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The cases in this list have all been treated at the Homestead Vein Center by Dr.Galtes and represent a sample of the different problems our patients present with. We have included a short clinical vignette and a description of the treatments offered as well as before and after images. Click on the case number link to se detailed information.
Case #1. Undiagnosed venous reflux. Prior suboptimal sclerotherapy.
Patient with several prior treatments (sclerotherapy injections) for spider veins without permanent improvement. Prior treatments performed at a cosmetic center without evaluation of deep and superficial venous systems. Ultrasound revealed marked reflux in the right lower extremity and she underwent ablation of the greater saphenous vein with excellent results. Later on several sessions of sclerotherapy were performed for the residual spider and reticular veins.
Case #2. Long standing venous reflux.
Patient with over 30 years of developing painful varicosities. Was under the impression there was no remedy to her problem. Was noted to have extensive reflux in 3 of the main veins of the superficial system. Underwent ablation of all 3 veins using the Venefit procedure and later on an Ambulatory Phlebectomy to remove the residual varicosities.
This is the case of a young lady who came to our office for other unrelated cardiovascular issues. Once examined the prominent varicose veins in her lower extremity were brought up. She admitted then to significant discomfort in that leg with heaviness, pain when bending at the knee while sitting down, cramps as well as the unsightly appearance of the varicosities. The ultrasound revealed reflux in the anterior accessory saphenous vein which was feeding the varicose veins that were visible. She underwent ablation of the AASV with the Venefit Procedure with a concomitant phlebectomy of the varicose veins.
Patient that had been followed in our practice noted to have worsening on the right lower extremity varicose veins. Now with symptoms. She was ashamed of wearing shorts due to the unsightly appearance of the varicose veins.
Case #5. Right lower extremity pain and bulging varicosities.
Young patient with years of discomfort and evolving varicose veins from the thigh all the way to the lower leg. She had been told there was not much of a solution for this problem and was wearing stockings without permanent relief. Once evaluated she was noticed to have an incompetent right greater saphenous vein for which she underwent the Venefit Procedure as well as an ambulatory phlebectomy. Case #6. Extensive disease in both extremities.
This patient is a work in progress. He presented with extensive, large varicosities in areas with a high propensity for trauma like the one shown below in the inner aspect of the calf near the knee. he also had heaviness in the lower extremities when standing up.
The ultrasound revealed severe reflux in both greater saphenous veins and also a perforating vein in the right thigh. He initially underwent ablation of the perforating vein in one session and on a second one ablation of the right GSV and phlebectomy of the varicosities, The images below show the results on the right leg. The left lower extremity had also reflux on the GSV and will be treated soon along with a phlebectomy. Once done we will post the results.
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