A joint meeting of the:
A BAS workshop was held at the Amersham Clinic of the British Vein Instite.
Mr Philip Coleridge Smith, President of the BAS, guided discussion on a wide subject area of phlebology and sclerotherapy. The presenations included video demonstrations of a wide range of techniques used to treat varicose veins.
The programme for this meeting follows:
‘Sclerotherapy of large and small veins: from the basics to advanced skills.
All you need to succeed in a sclerotherapy practice’
Subjects areas:
Training for sclerotherapy
Who can do sclerotherapy?
What training and skills are required?
What are thread veins?
The anatomy of thread veins, reticular veins and varicose veins.
How do these types of vein interact?
What symptoms do these veins cause?
Pharmacology of the sclerosants that we use.
What is used in the UK and the World?
What is licensed?
Prescribing of sclerosants: who can or can’t
Which patients to treat?
Those suitable
Those less suitable
Those unsuitable.
Consultation
What to ask the patient
Examination: what to look for
Tests for venous disease
Do we need tests?
Which investigations are useful?
VeinLite – what does this do?
How to do CW Doppler
What about duplex ultrasound – who needs this?
Equipment needed
Needles, syringes
?Clean the skin
Consent
How much in which veins?
Where to start?
When to stop!
Where not to inject
Follow-up
Post-treatment compression
When to review
What to do at review
Which veins next
Problems
Bruises
‘Trapped’ blood
Bruising
Vein won’t go
When to phone a friend ie when to refer to a surgeon
Adverse events
Ulcers
Vasculitic response – embolia cutis medicamentosa
Phlebitis
DVT
What about big veins?
How to test for
How to treat: foam, laser, RF etc etc,
