Peripheral Venous Disease
The diagnosis and management of lower limb venous disease is the least understood of vascular issues. Determining exactly which veins are incompetent, their size, communications, and any anomalies is extremely important. Examination of the valve mechanism and individual cusps is also critical. This highly specialised assessment is not performed in general Radiology practices.
All patients require colour duplex ultrasound and photoplythysmography to determine anatomy and overall venous function. Primary varicose veins may also be difficult to manage. Simple stripping procedures are not the optimal management option in mild varicose veins as reparative techniques that restore valvular competence are superior both physiologically and in relation to recurrence rates (5%-10% at 10 years) when compared with stripping (10 -15%). The treatment of recurrent varicose veins with multiple small, fragile vessels has long been the bane of many a surgeon. Ultrasound Guided Sclerotherapy (UGS) using foam is a straightforward procedure performed in our facility to treat varicose veins. It is a simple solution for a difficult problem, requires no anaesthetic and is completed in 30 minutes.
In the management of Deep Vein Thrombosis, it is important to note that not all patients require formal anticoagulation. Conversely, with more significant problems, Urokinase, Inferior Vena Cava filters or surgery may be required. The correct diagnosis of Superficial Thrombophlebitis and its proximal extent is also important as it can mean the difference between simple medical management and urgent surgical intervention to reduce the risk of pulmonary embolus.
Indications:
- Aching Legs, Pain & Tenderness
- Burning Foot Syndrome
- Compartment Syndrome
- Deep Vein Thrombosis (Acute and Serial Assessment Post Anticoagulation)
- Klippel-Trenaunay Syndrome
- Pigmentation
- Pre Operative Vein Marking
- Pre-operative Orthopaedic Surgery DVT Risk Assessment
- Pre Sclerotherapy Assessment
- Post Phlebitic Syndrome
- Recurrent Cellulitis
- Restless-Leg Syndrome
- Superficial Thrombophlebitis
- Swollen Limb
- Ulceration
- Varicose Veins
Patient Preparation:
Patients should not wear any compression stockings or bandages for 6 hours beforehand and should avoid using cosmetics or moisturisers on their legs. Please note, patients are required to stand for this procedure.
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