Precision-Guided EVLT and Sclerotherapy for Varicose Veins in a 72 Y.O. Male Patient
The Radiology team at PACE Hospitals successfully performed Endovenous Laser Therapy and Sclerotherapy on the varicose veins of the right lower limb in a 72-year-old male patient, who had been suffering from varicose veins in both lower limbs (right larger than left), providing significant pain relief.
A 72-year-old male patient presented to the Interventional Radiology Department at PACE Hospitals, Hitech City, Hyderabad, with complaints of dilated veins and visible swelling in his right leg, symptoms suggestive of varicose veins.
Upon admission to PACE Hospitals, the patient's vital signs were stable. A thorough physical examination revealed dilated veins and noticeable swelling in the right leg. Diagnostic tests, including ultrasound scans, confirmed the diagnosis of varicose veins in both lower limbs, with the right leg being more affected than the left, as indicated by the Color Doppler scan.Â
Varicose veins are enlarged, twisted veins in the legs, often caused by damaged valves. The condition is characterized by visible bulging veins, swelling and discomfort.
After consulting with Dr. Lakshmi Kumar Chalamarla, the consultant radiologist, it was determined that Endovenous laser therapy (EVLT) and sclerotherapy for the varicose veins in the right lower limb, to be performed under spinal and tumescent anaesthesia, would be the most suitable treatment plan for the patient.
After being admitted with the symptoms mentioned above, the patient underwent further evaluation and was subsequently scheduled for surgery. An Endovenous laser therapy (EVLT) and sclerotherapy were successfully performed under spinal and tumescent anaesthesia to ensure patient comfort and effective pain management.
During the procedure, the right great saphenous vein (GSV), from above the ankle to 6 cm proximal to the saphenofemoral junction (SFJ), and the right small saphenous vein (SSV), from the apex of the calf to 4 cm proximal to the popliteal fossa, were successfully ablated using a laser radial fiber. In addition, some varicosities in the right leg were treated with foam sclerotherapy using a 1% sodium tetradecyl sulfate (STS) solution.
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