Eventually almost everybody gets them: small vessels, bluish or reddish, in particular in the legs or sometimes in the face. Often in the outward sides of the legs and thus visible to everybody. If not treated, such meshwork of tender vessels can be up to 10 cm or 4“ respectively wide and even cause pain.
Is the treating of spider veins necessary?
In the beginning, spider veins are rather a cosmetic problem. But in the course, in particular skin on top of spider veins can become extremely vulnerable and smallest lesions may cause intense bleeding. Such large spider vein convolutes should be treated in any case. Spider veins in the ankle region are heralds of chronic varicosity. In such a case a color-ultrasound examination in the deep leg veins and the venous valves should be performed in order to foreclose a failing of the guide veins or trunk veins.
How are spider veins treated – Sclerotherapy, Laser or Minimalinvasive Surgery?
Sclerotherapy (obliteration) is still considered the treatment of choice. Technically, a sclerosing agent is applied into the vein with a special needle, which causes swelling of the inner wall of the vein. A pressure bandage causes bonding and after some time the vein has disappeared.
For efficient treatment we use a special tool from the US: The Syris V900 facilitates the painless treatment of even finest spider veins.
Syris V900 enables the looking through the skin and an efficient and painless treatment of spider veins.
Another helpful tool is Veinlite. It facilitates the delineation and specific treatment of feeding veins
That’s the way we achieve great success in the therapy of spider veins. But let it be made clear:
There is no guarantee for success: 50-70% of the spider-vein cases may be treated in a successful and speedy way! But obliteration can be followed by a protracted healing-up period, characterized by slight discoloring of the skin. Reactions to the obliteration therapy vary individually. In most cases several laser treatment meetings are required.
Laser rays produce parallel light of a distinct wave length. In the treatment of spider veins they penetrate the superficial skin layers und react with the blood pigment (haemoglobin) in the fine vessels. That causes swelling of the inner vein wall, similar to that during obliteration treatment, and the spider veins disappear. We use laser in particular for the treatment of tender, extensive reddish spider veins.
Is the operation of spider veins necessary?
Basically no. Yet in case that Veinlite displays a large nutrient vein, we recommend excision by microsurgery under local anesthesia.
Special, 14 MHz, high-resolution ultrasound probes permit the displaying and selective treatment of nutrient veins leading from the depth. That enables the safe excision of spider veins, which before could not be treated successfully.
Summary: Treatment of spider veins
(Therapy concept acc. to UIP Rome 2001, ACP Miami 2012)
Ligation of larger nutrient veins by microsurgery unter local anesthesia.
Sclerotherapy with fine special needles.
Laser therapy of tender, extensive spider veins.
Display of nutrient veins by Veinlite and high-definition color-ultrasound.