Varicose Veins

Current interventions offered for varicose veins at Vascular-Endovascular include endovenous therapy and surgery.

Endovenous management may be offered with either a general or local anaesthetic. The technique uses radio-frequency ablation to destroy the offending major superficial vein (also known as ‘VNUS’ or ‘RFA’). Under ultrasound control, a fine tube with an active element at its tip (‘catheter’) is introduced directly into the vein at the knee-level and advanced close to the junction with the deep venous system. After delivering short pulses of thermal energy to destroy the incompetent vein, the catheter is gradually withdrawn leaving the treated vein in the patient to scar. An improved cosmetic result can be expected since no surgical dissection is performed. For more information, follow link below:


Superficial Veins of the LegVNUS Medical Technologies


Conventional surgery needs a general anaesthetic and usually requires an incision to be made in either the groin and/or back of the knee. Following physical disconnection of the involved vein from its junction with the deep system, a segment is then excised (‘stripped’) from the patient. If present, smaller varicose vein tributaries are then treated with multiple tiny skin incisions for vein avulsion (‘phlebectomies’).

Please note that there are strict criteria for the funding of varicose vein intervention in NHS patients. Only those NHS referrals that fulfil current local guidelines would be offered such treatment.