Venous Disease for General Practice
Confirmation of Attendance
Please register your attendance at the “Venous Disease for General Practice” online seminar with Dr Peter Paraskevas.
After you confirm your attendendance at the online seminar, Vein Health Medical Clinic will send you:
- Certificate of Attendance
- Venous Disease Classification Guide
Confirmation of Attendance – GP Education Session
Refer a patient for varicose vein assessment and treatment
Email to info@veinhealth.com.au
What will the phlebologist do?
Dr Paraskevas will assess the patient’s medical history and perform a clinical examination of the areas of concern. The Vascular Sonographer will conduct a duplex ultrasound, mapping out the abnormal veins in the legs and groin. Dr Paraskevas will explain the findings and create a treatment plan. This may include the use of treatments such as sclerotherapy, ultrasound-guided sclerotherapy, endovenous laser ablation, radiofrequency ablation, and VenaSeal (superglue for veins).
Classifying the severity of varicose veins
CEAP stands for:
Clinical – The patient’s clinical presentation. There are 6 categories ranging from CEAP 0 (no venous disease) to CEAP 6 (venous ulceration). See below.
Etiology – Is the problem congenital, primary or secondary.
Anatomy – Which veins are involved? Are superficial, deep, or perforating veins involved?
Pathophysiology – Is there reflux or obstruction?
CEAP Classifications
CEAP 0 – No visible or palpable signs of venous disease
CEAP 1 – Superficial spider veins, telangiectases, or reticular veins
CEAP 2 – Varicose veins only
CEAP 3 – Ankle oedema (swelling) of venous origin, not foot oedema
CEAP 4a – Dermatitis/eczema and/or hyperpigmentation
CEAP 4b – Lipodermatosclerosis and or atrophie blanche
CEAP 4c – Corona phlebectatica paraplantaris (CPP)
CEAP 5 – Healed venous ulcer
CEAP 6 – Active venous ulcer (open sore)
Learn more about CEAP classification of varicose veins.
About Dr Peter Paraskevas
Qualifications
- MBBS (Bachelor of Medicine, Bachelor of Surgery – Monash University)
- Certified Sclerotherapist (Australasian College of Phlebology)
- Graduate Certificate of Health Science (Medical Sonography – University of Sydney)
- PHLEBOLOGIST – FACP (Fellow of the Australasian College of Phlebology). Note: the Australasian College of Phlebology is not an AMC Accredited Speciality.
Positions Held
- Medical Director Paras Clinic – Vein Health Medical Clinic
- Executive Board Member of the Australasian College of Phlebology (ACP)
- Committee Chair of Continuing Professional Education, ACP
- Committee Chair of MBS Committee, ACP
- Committee Chair of Membership Approval Committee, ACP
- Committee Member Board of Censors, ACP
Featured on Channel 9 news
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Papers & Further Reading
Read more about venous disease and its treatment.
Right-click a link and click “Save Link As…” to download the PDF.
- Three cases of stroke following peripheral venous interventions
By R W L Ma, A Pilotelle, Peter Paraskevas and K Parsi. - Successful ultrasound-guided foam sclerotherapy for vulval and leg varicosities secondary to ovarian vein reflux: a case study
By Dr Peter Paraskevas (MBBS, FACP, GCertHSc (Med Sonography) - Femoral vein duplication: incidence and potential significance
By Dr Peter Paraskevas (MBBS, FACP, GCertHSc (Med Sonography) - Triage of patients with venous and lymphatic diseases during the COVID-19 pandemic
By Kurosh Parsi, Andre M. van Rij, Mark H. Meissner, et. al. (including Peter Paraskevas) - Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins
By Nick Morrison, Raghu Kolluri, Michael Vasquez, Monte Madsen, Andrew Jones, and Kathleen Gibson - Removal of Periocular Veins by Sclerotherapy
By David Green, MD - Cyanoacrylate embolisation for the treatment of varicose veins due to chronic venous insufficiency – MSAC Report
- Phlebolymphology, Vol 24, No. 3, 2017, P117-172
Jean-Luc Gerard, Lourdes Reina, Yu. T. Tsukanov, A. Yu. Tsukanov, Sarah Thomis, Djordje Radak, Slobodan Tanaskovic. - Endovenous Laser Therapy (ELT) for Varicose Veins – Assessment Report
By Medical Services Advisory Committee - Radiofrequency Ablation and Laser Ablation in the Treatment of Varicose Veins
Jose I. Almeida (MD, FACS, RVT) and Jeffrey K. Raines (PhD, RVT) - Persistent Sciatic Veins and Sciatic Nerve Varicosities
By Dr David Jenkins