With over 15 years of experience in assessing and treating Venous Disease, I constantly encounter patients who present with failed Vein Treatments. There are 5 main reasons why vein treatment may not be successful and result in extreme unhappiness and disillusionment.
1. Inadequate or Incomplete Initial Assessment
The initial assessment involves meticulous examination of the underlying vein problem with Duplex Ultrasound. Many doctors and surgeons who assess their patients either neglect to perform an Ultrasound, outsource their ultrasound to an external sonographer or radiology department who are not specialised in vein treatments or essentially don’t really know how to perform an adequate ultrasound themselves. If underlying veins are not mapped out correctly, then the treatment is doomed to failure. At Vein Health, the initial visit forms the basis of our treatment protocol. It involves a thorough history and examination and a detailed mapping scan, which can take up to 1 hour in some cases.
2. Neglecting to treat feeder veins (reticular veins) before treating spider veins (telangiectasia)
This is the most common problem Phlebologists encounter. It will result in the development of extremely fine veins/capillaries that we refer to as “Matting” and will always lead to early recurrence. Patients often comment that they have had sclerotherapy before and that it didn’t work. This is the main reason why. As I tell my patients, we will treat the Feeders First and the Spiders Second (several weeks later).
3. Lack of Adequate Experience
A Phlebologist who has undergone many, many years of training in the field of varicose vein disease and who constantly keeps up to date with advancements in treatment and technology will always have the necessary tools to tackle any problem that walks through the door. A Phlebologist must know how to diagnose and manage all forms of venous disease, from Pregnancy Related or Pelvic Veins, Persistent Embryonic Veins and Venous Malformations. To be a successful Phlebologist, you cannot be a “One Trick Pony”. Dr Paraskevas has over 15 years of Experience in just treating Varicose Veins and is a Fellow and Board Member of the Australasian College of Phlebology.
4. The Wrong Treatment
It is unfortunate that many surgeons still opt to choose Vein “Stripping” ahead of the less invasive, more effective alternatives such as Endovenous Laser, Radiofrequency Ablation, Venaseal Glue and Ultrasound Guided Sclerotherapy. Our first priority as Physicians and Surgeons is our patient’s safety and long term health. Stripping and Invasive Surgery is unacceptable in today’s day and age and is neither safe nor successful in the long term. Vein Health is at the forefront of new and exciting treatments that make life easier for patients afflicted with venous disease.
5. Inadequate or Incomplete follow-up
In my opinion, this is one of the most important mistakes made by some Vein Doctors. Irregardless of who treats veins or how they are treated, ALL treatments should be followed up to confirm that the treatment was effective. At Vein Health Medical Clinic, all patients have mandatory follow up visits following their treatments. All patients are placed on a long term follow up regime at 12 and 24 months to ensure that the successful outcomes are maintained.