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M ANAGEMENT OF  V ARICOSE  V EINS Martin Anthony A. Villa, M.D., P.S.V.S Varicose Vein Clinic N.L. Villa Memorial Medical Center <www.treatmyvaricosevein.com>
[object Object],[object Object]
Prevalence & Incidence of Vascular Disease Sources: American Heart Association, SCVIR, Brand et al.  “The Epidemiology of Varicose Veins: The Framingham Study”
Who’s at risk?
Risk Factors ,[object Object],[object Object],[object Object],[object Object]
How do VV develop? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomy of the Leg VEIN SYSTEM: Deep System Superficial System Perforators
Presentation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Progression ,[object Object],[object Object],[object Object],[object Object],[object Object]
Initial Assessment ,[object Object],[object Object],[object Object]
M ANAGEMENT OF  V ARICOSE  V EINS Medical Treatment Weight control Compression stockings Leg elevation Leg elevation Avoid very tight garment Interventional treatment Endovenous ablation Microphlebectomy Sclerotherapy Vein stripping Superficial laser beam
The High Ligation The Vein Stripping Treatment: Vein Stripping  and Ligation
[object Object],[object Object],[object Object],[object Object],[object Object],Treatment: Vein Stripping  and Ligation
Treatment: Endovenous  Ablation  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Under local anesthesia, a catheter is inserted into the vein.  The laser/ RF fiber is passed through the catheter to the top of the vein. The fiber is fired, and the catheter is withdrawn back out of the  small puncture site. LASER RF
[object Object],[object Object],[object Object],[object Object],Treatment: Endovenous  Ablation  Diomed 810 nm Diode Laser
Treatment: Endovenous  Ablation  Before After  Before After
Treatment: Endovenous  Ablation  Before After  Before After
[object Object],[object Object],[object Object],[object Object],Treatment: Microphlebectomy
` Treatment:  Sclerotherapy ,[object Object]
Treatment: Transluminated  Sclerotherapy
The Varicose Vein Unit  ,[object Object],[object Object]
Medical Treatment Services Offered Interventional treatment Endovenous ablation Microphlebectomy Sclerotherapy Vein stripping Superficial laser beam Initial Evaluation Conservative Tx H & P Ultrasound study P800 ++ P7000++ P59,000++/session P3,500++/session P50-70,000++ P15,000++/session
Varicose Vein Unit 2 nd  Floor, N.L. Villa Memorial Medical Center Felix Manalo St., Lipa City Wednesday and Sundays 10:00- 300 pm For appointment/ inquiry: 043-756-1217, 043-756-4871 to 73 Email: treat@myvaricosevein.com
Reminder,  Rodeo Houston  is just around the corner. Better get your cowboy hat and  cowboy boots… if not, just be the cow… moooo!

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The Varicose Vein Clinic

  • 1. M ANAGEMENT OF V ARICOSE V EINS Martin Anthony A. Villa, M.D., P.S.V.S Varicose Vein Clinic N.L. Villa Memorial Medical Center <www.treatmyvaricosevein.com>
  • 2.
  • 3. Prevalence & Incidence of Vascular Disease Sources: American Heart Association, SCVIR, Brand et al. “The Epidemiology of Varicose Veins: The Framingham Study”
  • 5.
  • 6.
  • 7. Anatomy of the Leg VEIN SYSTEM: Deep System Superficial System Perforators
  • 8.
  • 9.
  • 10.
  • 11. M ANAGEMENT OF V ARICOSE V EINS Medical Treatment Weight control Compression stockings Leg elevation Leg elevation Avoid very tight garment Interventional treatment Endovenous ablation Microphlebectomy Sclerotherapy Vein stripping Superficial laser beam
  • 12. The High Ligation The Vein Stripping Treatment: Vein Stripping and Ligation
  • 13.
  • 14.
  • 15.
  • 16. Treatment: Endovenous Ablation Before After Before After
  • 17. Treatment: Endovenous Ablation Before After Before After
  • 18.
  • 19.
  • 20. Treatment: Transluminated Sclerotherapy
  • 21.
  • 22. Medical Treatment Services Offered Interventional treatment Endovenous ablation Microphlebectomy Sclerotherapy Vein stripping Superficial laser beam Initial Evaluation Conservative Tx H & P Ultrasound study P800 ++ P7000++ P59,000++/session P3,500++/session P50-70,000++ P15,000++/session
  • 23. Varicose Vein Unit 2 nd Floor, N.L. Villa Memorial Medical Center Felix Manalo St., Lipa City Wednesday and Sundays 10:00- 300 pm For appointment/ inquiry: 043-756-1217, 043-756-4871 to 73 Email: treat@myvaricosevein.com
  • 24. Reminder, Rodeo Houston is just around the corner. Better get your cowboy hat and cowboy boots… if not, just be the cow… moooo!

Editor's Notes

  1. Notes: Ten times more patients suffer from venous insufficiency than peripheral arterial disease in the U.S. Market research indicates that over 2 million work days are lost annually in the US and $1.4 billion is spent each year on this common medical condition