Venous treatments

Thermal versus non-thermal methods

At the Phlebology Clinic, we use both non-thermal and thermal methods to treat venous disease of the lower limbs. The choice of method or combination of methods (hybrid approach) depends on the individual needs of the patient and the nature of the venous condition.

Varicose veins of the lower limbs - treatment methods

Intravenous laser ablation (EVLA)

Intravenous laser ablation (EVLA) represents the gold standard in the minimally invasive treatment of venous insufficiency. Currently, laser light with a wavelength of 1470 nm is the most effective. It is particularly well absorbed by the water in the vein wall, leading to controlled damage and closure of the vessel lumen.

Laser ablation is performed under tumescent local anaesthesia, under the guidance of high-resolution ultrasound equipment. Modern laser systems with radial fibres The 2-ring ensures an even distribution of energy, minimising the risk of perforation of the vein wall and thermal complications.

The efficacy of EVLA reaches 95-98% in long-term follow-up, making it one of the most reliable treatments for varicose veins. Clinical studies (including those conducted at the Department of Phlebology) have shown that the recanalisation (re-obliteration) rate of closed veins using EVLA is significantly lower than that of classical surgery, vein taping or sclerotherapy. Furthermore, it is possible to repeat the procedure safely in the event of a recurrence of venous disease.

Venous embolisation and its role in causal treatment

Venous embolisation is a breakthrough method for the treatment of pelvic venous insufficiency - the most common cause of venous insufficiency in the lower limbs and the phenomenon causing the symptoms of passive pelvic congestion syndrome and the formation of varicose veins of the intimate area. Embolisation procedures involve the controlled and precise closure of inefficient veins using special coils or obliterating agents, inserted into the vessel lumen under radiological control. In the context of causal treatment, venous embolisation plays a key role in the following clinical situations:

• venous compression syndromes - in combination with venous stenting or venoplasty enables comprehensive treatment of haemodynamic disorders;
• pelvic venous insufficiency due to excessive vasodilatation - by closing the insufficient ovarian and internal iliac veins, it eliminates the source of pathological reflux and overload-induced descending insufficiency;
• recurrent venous disease - allows abnormal venous connections in the pelvis (venous leaks), which are often the cause of recurrences, to be eliminated.

The main advantages of venous embolisation are:

• the possibility of reaching anatomically inaccessible areas of the venous system;
• Highly effective in eliminating the causes of venous reflux;
• the minimally invasive nature of the procedure carried out under shallow sedation;
• rapid return to normal activities (5-10 days).

Price range

Contraindications to intravenous procedures

Before qualifying a patient for intravenous procedures, it should be ruled out:

• active infection in the area of the planned treatment;
• acute deep vein thrombosis;
• severe blood clotting disorders;
• pregnancy in women;
• allergy to the preparations used;
• advanced arteriosclerosis of the lower limbs (may preclude the use of postoperative compression therapy).

At the Phlebology Clinic, each patient undergoes a detailed ultrasound diagnosis of the venous system and a qualifying consultation with a phlebology specialist, during which the most appropriate treatment method is selected, taking into account individual needs and contraindications.