How a Comprehensive Understanding of Your Ultrasound System Will Streamline Your Phlebology Practice

Ultrasound is the eyes of vascular practitioners, facilitating success in every Phlebology practice worldwide. For a vascular technologist, a comprehensive understanding of the ultrasound system will add tremendous value via image optimisation, which allows for complete diagnostic confidence in the ultrasound findings, acquisition of appropriate candidates for intervention, and development of an effective treatment plan.

It is crucial to consider each component of the ultrasound system in order to achieve each of these goals and, ultimately, streamline the Phlebology practice.

A comprehensive understanding of the … Continue reading »

Your Privacy Rights are Changing – GDPR

Your privacy rights are being strengthened on 25th May and our privacy policy has changed in line with new legislation.

GDPRMaintaining the security of your data is a priority at The Melbury Clinic VeinCare Centre, and we are committed to respecting your privacy rights.  We pledge to handle your data fairly and legally at all times. The Melbury Clinic is also dedicated to being transparent about what data we collect about you and how we use it.

The EU’s General Data Protection Regulation (GDPR) is the culmination of four years of efforts … Continue reading »

Leg Ulcer Research – Leg Ulcers Heal More Quickly

A medical study published in the New England Journal of Medicine just a few days’ ago confirms what many vein experts already knew. Early endovenous ablation of superficial venous reflux results in faster healing of venous leg ulcers and more time free from ulcers than deferred endovenous ablation.

This answers the question that many patients ask: “If I have a leg ulcer, should I have my veins treated now, or should I wait until the ulcer is healed?”

You can read the study for yourself in full. But in summary, this is … Continue reading »

Training Courses at the VeinCare Centre

The Veincare Team are pleased to announce that in collaboration with Wessex Diagnostic, we now provide live and interactive training on the practical aspects of performing venous procedures under local anaesthetic.

This one-day course covers: how to set up your treatment room; preliminary vein mapping; vein access under ultrasound guidance; the Seldinger technique; endovenous catheter and laser positioning; administration of tumescent local anaesthetic; adjunctive procedures such as phlebectomy and foam sclerotherapy; and demonstrations of Microsclerotherapy for leg telangiectasias

This course is aimed at consultants,  higher trainees in vascular … Continue reading »

Endovenous Laser Treatment – A Live Demonstration

Endothermal Ablation. During endothermal ablation, the veins affected by reflux are treated from the inside with heat energy.  I perform this under local anaesthetic under ultrasound guidance. With an ultrasound probe on the skin, the unhealthy vein is located and the skin overlying the vein is numbed with local anaesthetic and then a small needle is inserted into this vein. Through the needle a fine catheter is inserted into the vein and advanced along the vein under the skin and positioned accurately to the site where the superficial vein joins the deep vein, confirmed by ultrasound. The vein is then … Continue reading »

New for 2018: The Comprehensive Review of Varicose Veins, Varicose Eczema, Leg Ulcers, Hand Veins

Comprehensive Review of All Aspects of Lower Limb Vein Conditions.

Everyone knows that venous disease is common and important. The Bonn Vein Study is one of the largest and most quoted medical studies looking at how common venous disease is. It looked at over 3000 adults: the participants completed a questionnaire, they were examined carefully and they underwent an ultrasound scan. They were allocated into one of 7 classes. C0 being a completely normal assessment with no signs of vein abnormality all the way to C6 which is an open leg ulcer. There are … Continue reading »

How Common Are Varicose Veins?

Many people are affected by vein conditions. But just how common are they?

 

The Bonn Vein Study is one of the largest and most quoted medical studies looking at how common venous disease is. It looked at over 3000 adults: the participants completed a questionnaire, they were examined carefully and they underwent an ultrasound scan. They were allocated into one of 7 classes. C0 being a completely normal assessment with no signs of vein abnormality all the way to C6 which is an open leg ulcer. There are 3 striking findings from this study. … Continue reading »

What is the best treatment for varicose veins?

National Guidance on the Treatment of Varicose Veins

In 2013, The National Institute for Health and Care Excellence – NICE- published clinical guideline CG168 and stated that patients with varicose veins should be referred to a vascular service – a team of healthcare professionals who have the skills to undertake a full clinical and duplex ultrasound assessment and who can provide the full range of treatment options.

NICE recommends:

  • Endothermal ablation should be the first option
  • Ultrasound Guided Foam Sclerotherapy the second option
  • Surgery is now the last resort.

During endothermal ablation, the veins affected by … Continue reading »

What is the cause of Varicose Veins, Varicose Eczema and Leg Ulcers?

Although surface varicose veins are pretty obvious, the cause of varicose veins is deeper under the skin. It is a problem called superficial venous reflux.

That is a defect in the one-way valves that keep blood flowing in the correct direction. Venous valves are delicate folds in the lining of the vein that open and close keeping blood flowing in the correct direction. In the legs, healthy vein valves direct blood from the foot upwards back towards the heart. When the one-way valves in the veins do not work properly, gravity can pull the blood downwards … Continue reading »

Varicose Veins Complications

In this post, I will cover the major complications of varicose veins.

The medical complications are

    • Phlebitis
    • Varicose Eczema
    • Leg Ulcers
    • Deep Vein Thrombosis. .

Phlebitis should really be called Superficial Vein Thrombophlebitis. In this condition, thrombus or clot formation is the main concern and threat. In Superficial Vein Thrombophlebitis there is thrombus – or clot – in the superficial vein, and inflammation in the tissue surrounding the vein. Often, a tubular-shaped lump can be felt which is red, tender and painful. The most frequently affected vein is the saphenous vein on the inner … Continue reading »