varicose vein
More informationThe Management of Stasis Dermatitis and Chronic Venous Insufficiency in Patients Refractory to Conservative Therapies
Article The Management of Stasis Dermatitis and Chronic Venous Insufficiency in Patients Refractory to Conservative Therapies Kareem Halim, 1,2, * Mark J. McElroy, 1 and John A. Lewis 3 1 Havard Medical
More informationSingle-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins
VASCULAR Ann R Coll Surg Engl 2014; 96: 279 283 doi 10.1308/003588414X13814021679474 Single-visit endovenous laser treatment and tributary procedures for symptomatic great saphenous varicose veins LS Alder,
More informationChronic Venous Insufficiency Compression and Beyond
Disclosure of Conflict of Interest Chronic Venous Insufficiency Compression and Beyond Shawn Amyot, MD, CCFP Fellow of the Canadian Society of Phlebology Ottawa Vein Centre I do not have relevant financial
More informationWhich place for liquid sclerotherapy? Eberhard Rabe Department of Dermatology University of Bonn Germany
Which place for liquid sclerotherapy? Eberhard Rabe Department of Dermatology University of Bonn Germany Liquid Foam or GSV, foam / liquid sclerosant n diameter[mm] Follow up effectivity Hamel Desnos 2003
More informationRecurrent Varicose Veins We All See Them
We All See Them November 4, 2017 Austin, TX Arlington Heights, IL No conflicts Terminology REVAS REcurrent Varices After Surgery PREVAIT PREsence of Varices After Interventional Treatment Recurrent varices
More informationSetting The setting was an outpatient clinic. The economic study was carried out in the UK.
Ultrasound-guided foam sclerotherapy combined with sapheno-femoral ligation compared to surgical treatment of varicose veins: early results of a randomised controlled trial Bountouroglou D G, Azzam M,
More informationVaricose Vein Cyanoacrylate Glue treatment
The South West s premier independent healthcare and cosmetic clinic Varicose Vein Cyanoacrylate Glue treatment Varicose veins are a sign of underlying venous insufficiency and affect 20 30% of adults.
More informationChronic venous leg ulcers: Effects of foam sclerotherapy on healing and recurrence
Original Article Chronic venous leg ulcers: Effects of foam sclerotherapy on healing and recurrence Phlebology 2016, Vol. 31(1) 34 41! The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalspermissions.nav
More informationEndovenous laser obliteration for the treatment of primary varicose veins Vuylsteke M, Van den Bussche D, Audenaert E A, Lissens P
Endovenous laser obliteration for the treatment of primary varicose veins Vuylsteke M, Van den Bussche D, Audenaert E A, Lissens P Record Status This is a critical abstract of an economic evaluation that
More informationComplications of endovenous lasers
Review article Complications of endovenous lasers D Dexter, L Kabnick, T Berland, G Jacobowitz, P Lamparello, T Maldonado, F Mussa, C Rockman, M Sadek, L E Giammaria and M Adelman New York University Medical
More informationAdditional Information S-55
Additional Information S-55 Network providers are encouraged, but not required to participate in the on-line American Venous Forum Registry (AVR) - The First National Registry for the Treatment of Varicose
More informationAbstracts Vaeshartelt 14 mei 2011 Résumés Vaeshartelt mai 2011
Abstracts Vaeshartelt 14 mei 2011 Résumés Vaeshartelt mai 2011 1. Treatment of ileofemoral venous occlusive disease: clinical experience M. de Wolf, MD 1 ; J. Grommes, MD 2 ; C. Arnoldussen, MD 3 ; R.
More informationPROVIDER POLICIES & PROCEDURES
PROVIDER POLICIES & PROCEDURES TREATMENT OF VARICOSE VEINS OF THE LOWER EXTREMITIES STAB PHLEBECTOMY AND SCLEROTHERAPY TREATMENT The primary purpose of this document is to assist providers enrolled in
More informationVaricose Veins. National Clinical Guideline Centre. Appendices A-O. Appendices. 12th February Varicose Veins Appendices
National Clinical Guideline Centre Varicose Veins Appendices Varicose Veins Appendices A-O Appendices Methods, evidence and recommendations th February 03 Draft for consultation Commissioned by the National
More informationCompression after sclerotherapy and endovenous ablations, the Italian point of view
Compression after sclerotherapy and endovenous ablations, the Italian point of view Fabrizio Mariani Siena (Italy) General Secretary "Multidisciplinary Joint Committee in Phlebology" - UEMS (EU) General
More informationSurgery or combined endolaser ablation and sclerotherapy for varicose veins, a new trend in a developing country (Iraq); a cohort study
Surgery or combined endolaser ablation and sclerotherapy for varicose veins, a new trend in a developing country (Iraq); a cohort study Bashar Hanna Azar (1) Ashur Yohanna Izac Oraha (2) Emad Abdulrahman
More informationDate: A. Venous Health History Form. Patient please complete questions Primary Care Physician:
E S Insurance: 2 nd Insurance: Wait time: Date: A. Venous Health History Form Patient please complete questions 1-12 Patient Name: SSN#: Date of Birth: Primary Care Physician: What is the reason for your
More informationCriteria For Medicare Members. Kaiser Foundation Health Plan of Washington
Clinical Review Criteria Treatment of Varicose Veins Radiofrequency Catheter Closure Sclerotherapy Surgical Stripping Trivex System for Outpatient Varicose Vein Surgery VenaSeal Closure System VNUS Closure
More informationTable XI. Reference Abstracts corresponding to references can be found using the listing RCTs by alphabetical order or RCTs by topic.
Table XI. Operative procedure EVLA with different wavelengths HL+ EVLA EVLA without HL EVLA GSV ablation AK GSV ablation AK+BK Reference Abstracts corresponding to references can be found using the listing
More informationVaricose Veins Operation. Patient Information Leaflet
Varicose Veins Operation Patient Information Leaflet April 2017 1 WHAT IS VARICOSE VEIN SURGERY (HIGH LIGATION AND MULTIPLE AVULSIONS) The operation varies from case to case, depending on where the leaky
More informationCurrent Management of Varicose Veins
Current Management of Varicose Veins Michael J. Heidenreich, MD St. Joseph Mercy Hospital Ann Arbor, MI March 23, 2013 Nothing to disclose History Prevalence Anatomy Risk factors Clinical manifestations
More informationSuperficial Thrombophlebitis Treatment Guideline Review
Superficial Thrombophlebitis Treatment Guideline Review Suman M. Wasan, MD, MS Regents Professor Director, Vascular Medicine College of Medicine University of Oklahoma Health Sciences Center Disclosure
More informationNon-Saphenous Vein Treatments. Jessica Ochs PA-C Albert Vein Institute Colorado Springs and Lone Tree, CO
Non-Saphenous Vein Treatments Jessica Ochs PA-C Albert Vein Institute Colorado Springs and Lone Tree, CO I have no financial disclosures Types of Veins Treated Perforator Veins Tributary Veins Varicose
More informationClariVein Õ Early results from a large single-centre series of mechanochemical endovenous ablation for varicose veins
Original Article ClariVein Õ Early results from a large single-centre series of mechanochemical endovenous ablation for varicose veins Phlebology 2017, Vol. 32(1) 6 12! The Author(s) 2016 Reprints and
More informationWhat can we learn from randomized trials comparing endovenous and open surgery for primary varicosis? an overview Prof. Dr. Thomas M.
What can we learn from randomized trials comparing endovenous and open surgery for primary varicosis? an overview Prof. Dr. Thomas M. Proebstle Department of Dermatology, University Medical Center Mainz,
More informationDate: A. Venous Health History Form. Patient please complete questions Primary Care Physician:
E S Insurance: 2 nd Insurance: Wait time: Date: A. Venous Health History Form Patient please complete questions 1-12 Patient Name: SSN#: Date of Birth: Primary Care Physician: What is the reason for your
More informationTreatment of Varicose Veins
Treatment of Varicose Veins Policy Number: Original Effective Date: MM.06.016 04/15/2005 Line(s) of Business: Current Effective Date: PPO; HMO; QUEST Integration 09/28/2018 Section: Surgery Place(s) of
More informationDisclosures. What is a Specialty Vein Clinic? Prevalence of Venous Disease. Management of Venous Disease: an evidence based approach.
Management of Venous Disease: an evidence based approach Disclosures Ed Boyle, MD Andrew Jones, MD Dr. Ed Boyle and Dr. Andrew Jones disclose Grants/research support: Medtronic, BTG International, Clearflow,
More informationEpidemiology: Prevalence
Epidemiology: Prevalence More than 30 million Americans suffer from varicose veins or a more serious form of venous disease called Chronic Venous Insufficiency (CVI). 1 Of the over 30 million Americans
More informationEndovenous Thermal vs. Endovenous Chemical Ablation What is the Best for the Patient
Endovenous Thermal vs. Endovenous Chemical Ablation What is the Best for the Patient T. Noppeney, J. Noppeney Center for Vascular Diseases: Outpatient Dept. Obere Turnstrasse, Dept. for Vascular Surgery
More informationDr Peter Chapman-Smith
Dr Peter Chapman-Smith Phlebologist NZ Stem Cell Treatment Centre, Whangarei 12:00-12:30 Healing Those Heartsink Leg Ulcers Healing Those Heartsink Leg Ulcers Practice Nurses Presentation GPCME Christchurch
More informationVaricose veins that develop due to chronic venous insufficiency
Diagn Interv Radiol 2012; 18:594 598 Turkish Society of Radiology 2012 INTERVENTIONAL RADIOLOGY ORIGINAL ARTICLE Early clinical improvement in chronic venous insufficiency symptoms after laser ablation
More informationMedical Policy. Description/Scope. Position Statement
Subject: Document #: Publish Date: 12/27/2017 Status: Revised Last Review Date: 05/04/2017 Description/Scope This document addresses various modalities (listed below) for the treatment of valvular incompetence
More information2017 Florida Vascular Society
Current Management of Venous Leg Ulcers: How to Identify Patients with Correctable Venous Disease and Interventional Procedures to Heal and Prevent Recurrence 2017 Florida Vascular Society Bill Marston
More informationVaricose veins in the legs
National Clinical Guideline Centre. Varicose veins in the legs The diagnosis and management of varicose veins Clinical guideline Methods, evidence and recommendations July 203 Final Version Commissioned
More informationThis information is intended as a general guide only. Please ask if you have any questions relating to this information.
Foam Sclerotherapy (Varicose vein injections) Vascular Surgery This information is intended as a general guide only. Please ask if you have any questions relating to this information. Varicose Veins Veins
More informationComplete Evaluation of the Chronic Venous Patient: Recognizing deep venous obstruction. Erin H. Murphy, MD Rane Center
Complete Evaluation of the Chronic Venous Patient: Recognizing deep venous obstruction Erin H. Murphy, MD Rane Center Disclosure Speaker name: Erin H. Murphy... I have the following potential conflicts
More informationDuplex Ultrasound Outcomes following Ultrasound-guided Foam Sclerotherapy of Symptomatic Recurrent Great Saphenous Varicose Veins
Eur J Vasc Endovasc Surg (2011) 42, 107e114 Duplex Ultrasound Outcomes following Ultrasound-guided Foam Sclerotherapy of Symptomatic Recurrent Great Saphenous Varicose Veins K.A.L. Darvall a,b, *, G.R.
More informationLong Term Outcome of Minimally Invasive. of the Lower Limb
Long Term Outcome of Minimally Invasive Treatment for Superficial Venous Insufficiency of the Lower Limb Joseph El-Sheikha Medical Doctorate (MD) Hull York Medical School (HYMS) (University of Hull, University
More informationEndovenous Laser Therapy INFORMATION & TREATMENT INSTRUCTIONS
1324 Princess Street Kingston, ON K7M 3E2 Website: www.ucosmetic.com Email: nuyu@ucosmetic.com Phone: (613) 536-LASR (5277) Fax: (613) 536-5108 Dr. Kim Meathrel, MD, FRCSC, Plastic Surgeon, Associate Professor
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Community Plan Medical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: CS117.N Effective Date: April 1, 2019 Instructions for Use Table
More informationCost-utility analysis of great saphenous vein ablation with radiofrequency, foam and surgery in the emerging health-care setting of Thailand
Original Article Cost-utility analysis of great saphenous vein ablation with radiofrequency, foam and surgery in the emerging health-care setting of Thailand Phlebology 2016, Vol. 31(8) 573 581! The Author(s)
More informationMedStar Health, Inc. POLICY AND PROCEDURE MANUAL Policy Number: MP.066.MH Last Review Date: 11/08/2018 Effective Date: 01/01/2019
MedStar Health, Inc. POLICY AND PROCEDURE MANUAL This policy applies to the following lines of business: MedStar Employee (Select) MedStar CareFirst PPO MedStar Health considers the treatment of Varicose
More informationAl-Metwaly Ragab Ibrahim Vascular Surgery; Al-Azhar faculty of Medicine- New Damietta, Egypt.
International Journal of Basic and applied Sciences. Vol. 4. No. 4. 2015. Pp. 259-264 Copyright by CRDEEP Journals. All Rights Reserved Full Length Research Paper Comparative Study between Endovenous Laser
More informationHEALTH TECHNOLOGY ASSESSMENT
HEALTH TECHNOLOGY ASSESSMENT VOLUME 19 ISSUE 27 APRIL 2015 ISSN 1366-5278 Clinical effectiveness and cost-effectiveness of foam sclerotherapy, endovenous laser ablation and surgery for varicose veins:
More informationAppendix 1 to Direct Vision Sclerotherapy AUSTRALASIAN COLLEGE OF PHLEBOLOGY CLINICAL PROCEDURES. CP Direct Vision Sclerotherapy Clinical procedure
Appendix 1 to Direct Vision Sclerotherapy AUSTRALASIAN COLLEGE OF PHLEBOLOGY CLINICAL PROCEDURES CP Direct Vision Sclerotherapy Clinical procedure 1 PURPOSE This procedure summarises the actions required
More informationLaser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm)
Eur J Vasc Endovasc Surg (2010) 40, 246e253 Laser and Radiofrequency Ablation Study (LARA study): A Randomised Study Comparing Radiofrequency Ablation and Endovenous Laser Ablation (810 nm) S.D. Goode,
More informationPatient assessment and strategy making for endovenous treatment
Patient assessment and strategy making for endovenous treatment Raghu Kolluri, MD Director Vascular Medicine OhioHealth Riverside Methodist Hospital Columbus, OH Disclosures Current Medtronic Consultant/
More informationStarting with deep venous treatment
Starting with deep venous treatment Carsten Arnoldussen, MD Interventional Radiologist Maastricht University Medical Centre, Maastricht VieCuri Medical Centre, Venlo The Netherlands Background Maastricht
More informationOne Stop Prostate Biopsy Protocol Author Consultation Date Approved
One Stop Prostate Biopsy Protocol Author Consultation Date Approved Urology Nurse Practioner PROTOCOL FOR MEN ATTENDING A ONE STOP PROSTATE BIOPSY CLINIC RATIONALE Prostate cancer is the most common cancer
More informationProtocol. This trial protocol has been provided by the authors to give readers additional information about their work.
Protocol This trial protocol has been provided by the authors to give readers additional information about their work. Protocol for: Brittenden J, Cotton SC, Elders A, et al. A randomized trial comparing
More informationThrombosis of the Saphenous Vein Stump after Varicose Vein Surgery
2016 Annals of Vascular Diseases doi:10.300/avd.oa.16-000 Original Article Thrombosis of the Saphenous Vein Stump Varicose Vein Surgery Hiroto Rikimaru, MD, PhD We evaluated thrombus extension in the proximal
More informationMOCA and GLUE: results and analyses of the RCTs
MOCA and GLUE: results and analyses of the RCTs Faculty disclosure Research Grant Medtronic Educational Grant mediusa Speakers Bureau Medtronic Pierre Fabre mediusa Medical Director Morrison Vein/Training
More informationPhlebology. Under Review
Phlebology A Multi-Centre Randomised Controlled Trial comparing radiofrequency and mechanical occlusion chemically assisted ablation of varicose veins Final Results of the Venefit Versus Clarivein for
More informationSURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS
UnitedHealthcare Commercial Medical Policy SURGICAL AND ABLATIVE PROCEDURES FOR VENOUS INSUFFICIENCY AND VARICOSE VEINS Policy Number: 2018T0447V Effective Date: March 1, 2018 Table of Contents Page INSTRUCTIONS
More information