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Modern Vein Treatments
admin Diagnosis and Treatments

Modern Vein Treatments: The Future of Vascular Care

Endovenous Laser Ablation (EVLA): The Gold Standard

EVLA represents the pinnacle of modern vein treatment technology. This procedure utilises a precise 1470nm wavelength laser that specifically targets water molecules within the vein wall. During the procedure, your physician guides a thin 7Fr catheter through the problematic vein using ultrasound guidance. The laser delivers carefully controlled thermal energy at 70-120°C, effectively sealing the vein shut. The entire process takes just 30-45 minutes and boasts an impressive 98% success rate.

The cost for EVLA in India ranges from ₹45,000 to ₹75,000 per leg, including follow-up care. Many insurance providers now offer coverage for this treatment, recognising its proven effectiveness and long-term benefits. Patients usually require only one treatment session, making it cost-effective compared to repeated surgical interventions.

Radiofrequency Ablation (RFA): Controlled Precision

RFA offers exceptional precision through segmental heating at 120°C using the sophisticated ClosureFast™ catheter. The procedure methodically treats the vein in 20-second cycles, with built-in temperature monitoring ensuring optimal results. Taking 45-60 minutes to complete, RFA achieves a 96% success rate with minimal discomfort.

The treatment costs between ₹40,000 and ₹65,000 per leg in India, making it slightly more affordable than EVLA. Insurance coverage is similar to EVLA, though approximately 5% of patients may require a follow-up session for optimal results.

VenaSeal™: The Latest Innovation

VenaSeal represents the newest advancement in vein treatment. This revolutionary approach uses medical-grade N-butyl-2-cyanoacrylate adhesive delivered through a minimal 5Fr catheter. The adhesive polymerises within 30 seconds of deployment, instantly sealing the vein without requiring tumescent anaesthesia. The entire procedure takes just 20-30 minutes and maintains a 95% success rate.

At ₹75,000 to ₹1,20,000 per leg, VenaSeal commands a premium price point in India. However, patients save on compression stockings (₹2,000-4,000) and enjoy the quickest return to normal activities. Insurance coverage varies, with some providers still considering this cutting-edge treatment as elective.

Sclerotherapy: The Spider Vein Solution

Sclerotherapy excels in treating spider veins and small varicose veins. Your physician injects a specialized solution (either Polidocanol or Sodium Tetradecyl Sulfate) directly into the problematic veins using ultra-fine needles. The solution irritates the vein walls, causing them to collapse and eventually fade away. Each 15-30 minute session targets multiple veins, with a cumulative success rate of 90%.

In India, sclerotherapy costs between ₹15,000-₹25,000 per session, with most patients requiring 3-4 sessions for optimal results. While the per-session cost appears lower, the total investment might reach ₹45,000-₹75,000 for a complete treatment course. Insurance rarely covers cosmetic sclerotherapy.

Traditional Surgery: The Legacy Approach

Traditional vein stripping, while still necessary in some cases, involves general anaesthesia and multiple incisions to physically remove the problematic veins. This 2-3 hour procedure carries an 85% success rate but demands significant recovery time and poses higher risks of complications.

The total cost in India ranges from ₹60,000-₹1,00,000 per leg, including hospital stay, surgery, and anaesthesia costs. While insurance typically covers surgical intervention, the extended recovery period (2-3 weeks) and higher complication rates make it less appealing for most patients.

Hidden Cost Considerations

When calculating total treatment expenses, consider:

  • Pre-procedure investigations: ₹5,000-8,000
  • Compression stockings: ₹2,000-4,000
  • Follow-up visits: ₹500-1,500 per visit
  • Lost workdays: Variable based on profession
  • Travel costs for multiple sessions
  • Post-procedure medications: ₹2,000-3,000

Making Your Choice

While modern treatments may seem more expensive initially, they often prove more economical when considering:

  • Minimal time away from work
  • Lower risk of complications
  • Reduced need for follow-up treatments
  • Better long-term results
  • Fewer additional medical expenses

Contact us today for a personalised consultation to determine which treatment best suits your needs and budget.

Note: Treatment costs may vary based on location, hospital, and specific medical requirements. Please verify insurance coverage individually. Costs are approximate and subject to change.

comprehensive comparison of three vein treatments
admin Diagnosis and Treatments

A Comprehensive Comparison of three vein treatments

Vein disorders can be troublesome, but advancements in medical technology have provided patients with effective treatment options. Among these, Sclerotherapy, Radiofrequency Ablation (RFA), and Cryo-Laser & Cryo-Sclerotherapy (CLaCS) stand out. In this blog, we will explore each treatment, comparing their benefits and highlighting why CLaCS emerges as a superior option.

Sclerotherapy:

Sclerotherapy is a tried-and-tested method for treating small to medium-sized varicose and spider veins. This procedure involves injecting a sclerosing solution directly into the affected veins, causing them to collapse and fade over time. While effective for many patients, Sclerotherapy may not be suitable for larger veins or those with underlying issues like venous reflux.

Radiofrequency Ablation (RFA):

RFA has gained popularity as a minimally invasive technique for treating varicose veins. It utilizes radiofrequency energy to heat and close off problematic veins, redirecting blood flow to healthier ones. RFA offers good results, especially for larger veins, but it may not be ideal for patients with certain medical conditions or those seeking less invasive options.

Cryo-Laser & Cryo-Sclerotherapy (CLaCS):

CLaCS represents the latest advancement in vein treatment, offering a comprehensive solution for various vein disorders. This innovative procedure combines cryotherapy, laser technology, and sclerotherapy to effectively address varicose veins.

Unlike traditional methods, CLaCS offers several distinct advantages:

Minimally Invasive: CLaCS involves a small incision through which a specialized catheter is inserted into the affected vein. This minimally invasive approach reduces the risk of complications and shortens recovery time compared to surgical procedures.

Dual Action: CLaCS combines the benefits of cryotherapy and laser technology with sclerotherapy. Cryotherapy numbs the treatment area and minimizes discomfort, while laser energy targets and seals off the diseased vein. Additionally, sclerosing agents are delivered through the catheter, aiding in vein closure.

Precision Treatment: CLaCS allows for precise targeting of veins, including those located deeper within the tissue. This precision minimizes damage to surrounding tissues and enhances patient comfort during the procedure.

Versatility: CLaCS can effectively treat a variety of vein types and sizes, from small spider veins to larger varicose veins. Its versatility makes it suitable for a wide range of patients with different vein conditions.

Reduced Risk of Complications: By combining cryotherapy, laser technology, and sclerotherapy, CLaCS reduces the risk of complications associated with other techniques. Cryotherapy helps minimize inflammation and discomfort, while sclerosing agents effectively close off treated veins.

While Sclerotherapy and RFA have been staple treatments for varicose veins, the introduction of Cryo-Laser & Cryo-Sclerotherapy (CLaCS) represents a significant advancement in vein care. Its innovative combination of cryotherapy, laser technology, and sclerotherapy offers patients a safer, more precise, and versatile alternative to traditional methods. 

WE, at Avis Vascular Center, always prioritize patient care and strive to offer the most advanced treatments available. If you’re considering treatment for varicose veins, schedule a consultation with our experienced team to learn more about the benefits of CLaCS and how it can help improve your vascular health.

Laser therapy for Varicose veins
admin Diagnosis and Treatments

Latest Laser Advances in Varicose Vein Treatment

Laser treatment for varicose veins, also known as endovenous laser ablation (EVLA) or endovenous laser therapy (EVLT), has emerged as a leading minimally invasive option for managing this common vascular condition. 

As medical technology continues to advance, so does our understanding of the efficacy, safety, and long-term outcomes of laser treatment. In this blog, we will probe into the latest research-based studies on laser treatment for varicose veins, providing a comprehensive overview of its benefits and advancements.

  1. Effectiveness in Vein Closure: Recent studies have consistently demonstrated the high effectiveness of laser treatment in closing off varicose veins. Research published in prominent medical journals has shown closure rates exceeding 90% in the majority of cases, with long-term follow-up studies confirming durable results and low rates of vein recurrence.
  2. Minimal Invasiveness and Quick Recovery: Advancements in laser technology have led to the development of smaller, more flexible laser fibers, allowing for even less invasive procedures and quicker recovery times. Studies have shown that laser treatment can be performed on an outpatient basis under local anesthesia, with most patients able to resume normal activities within a day or two following the procedure.
  3. Reduced Risk of Complications: Compared to traditional surgical techniques like vein stripping, laser treatment offers a significantly lower risk of complications. Research has shown minimal incidence of post-procedural pain, bruising, or nerve damage, with rare occurrences of more serious complications such as deep vein thrombosis (DVT) or skin burns.
  4. Improved Patient Satisfaction: Recent studies have highlighted the high level of patient satisfaction with laser treatment for varicose veins. Patients report reduced pain, swelling, and discomfort following the procedure, along with improved cosmetic appearance and overall quality of life. Longitudinal studies have shown sustained satisfaction and improved outcomes over time.
  5. Versatility and Customization: Advancements in laser technology have allowed for greater versatility and customization in treatment approaches. Different wavelengths and energy settings can be tailored to each patient’s unique vein anatomy and characteristics, optimizing treatment outcomes and minimizing side effects.
  6. Long-Term Durability: Long-term follow-up studies have provided compelling evidence of the durability of laser treatment for varicose veins. Research spanning several years has shown stable closure rates and low rates of vein recurrence, with many patients experiencing sustained symptom relief and improved vein health.
  7. Potential for Combination Therapies: Emerging research suggests the potential for combining laser treatment with other minimally invasive techniques, such as sclerotherapy or foam sclerotherapy, to achieve optimal outcomes. These combination therapies may offer synergistic benefits, such as enhanced vein closure and improved cosmetic results.

As evident from the studies laser treatment continues to revolutionize the management of varicose veins, offering patients a safe and effective alternative to traditional surgical interventions and  remains at the forefront of vascular care, providing hope for millions of individuals seeking relief from the burden of varicose veins.

Venous Insufficiency Ulcers
admin Vascular Diseases

Venous Insufficiency Ulcers

Due to genetic factors and a poor lifestyle that is characterized by an unhealthy diet and lack of physical activity, some people develop varicose veins in their legs and feet. The one-way valves of these veins do not function as desired and hinder the flow of the deoxygenated blood back to the heart.

As the blood isn’t efficiently pumped back to the heart, excessive blood remains pooled in the varicose veins and leads to humungous pressure in the affected area. This medical condition is referred to as venous insufficiency.

The added pressure forces the walls of the varicose veins to stretch which causes the protein in the blood cells to reach the subcutaneous tissues. Further, due to the lack of oxygen and nutrients, these tissues eventually break down and result in ulceration.

Chronic venous insufficiency in most cases leads to venous ulcers that are open wounds or sores visible on the surface of the skin on the legs and feet. These require immediate medical assistance and are extremely slow to heal.

Causes

Varicose veins and most other venous disorders can be attributed to genetic reasons apart from a few other conditions. Following are the most prevalent risk factors for venous insufficiency and leg ulcers:

  1. Being female
  2. Old age
  3. Being tall
  4. Varicose veins
  5. History of blood clots in deep veins (DVT)
  6. Family history of venous disorders
  7. Blockage of lymph vessels
  8. Pregnancy
  9. Smoking
  10. Sitting or standing for long durations
  11. Injury to the leg, burns or muscle damage

Early Signs of Venous Insufficiency

Like most other medical conditions, our body gives us numerous hints about venous insufficiency as well. It is vital for us to be aware and keep an eye for the below-mentioned symptoms :

  1. The skin changes in the affected area accompanied by itching. This medical condition is also referred to as Stasis Dermatitis.
  2. The skin may also turn hard and brown or dark red in colour
  3. Pain and swelling in the leg along with a feeling of heaviness
  4. Tingling sensation in the damaged area

Symptoms of Venous Ulcers

If we fail to get ourselves treated after the early signs of venous insufficiency, the condition may worsen and lead to active venous ulcers. Below mentioned are the easiest to recognize symptoms of leg ulceration:

  1. Shallow sore with a red base that may be covered with a yellow tissue
  2. Uneven borders of the sore
  3. Pain in the leg
  4. Surrounding skin turns shiny, tight, warm, and also discoloured
  5. Infected sores may have a bad odour and pus drain from the wound

Wound Care

If you have developed leg ulcers, it is essential for you to take proper care as the open sore may get infected and lead to many other severe medical complications. We have made a to-do list, please make a note of the below tips:

  1. You must keep the wound clean and bandaged to prevent getting infected.
  2. You must change the dressing frequently. Always ensure to clean the wound before doing the dressing.
  3. Dressing and skin around the wound must always be kept dry.
  4. Always keep the skin around the wound moisturized to reduce itching and irritation
  5. Ask your venous expert if you must wear compression stockings above your dressing and/or bandage

Prevention

There are some easy tips and tricks to prevent varicose veins, venous insufficiency, and related disorders of the veins. Simply note down the below points and incorporate them in your day to day life:

  1. Eat healthy food
  2. Exercise everyday
  3. Quit smoking
  4. Blood sugar control for diabetic patients
  5. Plenty of sleep
  6. Regulate blood pressure and cholesterol levels
  7. Weight loss for obese or overweight people

Even if you have already been diagnosed with venous insufficiency, you can still reduce the chances of venous ulcers by following the below tips:

  1. Wear compression stockings as they are known to improve the blood flow in the affected area. They offer relief from the leg pains, help reduce the swelling and also assist with healing.
  2. As frequently as possible, place your feet above the level of your heart. Lie down on the bed and use one or more pillows to lift your feet higher. This will make it easier for the blood to move back to the heart and prevent blood pooling
  3. Ensure to eat a nutritious diet and perform moderate and low impact exercises every day.
  4. Ensure to take the medicines as prescribed by your medical practitioner.

Conclusion

Varicose veins, chronic venous insufficiency, leg ulcers, and other venous disorders have become fairly common due to the sedentary lifestyle of most people in urban cities. Although not serious, all venous medical conditions must be treated in a priority by trusted and reliable vascular specialists only.

Dr. Rajah V Koppala is a qualified and internationally trained vascular expert who specializes in the minimally invasive and painless laser treatment of varicose veins. At Avis Hospitals, we have the latest equipment and all modern amenities in-house for efficient treatment by the endovenous laser ablation technique.

If you or anyone in your family is suffering from vascular medical conditions, do not delay in scheduling a consultation with the renowned interventional radiologist Dr. Rajah V Koppala at Avis Hospitals. The laser treatment is suitable for people of all ages and we ensure quick recovery with minimal post-operative care. Book an appointment today!

Varicose Veins to Remedy or to Treat
admin Preventions and Tips

Remedies for Varicose veins

Sooner or later, as many as 20% of the adults get affected by varicose veins at least once in their lifetime. According to the statistics from the recent medical surveys, almost twice as many women as men suffer from varicose veins and this is a fairly common medical ailment for the older women.

Varicose veins are the twisted and swollen veins that are caused when the valves of the leg and feet veins tend to restrict the blood flow back to the heart. This medical condition is accompanied by itching and pain in the legs and these symptoms get worse when the patient continues to be in the same sitting or standing position for longer durations.

Following is a list of few other common varicose veins symptoms:

  • The appearance of enlarged bluish-purple veins that are even visible with a naked eye just below the skin surface
  • Dry skin that appears thinner on the affected area
  • Increasing pain in the leg and feet
  • Severe irritation accompanied by a constant heavy feeling due to the pooling of blood
  • Itching or burning, and continuous discomfort
  • Swelling in the feet and around the ankle area
  • Muscle cramps that become more prominent at the night

Most people wonder if their varicose veins require medical assistance. As frustrating as it may sound, varicose veins are not only a cosmetic displeasure but also greatly degrade the patient’s health if they are ignored or left untreated.

You must undoubtedly consult a vascular expert and seek his/her advice for the medications and operative treatment of your varicose veins. Consulting a vascular surgeon does not mean undergoing a surgery. When you visit a doctor, he will first analyze your health and varicose vein condition, understand your family history of varicose veins, and then suggest remedies or surgical procedures to cure the root cause and symptoms of varicose veins.

Let us understand below, if we can remedy varicose veins or if treatment is absolutely necessary.

The Conservative Approach to Varicose Veins

Managing your varicose veins will help you prevent the symptoms from getting worse. Following are some simple tips and home remedies that will enable you to work towards better vein health:

  1. Maintain a Healthy Weight – If your BMI score is more than 25, you must focus on getting back in shape as excessive body weight is known to increase the pressure on the legs and feet. This restricts the movement of the blood back to the heart and is known to be a popular cause of varicose veins.
  2. Consume a Nutritional Diet – If you get to notice any early symptoms of varicose veins, alter your diet to include more fibre and eat products that are rich in potassium as this will regulate your blood pressure and improve the blood flow from the legs and feet upwards towards the heart.
  3. Perform Mild Exercises Regularly – Low-impact exercises like walking, cycling, yoga, stretching, and swimming are known to improve blood circulation. These mild physical actives help exercise the calf muscles without the fear of getting an injury.
  4. Elevate your legs and feet – If you have had a long day at work and are suffering from constant itching in the legs and feet, you can pacify the pain and instantly feel better by simply elevating your legs with the help of cushions and pillows. This remedy is also beneficial for pregnant women who have complains of varicose veins.
  5. Compression Stockings – These are the support stockings that are tight around the ankle and lose around the knees. They are known to prevent blood pooling and assist in blood movement from the legs and feet back to the heart. Available in multiple sizes, you must consult your doctor to choose the perfect size and fit as wearing a wrong size can worsen the situation, leave aside improving the symptoms.
  6. Keep altering your sitting and standing position regularly. Do not sit with crossed legs as that severely restricts the blood flow
  7. Avoid wearing tight clothes as they also hinder the free movement of blood
  8. If you are on a long flight, ensure to walk down the aisle once every few hours or exercise the ankle while still sitting on your seat

The above-mentioned conservative techniques are beneficial and definitely work to reduce the varicose vein pains but these tips only offer short term relief and cannot completely cure the condition or eliminate the varicose vein symptoms.

To get rid off the varicose vein pain and the itching sensation, you must take a professional treatment.

Medical Treatment for Varicose Veins

Varicose veins can be more easily treated today than ever before. Earlier the doctors had to rely on surgical procedures where the affected veins were either closed or completely chopped off. These procedures were very painful and required massive post-operative care as well.

With the newest developments in medical science, laser technique is now being used to treat even the most critical varicose vein patients. This treatment is minimally invasive, has no side-effects, and is totally safe for patients of any group.

For the laser ablation treatment of varicose veins, the patient is only given local anaesthesia and a laser fibre is inserted in the affected area through a very small cut. The patient does not get any large cuts or stitches and is usually discharged from the hospital on the same day.

The patient isn’t even recommended to get bed rest, he/she can do his/her daily tasks, and even get back to work from the very next day itself. This is a fairly quick process and does not have an intense post-operative care routine.

Conclusion

If you are also eager to manage your varicose veins easily, visit Avis Hospitals to learn about the treatment options in detail. Dr. Rajah V Koppala is a distinguished vascular surgeon with years of experience and a record of successfully treating over 4000 varicose vein patients every year.

Dr. Rajah and his team of medical practitioners at Avis Hospitals always ensure that you have a comfortable medical experience during the endovenous laser treatment of your varicose veins. They are always around for you to get answers to your questions and feel confident about the treatment and recovery. Schedule your consultation with Dr. Rajah at Avis Vascular Centre today!