Vein Clinic: What do We Need?Mohammad Altwalah

RiyadhSaudi Arabia

Impact on Health> 50 million americans

30 % of women

15 % of men

not only cosmetic

ComplicationsPain

Swelling

Thrombophlebitis

Hyperpigemtion

eczema

bleeding

ulcer

ClassificationCEAP

Clinical Etiologic Anatomic Pathophysiologic C0: No visible or palpable signs of venous disease C1: telangiectases or reticular veins C2: varicose veins C3: edema C4: skin changes ascribed to venous disease a. pigmentation or eczema b. lipodermatosclerosis or atrophie blanche C5: healed ulcer C6: active ulcer

PathiophysiologyReflux

Anatmoy

Treatment

Eliminate reflux

Be the local expert

Knowledge of superficial venous anatomy

Knowledge of pathology patterns

Answer all questions

Explain what to expect

How to start

Clinic decisions

In hospital ( no costs but limiting)

Separate clinic ( cost $$$) but can add other services

Ultrasound Doppler is needed

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Sclerotherapyquick

safe

effective

Sclerotherapy agents

Foam scleroherapy> potency

? TIA

Microsclerotherapy

Magnification glasses

ULTRASOUNDED GUIDED

Mini phlebectomy

Treat it all

Veinlite

Endovenous laser or RF

BrochureBye bye varicose veins

Website

Media & Youtube

Be the local expert

How to run a clinic Get a good clinic manager

Marketing team

Insurance coverage…. A must

Conclusions

Varicose veins are a large health problem

IR is the best doctor who can treat them

Vein clinic are successful…. Need time & effort