We caught up with Dr. Veloso Gomes and Dr. Regi to find out what attendees of the varicose veins workshop could expect at CIRSE 2022.
Varicose veins - stop diagnosing (only) and start treating!
Varicose veins are a manifestation of chronic venous disease (CVD), a highly prevalent condition, which causes significant impairment in quality of life of both women and men. The negative impact on a person’s life arises from the physical signs, symptoms, and complications of the disease, but also from the negative aesthetics, leading to embarrassment.
The treatment of varicose veins has been performed by a variety of medical specialists, from vascular to general surgeons to dermatologists to angiologists, and, of course, interventional radiologists.
Recent developments in the endovascular treatment of saphenous vein reflux, which is the most common cause of varicose veins, have led to a change in its treatment: from surgery to minimally invasive treatments, and from the OR to the office. Interventional radiologists have arguably become the medical specialists with the most solid training to treat the spectrum of chronic venous disease, in particular superficial vein reflux.
The new treatment modalities include laser, radiofrequency ablation, superglue, steam, and microwave ablation. We can now use the totally non-invasive technique of HiFu to destroy veins. Most IR programmes include comprehensive training in the anatomy, diagnosis, and management of CVD, making IRs highly qualified to treat varicose veins. There are numerous examples throughout Europe of an increasing number of IRs dedicating themselves to the treatment of this pathology. With a very high prevalence in the population and high demand for treatment, this is a very attractive area for any IR wishing to develop a private practice.
Considering the increasing demand for treatment and the growing involvement of interventional radiologists, it is essential to understand the breadth of knowledge around CVD and acquire basic skills for the treatment of varicose veins. We will showcase many of the newest technologies for the treatment of varicose veins in this workshop. It is a rapidly growing field for those who love new tech!
We have acquired ample experience in the field and will be happy to share it in this hands-on device training (HDT), aiming to provide an overview of duplex ultrasound of the lower limbs and the handling of a selection of devices and different treatment techniques available.
Join us and get ready to start treating!
Figure 1: Varicose veins before and after treatment
Felipe Veloso Gomes
Hospital Cruz Vermelha, Lisbon/PT
Dr. Filipe Veloso Gomes is a Consultant Interventional Radiologist and Endovenous Specialist. He has worked in the IR Unit at Hospital Curry Cabral, Lisbon, Portugal, for the past eight years and developed a Varicose Vein Clinic at Hospital da Cruz Vermelha, also in Lisbon, in 2016. He organized the first Varicose Vein Workshop for IRs in Portugal in 2017.
Vein Centre, Sheffield/GB
Dr. Mark Regi is a consultant Interventional Radiologist and Endovenous Specialist and Education and Training Lead at Veincentre, UK. He performs over 500 venous procedures per year. He has worked as a Consultant in Sheffield for the last 10 years leading the complex aneurysm and trauma IR services. He has run the varicose vein HDT in 2018 and 2019 prior to the COVID hiatus.
- De Maeseneer M, Kakkos S, Aherne T, et al.Editor’s Choice – Management of chronic venous disease: clinical practice guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg. 2022; 63: 184-267