Modern Vein Treaments Recommended By NICE

NICE is the National Institute for Health and Care Excellence
Providing advice on best treatments for a wide range of conditions

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Endothermal Ablation

Option 1 - Seals veins with heat

Foam Sclerotherapy

Option 2 - Modern injection treatment

Open Surgery / Phlebectomy

Option 3 - Ligation, stripping, cosmetic phlebectomy (avulsions)

Endothermal Ablation

There are two main types of heat treatment for varicose veins:
Radiofrequency Ablation and Endovenous Laser Therapy

RFA Radiofrequency ablation vein

Radiofrequency Ablation (RFA)

Local anaesthetic, day procedure in theatre - Walk In Walk Out (WIWO)

EVLT Endovenous Laser Treatment

Endovenous Laser Therapy - EVLT

Local anaesthetic, day procedure in theatre - Walk In Walk Out (WIWO)

 

Foam Sclerotherapy for Varicose Veins

Treatment in the consulting rooms - the easiest, most convenient option for many patients.
Walk In Walk Out (WIWO) treatment for varicose veins

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Ultrasound Guided Foam Sclerotherapy

Injection of 'foam' sclerosant into the abnormal veins, causes spasm, inflammation and sealing.

Apart from a small pricking sensation from the needle, and a mild stinging sensation, the procedure is almost painless.

 

Open Surgery

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Open Surgery - Ligation of vein, inversion stripping, cosmetic phlebectomy

A day case procedure, under general or spinal anaesthetic. Tying off the source of the varicose veins and removing the abnmoral veins, through very small cuts (cosmetic phlebectomy).

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Cosmetic Phlebectomy

Some patients want to have prominent veins removed, with the lowest risk of brown skin marks, that can occur with foam sclerotherpy or endothermal treatments.
The procedure removes lumpy veins through very small cuts under general or local anaesthetic.

 

The newer treatments are used for the majority of patients, however it can still be the best option for some patients