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Email: muleypradeep@hotmail.com

What is varicose vein?

Varicose vein of legs is common, affecting 1-15% of adult men and 20-25% of adult women. The leg vein normally contains multiple valves which helps the blood flow in direction of the heart. When these valves are damaged, blood starts pooling in the legs causing varicose veins.

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varicose vein
varicose vein

The varicose vein consists of :-

  • A. Venous insufficiency or venous reflux at groin.
  • B. Prominent and dilated perforators.
  • C. Dilated tortuous side branches.

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Symptoms of Varicose vein :-

  • Pain
  • Swelling.
  • Heaviness in leg.
  • Fatigue.
  • Prominent & dilated veins in leg veins.
  • Pigmentation (colour changes in skin).
  • Venous ulcer.
  • Dermatitis, also known as eczema.
varicose vein
varicose vein

Diagnosis of varicose veins

  • General examination and
  • Ultrasound Doppler study
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Treatment options for varicose veins :-

  • Laser EVLT
  • Radiofrequency Ablation (RFA)
  • Microwave Ablation (Latest)
  • Glue embolization
  • Sclerotherapy

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Advantages of Radiofrequency Ablation / Microwave Ablation :-

  • No surgical scar on skin.
  • Procedure done under short anaesthesia.
  • It needs just 24 hrs hospitalization.
  • Patients can resume normal activities within a day.
  • The recurrence rate is very low as compared to surgery.
  • It is covered under all insurance.

If varicose vein not treated lead to complication

  • Bleeding from Superficial Veins
  • Venous pigmentation
  • Venous stasis dermatitis, also known as venous eczema.
  • Venous stasis ulcers
  • Superficial venous
  • Thrombophlebitis
  • Deep vein thrombosis (DVT)
  • Pulmonary embolism

Causes of Varicose vein :-

  • A. Obesity
  • B. Lack of exercise
  • C. Abnormal pressure on veins during pregnancy
  • D. Prolonged standing & prolonged sitting
  • E. Computer professionals, receptionists, security guards, traffic policemen, salesmen working at counters in shops and departmental stores.

Non- surgical treatment vs. surgical treatment

Best Option
Frequently Asked Questions RFA / Microwave Ablation Surgical treatment, Stripping Surgery Non-surgical Laser
1. Success rate More than 98% About 60% About 70-75%
2. Anaesthesia Reginal General Moderate
3. Hospitalization 24 hrs 1-2 days Day Care
4. Scar in leg Nil More than two or three Nil
5. Blood loss Nil Yes Nil
6. Major advantage Treats Incompetence at groin, perforators, and side branches also Removal of main vein. Need another surgery for perforators Treat only main vein. Need another surgery for perforators
7. Recovery Few hrs 1-2 days 24 hrs
8. Recurrence 1% More than 40 % More than 30%
9. Cost Less expensive Expensive Expensive
10. Treating associated abnormal vein in same sitting No No
Dr. Pradeep Muley

Dr. Pradeep Muley M.D.

Senior Consultant Interventional Radiologist

Fortis, Vasant Kunj, New Delhi, India

Date of Birth : September 27, 1963

Nationality : Indian

Contact : +91-9810492778

Email : muleypradeep@hotmail.com

Academic Qualifications :-

  • Fellow Interventional Radiology. Singapore General Hospital, Singapore
  • Visiting Associate, Neurointerventional Radiology, Iowa University Hospitals, USA
  • Visiting Fellow, Neurointerventional Radiology, Johns Hopkins Medical Institutions, USA
  • Lecturer, Vascular & Interventional Radiology, KEM Hospital, Mumbai, India
  • Neuroradiology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
  • Consultant Interventional Radiologist, KIMS hospital, Trivandrum, Kerala, India

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