David West
David West

Consultant Interventional Radiologist

Stoke on Trent

01782... Reveal phone no. >

Treatments provided by David West

David West is the Medical Director of Veincentre which specialises solely in minimally invasive vein treatments. All treatments offered are recommended by NICE (NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE).

Consultation incl. Colour Duplex Ultrasound Scan - £250

During the consultation, Dr West will perform a Colour Duplex Ultrasound Scan of both your legs, discuss with you directly the results of the scan, and give you a firm and costed proposed treatment plan.

Detailed information about the modern varicose vein treatments offered at Veincentre including upfront and fixed prices can be found at www.veincentre.com/about/our-prices

In summary, the treatments available at Veincentre are:

Appointment Type Price
Consultation (including duplex ultrasound scan) £250
Endovenous Laser Ablation (EVLA/EVLT) (one leg)  £1695
Endovenous Laser Ablation (EVLA/EVLT) (both legs) £1995
Foam Sclerotherapy (as primary tx one or both legs)    £500
Clarivein (one leg) £1995
ClariVein (both legs) £3990
Microsclerotherapy (Thread/Spider Vein treatment) £300
Sapheon (superglue) one leg £2695
Sapheon (superglue) both legs £2995
Pelvic Vein Embolisation £2600
Testicular Vein Embolisation £2600

 

Treatments, operations and tests

ClariVein varicose vein treatment

ClariVein is the latest minimally invasive technique for the treatment of varicose veins. This technique is less invasive than laser or VNUS Closure. It also requires less local anaesthesia. The vein is located at knee level and a small amount of local is injected. The ClariVein catheter is then inserted into the vein under ultrasound control. The tip is positioned at the top of the vein at the level of the groin. The device is activated and the tip rotates agitating the inner lining of the vein. A sclerosant solution is infused at the same time through the end of the catheter as the catheter is slowly withdrawn down the vein. The combination of the rotating tip and the sclerosant causes the vein to seal. Very little discomfort has been reported during this minimally invasive procedure, and the patient is able to go home the same day.

Pelvic vein embolisation

The embolisation procedure involves blocking the varicose vein and this is a radiological procedure. Using ultrasound to assist with location, a catheter is inserted into a major vein via a pinhole sized entry point in the skin which is then positioned into the pelvic vein needed to be treated, with the help of X-ray. A small metal coil is inserted through the catheter where it sits in the vein causing it to clot and essentially shut down. This procedure is normally performed as an outpatient and under local anaesthesia.

Radiofrequency ablation (one leg)

Radiofrequency ablation (RFA) is a medical procedure in which part of the electrical conduction system of the heart, tumour or other dysfunctional tissue is ablated using the heat generated from high frequency alternating current (in the range of 350–500 kHz). There are different types of RF ablations used for different conditions, one of which is called the HALO System, which is used via an endoscopy to treat conditions such as Barrett's Oesophagus (abnormal lining of the oesophagus).

Small vein removal (Sclerotherapy)

Sclerotherapy and Microsclerotherapy have been used for a number of years. Diseased veins are located with ultrasound scanning and injected with a chemical which is mixed into a foam to displace the blood in the vein. This will eventually cause the wall of the vein to collapse and seal up. This process is less successful if the underlying reflux is not dealt with first (usually by laser) as the varicose vein will simply come back. However, by mixing the STD sclerosant with air, or CO2 into a foam leads to a more effective closure of the vein.

Thread and spider vein treatment

Veinwave is a technique that has been developed to complement sclerotherapy in order to treat smaller veins, which, usually, sclerotherapy cannot improve. It is therefore ideal for the treatment of rosacea, thread and spider veins. Veinwave uses high frequency microwaves where an ultra-fine insulated needle heats the vessels in the skin, which then creates a thermal lesion that destroys the vein. It is a relatively painless procedure. For facial veins, such as under-eye veins, laser treatments such as Cutera CoolGlide are usually preferred.

Varicose ulcer removal

Varicose veins are a frequently occurring condition with up to 40% of women and 25% of men likely to suffer from symptoms such as fatigue, pain and swelling of the lower limbs. Soft tissue breakdown leading to ulceration can result if left untreated. Treatment can take the form of varicose vein surgery, or a new laser treatment for varicose veins, laser ablation, which includes techniques such as EVLT (Endovenous Laser Treatment) and ELVeS (Endolaser Vein System). These new techniques mean that suitable patients can be treated as outpatients, under local anaesthetic in around one hour.

Varicose vein surgery (VNUS Closure)

Removal of varicose veins using VNUS Closure involves a thin catheter being inserted into the vein through a small opening through which radiofrequency (RF) energy is delivered to the vein wall, causing it to heat, collapse and seal shut. Once the diseased vein is closed, other healthy veins take over and transfer blood from the legs. This is usually performed under local anaesthetic and the patiennt can normally walk out of the medical centre within 2 or 3 hours.

Varicose Vein removal (Phlebectomy)

Phlebectomy (also known as microphlebectomy, ambulatory phlebectomy, or stab avulsion) is a non-invasive technique to remove varicose veins from the surface of the skin. Several tiny cuts (incisions) are made in the skin through which the varicosed vein is removed. Stitches usually are not required. This procedure is often done on an outpatient basis under a local anaesthetic, although some patients may be required to stay overnight.

Varicose veins ablation - both legs

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Varicose veins ablation - One leg

Varicose veins occur due to the weakening of valves in the veins, this results in blood pooling in the legs and they can become enlarged or varicose. Ablation uses heat generated by radiofrequency or laser energy to seal off the damaged vessels, preventing blood pooling in them, instead travelling through healthy alternate pathways. The procedure is minimally invasive, often done as an outpatient procedure, and requires only a local anaesthetic.

Contact details

01782... reveal

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www.veincentre.com
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I specialise in...

  • Vascular conditions
  • Varicose vein treatment