Angiology and Vascular Surgery

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Dr. Tripodi, Paolo

Expert en tècniques vasculars i endovasculars.

No. registered: 08053063

Degree in medicine and surgery specialized in vascular surgery from the University of Catania. Additional advanced training in endovascular techniques at the Vascular Surgery Unit of the Hospital Clínic Barcelona and a training stay in Vascular Surgery at the University Clinical Center in Belgrade. Extensive career as a specialist doctor in the angiology and vascular surgery sector in private and public healthcare. For 6 years, specialist doctor at the Hospital Sagrat cor Barcelona. Doctorate awarded by the UB in 2021 and since 2017 specialist in emergency care at the Hospital Clínic de Barcelona. Extensive operating room experience in vascular and endovascular interventions, including major surgery operations and experience in performing vascular echo-doppler. He has participated as a speaker in several national and international congresses and has published different studies and articles in the field of angiology and the different vascular and endovascular surgical techniques. Idiomes: Català, castellà, anglès i italià.

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Dr. Quintana Riera, Frederic

Expert en Esclerosi Venosa

No. registered: 080807346

Degree in Medicine and Surgery at the Faculty of Medicine of the Classical University of Barcelona. Specialist in General Surgery, Cardiovascular Surgery and Peripheral Vascular Surgery. Resident in training Hospital Clínic de Barcelona. Doctor in charge and Head of Service at different Hospitals in Lleida, Sabadell, Sant Boi and Barcelona. Collaborator and organizer of Specialty Classes and Courses at the Universities of Lleida, Barcelona and numerous Medical Congresses. Numerous scientific works presented at Medical Congresses and published in Specialty Journals. Two professional awards. Membre de varies societats científiques, on destaquen la Societat Catalana d'Angiologia i Cirurgia Vascular i la Sociedad Española de Angiología y Cirugía Vascular.

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Venous doppler echo

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What is angiology?

Angiology or vascular surgery is the specialty medical-surgical unit responsible for the diagnosis and treatment of diseases of the circulatory system.

The circulatory system is an extensive network of "pipes" whose mission is to bring blood, and with it oxygen and nutrients, to all the cells of our body, and then return it to the heart

What are varicose veins?

Varicose veins are veins dilated by the inability of blood circulation. Because the blood cannot circulate properly, the pressure inside the affected veins increases and the walls dilate.

Factors that favor the appearance of varicose veins

· Standing for a long time

· Overweight

· The use of contraceptives

Techniques to remove varicose veins

Percutaneous sclerosis of varicose veins
Sclerotherapy involves injecting a chemical, usually foam, into a varicose vein to cause irritation and scarring that closes the vein.

endolaser
In this procedure, the device at the end of the catheter releases heat from a laser. The laser light blocks the diseased vein.

radio frequency
In radiofrequency intravenous ablation, radio waves are used to generate heat and achieve blockage of varicose veins.

Varicose veins surgery
It can be said that indeed surgery, whenever possible, is the best treatment. At present there are several surgical techniques for varicose veins, among which it is worth highlighting:

CHIVA technique
The CHIVA (Hemodynamic Preservation of Ambulatory Venous Insufficiency) technique preserves the internal and/or external saphenous vein and keeps it flowing to ensure proper venous drainage.

Striping technique
In this technique, the vascular surgeon removes all the veins.

Frequently asked questions

How many sessions are needed in sclerosis?

A single session is sometimes sufficient, although the total number of sessions will be determined by the size and depth of the varicose veins to be treated.

Is multiple sclerosis painful?

Superficial local anesthesia is applied using a cream, which allows you to work comfortably with the laser and reduce the sensations of discomfort or pain.

Does sclerosis leave marks or bruises?

The marks it leaves are small dots that turn into scabs and disappear, somewhat depending on the skin of each patient, after about 15 days.

Can you sunbathe after sclerosis?

There are no contraindications, as long as proper protection is used. In principle it is not necessary to bandage, but this will depend on the depth of the veins.

Is sclerosis compatible with laser hair removal?

Following a photoepilation treatment is not a problem. It is fully compatible.

How serious can leg phlebitis be?

Phlebitis is really serious when it affects a deep vein: the blood clot can migrate, block a branch of the pulmonary artery and cause what's called a pulmonary embolism.

What are the symptoms of phlebitis?

Whether it is deep or superficial, it causes redness in the area where the vein passes. Sometimes it even forms as a cord that can be felt. It can also produce heat, pain and fever.

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