Presentation on theme: "Varicose Veins: More Than Just a Cosmetic Problem"— Presentation transcript:
1 Varicose Veins: More Than Just a Cosmetic Problem Jeffrey Stein, MDCharlotte Radiology Vein and Vascular CenterVascular and Interventional RadiologyCharlotte RadiologyFebruary 8, 2012
2 What are Varicose Veins? abnormally enlarged superficial veinstortuous, twisted, widened or lengthenedbulging under skin surfacedue to a defect in the valves within the veins themselves (venous valve insufficiency)blood pools in sections of the vein causing the vein to bulge and swell
3 What are Varicose Veins? Normal vein:cusps of valves close & prevent backward flow of bloodVaricose vein: cusps cannot close because vein abnormally widened and blood can flow in the wrong direction
4 Introduction may be no symptoms for some a problem in terms of appearancemay result in mild discomfortmay cause severe painmay result in additional medical problems
6 Introduction Telangiectasia, more commonly known as spider veins: Spider veins on the leg usually appear in one of three patterns:simple lineararborizing, which appear branch-likespider, which appear as a cartwheel shape with a dark center point.
7 Incidence and prevalence 15% of males over 1830% of women over 18increases with age, being present in more than half the population by age 6520 Million adults with varicose veins or chronic venous insufficiency (CVI)
8 Risk FactorsGenetics / Hereditary - those with a family history are at greater riskfamily history of varicose veins 15 % of patientsIncreasing AgeGender - women are at greater risk than menrelated to female sex hormones estrogen and progesterone which relax blood vessels, allowing the vein valves to separatepregnancy
9 Risk FactorsObesity- excess weight increases pressure on the saphenous vein valves, causing them to weakenPregnancyvaricose veins may surface for the first time during pregnancyprogesterone smooth muscle relaxationlater in pregnancy the uterus exerts greater pressure on the pelvic and leg veins and may cause or worsen varicose veins
10 Risk FactorsStanding and sitting- those who have jobs that require them to stand or sit for long periods also are at increased riskprolonged standing can weaken the walls of veinsprolonged sitting can aggravate inflamed veins
11 Symptoms pain leg heaviness aching or tension tenderness along the course of a veinburning sensationspruritus / itchingexercise intolerancerestless legsparesthesiasnight crampsedemaskin changes
15 Management of Varicose Veins and Venous Reflux Conservative treatment (will not solve the problem but will help with symptoms):elevationavoid prolonged sitting/standingno leg crossingexerciseweight reductioncompression stocking therapy
17 Management Treatment options: Surgical stripping: old way of removing the vein. Typically required a hospital stay and weeks of recovery time.Injection sclerotherapy: often treats the surface veins, but does not treat the underlying problem.Endovenous laser treatments: much less invasive way of “eliminating” the vein. The procedure seals off the vein while leaving it inside of your leg.
18 Management Benefits of laser treatments vs. traditional stripping: Minimally invasive, in-office treatment alternative to surgical stripping of the great saphenous veinNo sedationMost procedures take less than 30 minutesPatients are able to walk immediately after the procedure and most individuals are able to return to work the next day
19 Ultrasound Evaluation: Before During a consultation, you will meet with the doctor and have an ultrasound to determine which veins are not functioning properly. Your doctor will then discuss your treatment plan and review your insurance requirements. Most procedures are covered by insurance.
20 Varicose Veins: More Than Just a Cosmetic Problem If you are interested in a consult, please give us a call. We accept all major insurances.Southpark: 4525 Cameron Valley ParkwayCharlotte, NC 28211ext. 2220Concord: 212 LePhillip Court NEConcord, NC 28205