Venous Diseases

Varicose Veins

Varicose veins occur when the vein valves become faulty, leading to blood flowing backward in the veins. This causes the formation of swollen, twisted veins, known as varicose veins.

Varicose veins are a common venous condition often associated with significant discomfort. They occur when vein valves become leaky, leading to a reversal of blood flow back into the leg. This results in the dilation and twisting of veins, manifesting as "varicose veins." Initially, this causes pain, a feeling of heaviness, and leg swelling.

Varicose veins occur when the vein valves become faulty, leading to blood flowing backward in the veins. This causes the formation of swollen, twisted veins, known as varicose veins.

Varicose veins in the legs can cause pain, thrombosis, and chronic wounds if left untreated.

As the condition progresses, skin changes (such as pigmentation and scarring) may develop, potentially leading to leg ulcers. Additionally, the risk of deep vein thrombosis is significantly increased. Further progression can overload the deep vein valves, exacerbating tissue damage. Therefore, prompt and targeted treatment to eliminate the affected, leaky varicose veins is considered a central therapeutic approach.

Varicose veins in the legs can cause pain, thrombosis, and chronic wounds if left untreated.

Due to advancements over the past 20 years, classical vein surgery, known as "crossectomy," is now only necessary in exceptional cases for patients with varicose veins. International treatment guidelines now recommend minimally invasive methods, particularly endovenous laser therapy, for treating varicose veins. Laser therapy is often combined with other techniques, such as "miniphlebectomy" (removal of small, visible varicose veins), to address as many diseased vein segments as possible. Scientific studies have demonstrated the advantages of this approach compared to earlier, more invasive treatments. Additionally, there are numerous alternative treatment methods that can be employed, especially in specific situations (e.g., leg ulcers, arterial vascular disease).

At Prof. Dr. Benedikt Weber’s competence center, the full spectrum of varicose vein treatment options is offered, including:

  • Endovenous Laser Therapy ("Vein Laser")
  • Foam Sclerotherapy ("Foam Injection")
  • Venaseal® Procedure ("Cyanoacrylate Adhesive" or "Vein Glue")
  • Clarivein Treatment (also known as "Mechanochemical Ablation")
  • Traditional Vein Surgery ("Crossectomy and Stripping")
  • Peripheral Vein Stripping with a stripping probe
  • Miniphlebectomy or side branch vein excision