Minimally invasive treatment for varicose veins and venous problems
Varicose veins are enlarged, twisted veins that commonly appear in the legs when blood does not flow properly back towards the heart. Treatment depends on the severity of the condition, symptoms and the underlying venous problem.
Dr. Yugal Goyal provides image-guided and minimally invasive venous interventions, including procedures used for varicose veins, venous ulcers and selected venous conditions.
Varicose veins can cause visible veins, heaviness, aching, swelling, itching or discomfort in the legs. In some people, they may also be associated with skin changes or chronic ulcers.
Treatment aims to address the affected veins and improve blood flow through healthier veins.
Depending on the condition, minimally invasive options may include Endovenous Laser Ablation (EVLA), Radiofrequency Ablation (RFA), VenaSeal Glue Injection and Sclerotherapy.
Endovenous Laser Ablation, or EVLA, uses laser energy to close an affected vein from within. The procedure is performed using imaging guidance and is designed to treat the underlying vein responsible for the varicose veins.
It is a minimally invasive alternative to traditional vein removal in appropriately selected patients.
Radiofrequency Ablation uses controlled radiofrequency energy to heat and close an affected vein. Blood can then be redirected through healthier veins.
The procedure is performed through a small access point and is used for selected patients with venous insufficiency.
VenaSeal uses a medical adhesive to close the affected vein. Unlike thermal ablation techniques, it does not use heat to seal the vein.
Whether this technique is appropriate depends on the patient's veins, symptoms and clinical assessment.
Sclerotherapy involves injecting a specialised solution into selected abnormal veins to close them. It may be used for certain smaller varicose or superficial veins.
The choice of treatment depends on the size, location and characteristics of the affected veins.
Long-standing venous disease can sometimes lead to ulcers, particularly around the lower leg and ankle. These wounds may be difficult to heal when the underlying venous circulation remains abnormal.
Treating the underlying venous problem may form part of a broader plan for managing chronic venous ulcers.
Deep Vein Thrombosis, or DVT, occurs when a blood clot forms in a deep vein, commonly in the leg. Some patients require medical treatment, while selected cases may need an interventional approach.
Catheter-directed thrombolysis and mechanical thrombectomy are techniques that may be considered in appropriate cases to help remove or dissolve a clot.
Treatment decisions depend on the location and extent of the clot, symptoms, timing and the patient's overall condition.
An Inferior Vena Cava (IVC) filter is a small device placed inside the body's main abdominal vein to help prevent certain blood clots from travelling to the lungs.
IVC filters are used only in selected situations. When a filter is no longer required, retrieval may be considered depending on the type of filter and the patient's condition.
Pelvic Congestion Syndrome is associated with abnormal blood flow through veins in the pelvis and may cause persistent pelvic pain in some women.
When appropriate, pelvic or ovarian vein embolization may be considered as a minimally invasive treatment option.
Consult Dr. Yugal Goyal to understand your condition and explore the appropriate minimally invasive treatment options.
Varicose veins commonly develop when valves inside the veins do not work properly, allowing blood to pool and increasing pressure within the veins.
No. Selected patients may be treated using minimally invasive techniques such as EVLA, RFA, VenaSeal or sclerotherapy. The appropriate option depends on the individual venous condition.
EVLA, or Endovenous Laser Ablation, uses laser energy to close an affected vein from inside the vessel through a minimally invasive procedure.
In selected patients, treatment of the underlying venous problem can form part of the management of chronic venous ulcers. A proper assessment is required to determine the appropriate approach.
No. Many DVTs are managed with medication and other medical measures. Interventional treatment is considered only in selected situations.
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