Vascular surgeon

How does a vascular surgeon consultation and treatment work?

A vascular surgeon consultation begins with taking the patient’s medical history. The doctor asks about the symptoms, when they first appeared, the patient’s lifestyle, any underlying conditions, and medications they are taking.

During the clinical examination, the specialist:

• assesses the condition of the veins, arteries, and skin of the limbs;
• checks for swelling, varicose veins, and trophic changes;
• checks arterial pulses;
• if necessary, performs functional tests and measures blood pressure at different sites.

After the examination, the doctor may recommend a vascular ultrasound, laboratory tests, or other diagnostic procedures. Based on the results, an individual treatment and follow-up plan is developed.

Diagnostic methods

ZDRAVO uses modern diagnostic equipment. This allows us to detect pathology at an early stage and avoid surgical intervention.

The main diagnostic methods:

• Vascular ultrasound (duplex scanning) – assessment of vein patency, detection of blood clots;
• Dopplerography – measurement of blood flow velocity;
• Blood tests – coagulogram, general and biochemical analysis;
• Assessment of venous pressure – determination of the degree of venous insufficiency.

Based on the results, the doctor develops an individual treatment plan.

Methods of treatment of vascular diseases

The medical centre uses both conservative and surgical methods of treatment. The goal is to reduce symptoms, restore blood flow and prevent complications.

The main methods of treatment:

• Compression therapy – use of special knitwear;
• Medication – venotonics, anti-inflammatory drugs;
• Sclerotherapy – injection of a substance that glues the affected vein;
• Laser coagulation – closing the vessel with a laser;
• Surgical intervention – phlebectomy, removal or ligation of veins.

With timely treatment, it is often possible to do without surgery.

Who is a vascular surgeon?

A vascular surgeon is a doctor who specializes in the diagnosis, prevention, and treatment of diseases of the arteries and veins. Their main task is to assess the condition of the vascular system, identify the cause of impaired blood circulation, and determine the optimal further treatment approach.

A phlebologist is a specialist who primarily deals with diseases of the veins, including varicose veins, thrombophlebitis, thrombosis, and chronic venous insufficiency. If the condition requires a comprehensive approach or surgical intervention, the patient is referred to a vascular surgeon for consultation.

At the ZDRAVO medical center, a phlebologist consultation is combined with the expertise of a vascular surgeon, which allows for a prompt diagnosis, identification of the cause of symptoms, and selection of effective treatment. This comprehensive approach helps start vascular treatment in a timely manner, according to the patient’s individual needs.

When to visit a phlebologist or vascular surgeon

Vascular diseases often develop unnoticed. In the early stages, they are not always accompanied by pain, but can have serious consequences if not treated on time.

Indications for a consultation with a vascular surgeon

• heaviness and pain in the legs at the end of the day
• swelling of the legs or ankles;
• calf muscle cramps, especially at night;
• appearance of cyanotic venous network;
• veins protruding above the skin;
• discolouration of the skin of the feet, peeling;
• non-healing trophic ulcers.

Also, a preventive consultation with a phlebologist is recommended after the age of 30, especially in case of a hereditary predisposition to varicose veins.

The main causes of venous disorders

The causes of vascular diseases are diverse – from lifestyle to chronic pathologies. Understanding the risk factors can help prevent disease progression.

The most common causes are

• genetic predisposition to varicose veins;
• prolonged standing or sitting;
• hormonal changes, in particular during pregnancy;
• overweight or obesity;
• smoking, chronic intoxication;
• injuries of the lower extremities;
• diabetes mellitus or hypertension;
• wearing tight or high shoes.

The risk group includes women, pregnant women, office workers, athletes, and the elderly.

What diseases does a phlebologist and vascular surgeon treat?

The list of diseases that specialists work with:

• varicose veins;
• chronic venous insufficiency (CVI);
• thrombophlebitis and phlebitis;
• thrombosis of deep and superficial veins;
• trophic ulcers;
• venous dysplasia;
• post-thrombotic syndrome;
• lymphostasis.

Other specialists and related services

Other specialists of the medical centre ZDRAVO can be involved in the complex treatment of vascular pathologies:

• Cardiologist – for coronary artery disease or hypertension;
• Neurologist – in case of peripheral circulatory disorders;
• Endocrinologist – in case of diabetic vascular disease;

Also available: Vascular ultrasound, blood tests, ECG, gynaecological examination – important for pregnant women with varicose veins.

Why choose a vascular surgeon at ZDRAVO

At the ZDRAVO medical center, patients can consult a vascular surgeon, undergo the necessary diagnostic procedures, and receive an individual plan for further care. A comprehensive approach, modern equipment, and collaboration with other specialists help assess the condition of the blood vessels and select treatment tailored to each patient’s individual needs.

Benefits of choosing ZDRAVO:

• vascular surgeon consultations by appointment, without long waiting times;
• the opportunity to schedule an appointment with a vascular surgeon on a day and at a time convenient for the patient;
• the option to book an appointment through the Care Department or online using the form on this page;
• up-to-date information about the cost of the consultation and other services before booking;
• modern diagnostics available at one medical center;
• an individual approach and patient support throughout all stages of examination and treatment.

Do not put off seeking medical attention if you are experiencing swelling, heaviness in the legs, cramps, prominent veins, or pain when walking. The earlier the cause of the symptoms is identified, the more opportunities there are for effective treatment and prevention of complications.