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Private Clinic Döbling
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Diagnosis

Preamble

Modern therapeutical techniques require that for an intervention a visual displaying of the veins is provided first.

  • Sections are not anymore performed in a “blind“ manner but tightly focused as a selective intervention.
  • That is how interventions, which formerly required cuts of 3 – 8 cm or 1.5 – 2.5 ” respectively, today are performed effectively by laser with a puncture of 2 mm.

The tools in our vein center allow us the displaying of veins in all depths of the tissue, providing thus their effective, painless and individual treatment.

The color-duplex (ultrasound) examination

Farbduplex-UntersuchungThe color duplex examination is worldwide standard, but in Austria not yet been applied all over the country. The patient is in a standing or lying position in front of the examiner, who runs a transducer over the veins. For the patients it is a fascinating experience to recognize their own venous valves, and together with the physician they can discover their venous system.

The examination is absolutely painless, just having to continue standing for an extended time may be unpleasant in some case. There is no exposure to radiation. The great advantage of the method lies in the possibility to mark unsound veins as early as during the examination.

This so-called “mapping“ is optimally performed by the surgeon. It offers a “bespoke“ operating/intervening option, as modern interventions can be performed in a more efficient and painless way.

The phlebography (contrast-agent examination, which we rarely perform)

The phlebography (contrast-agent examination)During phlebography, a contrast medium is infused into the vein in the dorsum (back) of the foot, and X-ray pictures display the progression of the agent. The process is unpleasant, partially painful. Before the examination contrast-medium allergy should be excluded. On the part of the surgeon, the method has but questionable significance. The examination is however still useful in probable cases of thrombosis in the lower leg (occlusion in the deep veins of the lower leg) or in cases following thrombosis in the deep vein of the leg (post-thrombotic syndrome).

The CT Phlebography

CT PhlebographyModern section diagram method. The displaying of the leg veins is carried out within a computer tomography (CT). It allows in particular a good representation of alterations in veins in the pelvic region (May Turner Syndrome). This disorder attracts attention by a swollen left leg and is medicated by radiological insertion of a stent.

The dynamic Doppler test

This novel test for diagnosing the functional efficiency of the venous valves in motion is exclusively offered by us. Operation results can thereby be clinically determined or optimized. The patient feels the improvement of hydrodynamics by a “becoming easier“ of the feet.

Veinlite

Modern US tool from Houston, Texas. It offers by a physical effect the representation of the superficial veins. The method serves for the representation of reticular veins. Veinlite is in particular helpful for the representation of the feeding veins in spider veins.

without Veinlite
without Veinlite
with Veinlite
with Veinlite

Syris V900

Syris V900A polarization effect facilitates a viewing through the skin and three-dimensional representation of spider veins. It allows thus an efficient and painless treatment of spider veins.

without Syris V900
without Syris V900
with Syris V900
with Syris V900

The light-reflex rheography

A probe pasted up the leg measures the amount of blood in the leg. Compression of the veins from outside by means of a pressure sleeve can simulate an operative intervention. The examination serves inter alia to determine whether an intervention into the venous system would be of cosmetic value only or after all be of medical necessity.

The Dopplertest

Plain handheld meter for examinations. The examiner runs an ultrasound probe over the trunk veins and thereby identifies valvular defects. The Doppler appliance does however not offer a visual display of the venous system.