Endovascular Therapy

The procedure can last from 20 minutes to an hour depending on the size of the area treated.

Bleeding often stop spontaneously, but if it does not, a Sengstaken-Blakemore or Minnesota tube is inserted to provide constant pressure at the source of bleeding of the varices by using a balloon tamponade. For continued bleeding, a nasogastric tube may be inserted and connected to continuous low suction with periodic lavages. Intra-arterial infusion of vasopressin or

Locastro treats. He has a variety of treatment options at his disposal, allowing him to treat each patient individually. Not every Skaneateles NY vein treatment patient is going to have the same disease progression or the same needs. That is why Dr. Castro offers conservative treatments alongside the latest in varicose vein treatments, including sclerotherapy, ambulatory phlebectomy, and endovenous laser ablation.

DVTs usually occur within the deep veins of the lower leg. The DVTs that remain in the lower leg and calf tend to be asymptomatic and do not become clinically significant. A DVT is most likely to present symptoms when the proximal leg veins are involved and also when the DVT obstructs venous outflow resulting in inflammation of the vein wall (Bonner and Johnson, 2014). Warmth, redness, pain and swelling in the affected limb are common symptoms of a DVT. If a patient presents with these symptoms, a physical examination of the whole limb should be undertaken by a nurse or physician to observe for signs suggestive of a DVT. Suggestive symptoms of DVTs include superficial venous dilation, tenderness along the course of the vein, unilateral leg oedema, cyanosis, warmth and erythema (Bonner and Johnson, 2014). On examination of the limb, these are the symptoms that the nurse or physician should be looking out for, however, diagnosis on clinical presentation alone is extremely difficult as these symptoms are not specific to DVT and can be present in numerous other conditions. To improve accuracy when determining the probability of a DVT, nurses are advised to use the two level DVT Wells score. Each clinical feature is accompanied with a score. If a patient presents with a score that is two points or higher, it is likely that a DVT is present and

• Treating deep vein thrombosis (DVT): it’s a blood clot that develops deep in the vein especially in the leg. Such clots are also termed as venous thrombosis. DVT triggers pain and can result in severe complications like pulmonary embolism, hence the medication is given but one should take the right amount of the medication and avoid Heparin overdose and underdose

Varicose and spider veins on the legs can be very uncomfortable and unsightly. Fortunately, there are non-invasive treatments than can remove them leaving your legs smooth and clear. Varicose and spider veins typically develop when the valves in the vein become weak and do not push the blood back to the heart, as they should. This is called venous insufficiency and one of the main treatments is visual sclerotherapy. This treatment is mainly used to treat spider and small varicose veins that are invisible under the surface of the skin.

Venography: a procedure that involves injection of a dye into the vein in the lower limb and taking an X-ray image to visualize clots. It is a painful invasive procedure that may cause contract reaction and procedure-induced DVT

Laser vein therapy is a relatively quick and painless way to get rid of unsightly reticular or spider veins on almost any part of your

Immobility during long journeys or during disease struck period leads to many different complications. My interest in the problems faced by patients after surgeries and the elderly with less mobility, leading to deep vein thrombosis. Being able to recognize someone affected by Deep Vein Thrombosis, and diagnosing it before there are other complications that are formed due to this blockage between the veins. In the circulatory systems, the method of transport of blood from the heart and to the heart, operate on different mechanisms. Arteries have elastic muscle lining, which can withstand the pressure when the blood is pumped from the heart. Veins are transporting de-oxygenated blood back to the heart, and they lack muscle lining.

the skeletal muscle pump- in the limbs, the veins are surrounded and massaged by the muscles. Contracting muscles squeeze the blood out of the compressed part of a veinwin and the valves ensure that this blood can only go toward the heart.

I spent years trying to get rid of this embarrassing affliction caused by these little veins on my legs. Spider veins are somewhat like varicose veins only smaller.

Spider veins are near the surface of your skin. They are fairly small and tend to form patterns that look like spider webs. While they don't usually pose a health risk, you may find their appearance embarrassing. Your doctor may be able to remove these veins, as well as small, deeper varicose veins by using a laser light on the surface of your skin. Your doctor moves the laser across your leg or calf and zaps the veins, which causes them to shrivel and fade away. You may need a combination of surface laser

Surgery normally consists either of saphenofemoral ligation (where a cut is made at the top of the groin above the main varicose vein) or short saphenous ligation, with or without stripping, and phlebectomies (removal of the vein). Alternatively, varicose veins can be treated by sclerotherapy, an injection treatment which shrinks the blood vessel, although this has been associated with a high recurrence rate.

Scrub the site of the puncture with a alcohol pad. Use a circular scrubbing motion, from inside to outside only. Cover a wide area around the selected site, 3 to 4 inches. This may have to be repeated depending on the cleanliness of the patient. Cleansing the site prevents chemical or microbial contamination of specimen and patient. Do not touch this area again. Let the area air dry. Do not blow on or fan the area. The alcohol should be allowed to dry to avoid hemolysis and/or burning sensation when the venipuncture is performed. It is better to use syringes if veins are small. butterfly collection sets are also available and useful if multiple tubes are needed. If a syringe is used, move the plunger up and down in the barrel once or

Now explain the procedure to the patient so that when the moment arises they are prepared as to what to expect. First you will put your gloves on, sit the patient down and apply the tourniquet to palpate the vein. The key to puncturing the vein is not by seeing it but rather by palpating it; this is the proper technique that is used when venipuncture. You will take a few second to examine and feel the vein; this will give you a clear vision of the depth and width. This step should not take longer than one minute. After you are positive about the puncture site, proceed with cleansing the area and allow the area to dry for thirty