Patient presentation 5-24-10

VENACURE EVLTVENACURE EVLT™™ PROCEDURE PROCEDURE EDUCATIONEDUCATION

BY DR. GOPAL REDDY, MD, FACSBY DR. GOPAL REDDY, MD, FACSVASCULAR ASSOCIATES OF NEW MEXICOVASCULAR ASSOCIATES OF NEW MEXICO

WHAT IS VENACURE EVLT® TREATMENT?WHAT IS VENACURE EVLT® TREATMENT?

VenaCure EVLT laser treatment eliminates unsightly varicose veins with:

No hospital stay Minimal-to-no scarring No lengthy recovery Minimal-to-no side effects

The VenaCure EVLT system uses targeted laser energy to seal the vein shut and help patients look and feel better fast.

THE RESULTS SPEAK FOR THEMSELVESTHE RESULTS SPEAK FOR THEMSELVES

BeforeVenaCure EVLT®

treatment2 weeks after only

VenaCure EVLT treatment

VARICOSE VEINS WHAT IS THE CAUSE? HOW CAN WE TREAT

IT?

HOW COMMON ARE VARICOSE VEINS?HOW COMMON ARE VARICOSE VEINS?

It’s estimated that half of all middle-aged adults in the United States are affected by unsightly and often painful varicose veinsMore than 20 million people in the United States suffer from varicose veins or spider veinsWoman are twice as likely as males to develop varicose veins and spider veins

WHAT CAUSES VARICOSE VEINS?WHAT CAUSES VARICOSE VEINS?

Inherited genetic predisposition Normal aging processHormonal changes that relax vein walls, which put woman at a greater risk than menConditions that put excess pressure on leg veins – including standing for long periods of time, obesity and pregnancy History of blood clots and conditions that increase pressure in the abdomen, such as tumors, constipation and tight garmentsPrevious venous surgery Exposure to ultraviolet rays

WHAT CAUSES VARICOSE VEINS?WHAT CAUSES VARICOSE VEINS?

WHAT HAPPENS WHEN THE VALVES FAIL?WHAT HAPPENS WHEN THE VALVES FAIL?

Prolonged dilation damages the valves, so even when vasoconstriction occurs, the blood continues to flow in the wrong directionThe resulting backpressure is termed “venous hypertension”, and this is what causes the painful varicose veins

Valves in the vein lack the apposition needed to prevent reverse flow of blood down your leg

SURGICAL TREATMENT: STRIPPING AND SURGICAL TREATMENT: STRIPPING AND LIGATIONLIGATION

Groin incision, ligation and tying off of tributaries and GSV

Once the “stripper” is tied in place, the surgeon rips the stripper and the

vein from the leg

PROBLEMS WITH STRIPPING AND LIGATION OF PROBLEMS WITH STRIPPING AND LIGATION OF THE GSVTHE GSV

The procedure must be done under general anesthesia, in a hospital settingMost patients suffer from severe post-operative pain requiring prescription drugs to copeSevere bruising/tenderness along the treated veinTypical recovery is between 2-4 weeksThere is a high failure/reoccurrence rate

IS THERE ANOTHEROPTION

TO SURGICAL TREATMENT?

VENACURE EVLT® TREATMENT - A BETTER VENACURE EVLT® TREATMENT - A BETTER WAYWAY

The search for less invasive techniques to treat varicose veins has led to the development of VenaCure EVLT Endovenous Laser Treatment. The VenaCure EVLT system uses targeted laser energy to seal the vein shut and help you look and feel better fast.

ADVANTAGES OF THE VENACURE EVLT® ADVANTAGES OF THE VENACURE EVLT® PROCEDUREPROCEDURE

Treatment in less than an hour Can be performed in the doctor’s office Up to 98% success rate Immediate relief of symptoms Return to normal activity immediately – with little or no pain No general anesthesia or hospitalization Minimal-to-no scarring Typically is covered by insurance

Under local anesthesia, a catheter is placed in the vein through a needle

THE VENACURE EVLT® PROCEDURETHE VENACURE EVLT® PROCEDURE

The laser is passed through the catheter to the top of the siteAfter injection of additional anesthesia along the length of the vein, the laser is fired, and the catheter is withdrawn back out of small puncture site

POST-OPERATIVE CAREPOST-OPERATIVE CARE

Dress leg with compression bandageClass II compression stocking20 minute walkResume normal activities

Avoid hot bathsAvoid vigorous gym workouts

OTC analgesics for any pain

Examinations done with ultrasound to confirm vein staying closed:

At one weekAt one, three, and six monthsYearly thereafter

Additional cosmetic treatment as neededSclerotherapy / Phlebectomy

FOLLOW-UP CARE FOLLOW-UP CARE AFTER THE VENACURE AFTER THE VENACURE EVLTEVLT®® PROCEDURE PROCEDURE

WHAT TO EXPECT AFTER THE VENACURE EVLTWHAT TO EXPECT AFTER THE VENACURE EVLT®® PROCEDUREPROCEDURE

Mild Bruising can occur along the leg that has been treatedA “tightening” sensation along the vein is reported by many patientsSome mild tenderness along the vein for a couple of days is commonTylenol / Motrin is typically all that is needed

WHAT DO THE RESULTS LOOK LIKE?

PATIENT 1PATIENT 1


treatment2 months after


PATIENT 2PATIENT 2




PATIENT 3PATIENT 3




PATIENT 4PATIENT 4




PATIENT 5PATIENT 5




PATIENT 6PATIENT 6




HAVE STUDIES BEEN CONDUCTED TO PROVE THE SAFETY AND EFFICACY

OF THE VENACURE EVLT® PROCEDURE?

Absolutely….let’s take a look

VENACURE EVLT® TREATMENT – THE VENACURE EVLT® TREATMENT – THE RESULTSRESULTSCombined Results for VenaCure EVLT Treatment and Endovenous Laser Treatment:

> 3000 GSVs treated with endovenous laserUp to 28 month follow-up> 97% of GSVs have remained closedBruising & mild/moderate tenderness (< 2 wks)No other minor or major complications

Min R, Khilnani N, Zimmet. Endovenouslaser treatment of saphenous vein reflux: long-term results. JVIR 2003; 14: 991-996.

Endovenous Laser Treatment of Saphenous Vein Reflux: Long-Term Results Robert J. Min, MD, Neil Khilnani, MD, and Steven E. Zimmet, MD J Vasc Interv Radiol 2003; 14:991–996

THE VENACURE EVLT® TREATMENT & YOU.

THE PERFECT MATCH.

Technology

Patient presentation 5-24-10