Clinical case examples

Disclaimer

The selected case studies and pictures presented on this page are those of actual patients treated at Vein Centres of South Africa in Umhlanga (Durban), Fourways (Johannesburg) and Somerset West. It is important to understand that every patient is unique and treatment individualized and as such individual results may vary

Patient experience

Venous Eczema

Venous Eczema

BeforeVenous eczema right leg before treatment
AfterVenous eczema right leg after treatment

History

1 year history of severe venous eczema. Failed topical treatment with steroid ointments. Bleeds every other day. Currently using a dry bandage.

Treatment

Venous duplex reveals two large, distinct incompetent perforator veins. Treated with single session of ultrasound guided foam sclerotherapy

Individual results may vary.

Venous Eczema

BeforeVenous eczema left ankle before treatment
AfterVenous eczema left ankle after treatment

History

10 year history of varicose veins and venous eczema. This patient presented with a chronic skin itch and scaling involving the ankle and foot.

Treatment

Large refluxing greater saphenous vein found on duplex ultrasound. Radiofrequency ablation and foam sclerotherapy performed.

Individual results may vary.

Venous Eczema

BeforeVenous eczema right leg before treatment
AfterVenous eczema after treatment

History

Chronic venous eczema. Previously treated with dressings. Chronic recurrance.

Treatment

Duplex confirms reflux. Treated with radiofrequency ablation and ultrasound guided foam sclerotherapy

Individual results may vary.

Spider Veins

Spider Veins

Before
After

History

50 year old female. Small spider veins. Cosmetic problem

Treatment

Normal duplex scan of the superficial and deep veins. Sclerotherapy performed

Individual results may vary.

Spider Veins

Before
After

History

53 year old female. Unsightly veins and restless legs. Both legs affected.

Treatment

Normal superficial vein scan. Treated with increased concentration of liquid sclerotherapy.

Individual results may vary.

Spider Veins

BeforeSpider Veins
AfterSpider Veins

History

55 year old female. Spider veins, lateral thigh.

Treatment

Normal superficial vein scan. Treated with sclerotherapy.

Individual results may vary.

Spider Veins

Before
After

History

65 year old female. Long hisotry of spider veins. Previously seen at laser centre, but not treated.

Treatment

Low concentration liquid sclerotherapy followed by mild compression for several days.

Individual results may vary.

Spider Veins

Before
After

History

65 year old female. Long hisotry of spider veins. Previously seen at laser centre, but not treated.

Treatment

Low concentration liquid sclerotherapy followed by mild compression for several days.

Individual results may vary.

Spider Veins

Before
After

History

65 year old female patient with Recurrent varicose and spider veins after stripping surgery.

Treatment

Ultrasound guided foam sclerotherapy followed by liquid sclerotherapy

Individual results may vary.

Spider Veins

Before
After

History

70 year old female with extensive spider veins involving mostly the thighs.

Treatment

Multiple sessions of liquid sclerotherapy. Mild skin staining did resolve.

Individual results may vary.

Spider Veins

Before
After

History

77 year old female with reticular and spider veins on both legs

Treatment

Multiple sessions of liquid and foam sclerotherapy, very minor staining noted.

Individual results may vary.

Spider Veins

Before
After

History

77 year old female with reticular and spider veins on both legs

Treatment

Multiple sessions of liquid and foam sclerotherapy, to both legs and thighs.

Individual results may vary.

Spider Veins

Before
After

History

67 year old female with popliteal fossa and posterior thigh spider and reticular veins.

Treatment

Three sessions of liquid sclerotherapy. Moderate skin staining noted but resolved.

Individual results may vary.

Spider Veins

Before
After

History

43 year old female with Spider vein patches from feeding reticular veins.

Treatment

Two sessions of liquid sclerotherapy and compression. No staining noted.

Individual results may vary.

Spider Veins

Before
After

History

30 year old female with limited spider and reticular veins.

Treatment

Three sessions of liquid sclerotherapy and compression.

Individual results may vary.

Spider Veins

Before
After

History

76 year old female with large reticular patch of veins at knee

Treatment

Result at one month after single foam sclerotherapy session. Patient had further treatment

Individual results may vary.

Varicose Veins

Varicose Veins

Before
After

History

76 year old female with recurrent varicose veins. Over 50 years, had 6 previous vein surgeries including stripping and phlebectomies. Scarring evident.

Treatment

Duplex ultrasound revealed partially stripped saphenous vein on the right. Treated by radiofrequency ablation and foam sclerotherapy

Individual results may vary.

Varicose Veins

Before
After

History

64 year old female with longstanding varicose veins. Presented with leg pain and bulging veins. Known diabetic.

Treatment

Duplex confirmed greater saphenous and accessory vein reflux. Treated by Endovenous Radiofrequency ablation and foam sclerotherapy. Mild staining

Individual results may vary.

Varicose Veins

Before
After

History

Severe varicose veins, previous venous ulcer at the ankle, stands for long periods. Manages veins with compression stocking.

Treatment

Duplex ultrasound found massive 2.7cm varicose veins. Treated by endovenous radiofrequency ablation and foam sclerotherapy.

Individual results may vary.

Varicose Veins

Before
After

History

76 year old female with recurrent varicose veins. Over 50 years, had 6 previous vein surgeries including stripping and phlebectomies. Scarring evident.

Treatment

Duplex ultrasound revealed recurrent non-truncal varicose veins. Treated by foam sclerotherapy. No staining.

Individual results may vary.

Varicose Veins

Before
After

History

56 year old pharmacist, 10 year history of varicose veins. Strong family history of varicose veins and venous ulcers

Treatment

Duplex ultrasound identified large varicose veins of 12–18 mm in both legs. Treated by radiofrequency ablation and foam sclerotherapy

Individual results may vary.

Varicose Veins

Before
After

History

56 year old pharmacist, 10 year history of varicose veins. Strong family history of varicose veins and venous ulcers

Treatment

Duplex ultrasound identified large varicose veins of 12–18 mm in both legs. Treated by radiofrequency ablation and foam sclerotherapy

Individual results may vary.

Varicose veins

BeforeVaricose veins right foot dorsum
AfterTreated varicose veins right foot

History

38 year old Physiotherapist and runner. Veins interferes with wearing shoes. Large varicose veins involving both legs and right foot.

Treatment

Duplex ultrasound shows truncal vein and perforator vein reflux. Treated by radiofrequency ablation and foam sclerotherapy. Patient running Comrades again!

Individual results may vary.

Varicose veins

Before
After

History

62 year old female patient with Bleeding varicose veins. Past failed sclerotherapy due to undiagnosed venous reflux

Treatment

Duplex ultrasound confirms venous reflux in saphenous veins. Treated by radiofrequency ablation followed by foam sclerotherapy. No further bleeding.

Individual results may vary.

Varicose veins

Before
After

History

Young male patient with varicose veins and leg swelling. This patient had been moderatly active and had symptoms on prolonged standing and sitting.

Treatment

Duplex ultrasound confirms venous reflux in large saphenous vein. Treated by radiofrequency ablation and foam sclerotherapy. Leg swelling resolved.

Individual results may vary.

Varicose veins

Before
After

History

Female patient with varicose veins and leg pain with restlessness at night. Patient developed a heavy leg on prolonged standing.

Treatment

Duplex ultrasound confirms venous reflux in large saphenous vein. Treated by radiofrequency ablation and foam sclerotherapy. Symptoms resolved.

Individual results may vary.

Varicose veins

Before
After

History

Young male patient with varicose veins and leg swelling involving the right leg. Symptoms have been present for some time prior to seeking medical attention.

Treatment

Duplex ultrasound confirms venous reflux in large saphenous vein. Treated by radiofrequency ablation and foam sclerotherapy. Leg swelling resolved.

Individual results may vary.

Venous Ulcers

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
After

History

Treatment

Individual results may vary.

Venous Ulcer

Beforevenous ulcer
AfterVenous Ulcer after treatment

History

Treatment

.

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous Ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous Ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

Beforevenous ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

Venous Ulcer

BeforeVenous ulcer
AfterVenous ulcer after treatment

History

Treatment

Individual results may vary.

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