You can consult a cardiovascular surgeon at any stage of varicose veins treatment. However, not all cardiovascular surgeons are specialised in the treatment of varicose veins. In addition to surgeons who are interested in cardiac surgery and peripheral arterial surgery, there are also physicians who are specially trained in phlebology and varicose vein treatment and apply treatment in this field.
Unfortunately, most of these physicians do not perform colour Doppler ultrasound themselves or cannot perform a detailed evaluation. For this reason, they refer their patients to a radiologist for colour Doppler ultrasound and apply treatment according to the result obtained. There may be some problems at this stage. Even if your surgeon is highly skilled, the treatment may be incomplete or even incorrect due to reasons such as insufficient time for colour Doppler ultrasound, incomplete scanning due to intensity of patients or incorrect scanning method.
In addition, some general surgeons can also perform varicose vein surgery and similar problems may arise. An even more serious situation is the surgical removal of varicose veins or sclerotherapy (foam therapy) without colour Doppler ultrasound.
Some radiologists also treat varicose veins. They perform Doppler ultrasound themselves and apply laser, radiofrequency and sclerotherapy treatments in patients who do not require surgery. However, there is another problem here. Surgical intervention may be required in case of a complication that may develop, even if it is low. If it is thought that radiologists cannot perform this intervention, time loss, bleeding and haematoma may occur until reaching the cardiovascular surgeon.
In addition, some dermatologists, plastic surgeons and even beauty centres can apply sclerotherapy or capillary laser to small capillaries without colour Doppler ultrasound. However, this is a very critical mistake and even if the result is obtained, the happiness will be very short-lived. Because if a damaged vein inside causes them; they will regenerate in a very short time.
Dr. İlker Zan is a vascular surgeon who has developed himself in the field of phlebology, has been performing only vascular treatments for many years and can perform detailed colour Doppler ultrasound himself. He is an experienced physician who can intervene even in low probability complications and can perform all incisionless and seamless varicose vein treatment procedures under local anaesthesia.