Endovenous Laser Treatment
It is the process of closing the saphenous vein internally without making an incision in patients with advanced valve insufficiency in the main superficial vein (saphenous vein). In these patients, the saphenous vein is entered above the knee using a small needle under local anesthesia. From here, the laser beam is advanced through the guide wire. It is placed under Doppler control. By turning on the laser source, the vein is closed from the inside. In this way, the procedure is completed in a very short time without making any incisions on the leg. The patient stands up on the same day.
Varicose Vein Treatment with Radiofrequency Waves
As in laser treatment, a needle is entered into the saphenous vein under local anesthesia above the knee. A radiofrequency catheter is placed under Doppler control. The saphenous vein is closed with 7 cm segmental ablations. The entire procedure can be performed under local anesthesia. In this procedure, which is completed in a short time, no incision is made on the leg. The leg remains bandaged for 2-3 days after the procedure. Then, compression socks are applied. After the procedure, patients are recommended to wear compression stockings for 2 weeks. It is an effective method.
Endovascular Aneurysm Repair (EVAR)
Are Non-Surgical Varicose Vein Treatment Methods Suitable for Me?
For the answer to this question, we recommend that you read varicose vein treatment methods.
Surgical Options in Abdominal Aortic Aneurysm (AAA)
In this method, which we apply in abdominal aortic aneurysms without opening the abdomen, we place a self-stented artificial vessel, which we call a stentgraft, from the inguinal artery into the aneurysmatic area. In this way, the aneurysm is repaired from the inside. Blood now flows through the new artificial vessel without filling the aneurysm sac. The stents on it allow the artificial vessel to hold tightly to both ends of the aneurysmatic segment and not collapse inside. Since the blood flow passing through the vessel exerts pressure in the same direction, the artificial vessel remains stronger.
What are the advantages of the EVAR method?
Today, we can apply two types of surgical options in AAA. The first one, which we call the classical method, is the process of surgically opening the abdomen and removing the aneurysmatic aortic section and replacing it with artificial vessels known as Dacron or Gorotex. The second option is to open the abdomen, which we have preferred more in recent years. It is an endovascular aneurysm repair (EVAR) technique, which is the process of inserting a new vessel into the aneurysmatic aortic vessel by entering from the inguinal artery. Although the EVAR technique can be applied to almost all abdominal aortic aneurysms, we always have the chance to perform classical surgery in patients who are not suitable for this technique.
What are the disadvantages and possible complications of the EVAR method?
The opaque substance used to visualize the vessels during the procedure passes through the kidneys. Since it is excreted from the body, its use is limited in patients with renal failure. The most important complication is blood leakage between the stent and the aneurysm from the edges of the artificial vessel or from a vessel opened into the aneurysm sac. This condition is called endoleak. If the endoleak is not corrected, it may cause the aneurysm to grow and even burst. A possible endoleak is treated with the same method. Very rarely, it is corrected by open surgery.
The first is to repair the aneurysm without opening the abdomen. Since it is less traumatic, it is a more suitable treatment method than open surgery, especially for elderly patients or patients in poor general condition. Our patients return to their daily lives more quickly. As with all surgeries performed with small incisions, there is less pain, the need for blood transfusion and the risk of infection. It is more aesthetic than surgery performed with a classical incision.
Non-Surgical Heart Valve Replacement (TAVI)
It is a method we apply to our aortic valve patients who are elderly or have additional diseases that cannot tolerate open heart surgery.
Non-Surgical Heart Valve Replacement. (TAVI) How is it applied?
It is a treatment method that we carry out together with our cardiologist colleagues. While the heart is working, we place the artificial aortic valve using the catheter method.
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