The high prevalence of
vascular diseases and their repercussions as a cause of morbidity and mortality have resulted in the specialty of Angiology and Vascular Surgery becoming a clearly defined discipline, requiring practitioners to have a high degree of skill and specialization combined with commitment on a full-time basis.
The specific scope of the specialty is considered equivalent to the scope of what in other European Union countries is known as Vascular Surgery, clearly differentiated from Cardiac Surgery.
Practitioners require specific training in units and departments that have been accredited for teaching. Angiology and Vascular Surgery is a medical-surgical discipline dedicated to the prophylaxis, diagnosis and treatment of vascular, arterial, venous and lymphatic diseases.
Angiology is the medical specialty that concerns the study of the
vessels of the circulatory system and the lymphatic system, including the anatomy of blood vessels (such as arteries, veins and capillaries) and that of lymphatic vessels, along with their diseases. The medical-surgical branch that deals with the diagnosis and treatment of diseases of the blood vessels (arteries and veins) is known as Angiology Vascular Surgery.
Healthcare covered by Angiology and Vascular Surgery
- Degenerative and/or obliterative arteriopathies.
- Acute limb ischaemia caused by embolism or thrombosis.
- Chronic limb ischaemia.
- Aneurysms and ectatic arteriopathies.
- Inflammatory arteriopathies and vasculitis.
- Vascular trauma.
- Arteriovenous fistulas.
- Vasomotor and mixed syndromes.
- Ectatic diseases of the veins.
- Arteriovenous and angiodysplastic congenital malformations.
- Vein thrombosis and post-thrombotic syndrome.
- Chronic venous insufficiency. Varicose veins.
- Ulcers of vascular origin.
- Extracranial cerebrovascular insufficiency.
- Acute and chronic mesenteric ischaemia.
- Renovascular arterial hypertension.
- Neurovascular syndromes of the thoracic outlet.
- Diseases of the lymphatic vessels and lymphoedema.
- Vascular tumours.
- Microcirculation diseases (vasospastic diseases, acrocyanosis, etc.).
HOSPITAL HM MONTEPRINCIPE
Dr. Luis Izquierdo Lamoca
Chief of Vascular unit in HM Monteprincipe and HM Puerta del Sur.
SONOVEIN®
The only totally non-invasive varicose vein treatment, no cuts, no scars. Immediate return to normal life.
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HM MONTEPRINCIPE
DR. LUIS MIGUEL IZQUIERDO LAMOCA
HM HOSPITALES
HM MONTEPRÍNCIPE, FIRST HOSPITAL IN SPAIN TO TREAT VARICOSE VEINS IN A TOTALLY NON-INVASIVE WAY USING ULTRASOUND
· This technology eliminates the need for surgical intervention and pre-operative or the risks of infection, in addition to ensuring an immediate recovery
· La tecnología HIFU puede ser usada para abordar cualquier tipo de variz, úlceras venosas de las piernas, venas varicosas, venas perforantes o la conservación de venas safenas de las piernas HIFU technology can be used to address any type of varicose veins, venous leg ulcers, varicose veins, perforating veins or the preservation of saphenous leg veins
Madrid, November 17th 2020.- Hospital Universitario HM Montepríncipe has become the first hospital in Spain to make available to its patients a new non-invasive treatment for varicose veins and venous leg ulcers using high-intensity focused ultrasound (HIFU).
This innovative system, called Sonovein which belongs to Theraclion, is used by the Angiology and Vascular Surgery Service of HM Montepríncipe, led by Dr. Luis Izquierdo Lamoca. Among the main benefits for the patient, this system avoids going through the operating room, and unlike traditional treatments for varicose veins, it does not require incisions, catheters, or chemical injections. That is, preoperative is not needed, there are no scars, risk of infection nor bleeding.
In addition, recovery after the procedure is immediate. "It can be done, for example, in patients who take anticoagulants because they do not have to stop taking them. Patients of any age or with previous pathologies that were dismissed for varicose vein treatment because of their high surgical risk can be treated as there is no type of surgery," Dr. Izquierdo points out.
The first intervention took place in March 2020, but the arrival of the COVID-19 pandemic made it necessary to postpone the service, which has already been resumed with several dozen patients treated. "We are the first and only center in Spain that has this technology for the treatment of varicose veins. Furthermore, Sonovein will be available in Europe only in certain centers with great experience in vein treatment, and at HM Montepríncipe, as the center chosen by Theraclion, we will have continuous updates of the device and will collaborate in the development and evolution of this technology," states Dr. Izquierdo.
A Before And After
Sonovein incorporates a visualization and treatment unit which, on the one hand is a Doppler ultrasound machine that allows the visualization and location of the vein in real time and, on the other hand, has an ultrasound emitter that, "automatically emits a beam of ultrasound concentrated on a point in a similar way to what a magnifying glass does with light, causing a temperature increase that makes the vein to be treated contract, destroy and close. It is a treatment and a totally disruptive technology because it will completely change the paradigm of the treatment of varicose veins. There is a before and after with Sonovein," says Dr. Izquierdo.
In this sense, patients with more complex varicose veins also find this technology an effective solution. "Being guided by ultrasound and being robotized, it is able to follow even the most tortuous veins, regardless of size and shape. It can also treat veins that are very difficult to access with other techniques, such as perforating veins, even in the presence of an open ulcer, without the risk of infection," comments Dr. Izquierdo.
Even Unconventional Ones
The application of ultrasound in this field means that any type of varicose vein can be treated, even those that until now could not be treated habitually or those that represented a challenge for the Vascular Service. "In fact, recurrent varicose veins, which are very difficult to treat with a laser, with radiofrequency ablation or with surgery, can be treated with Sonovein with total precision," says the HM Hospital specialist.
Something similar occurs with perforating veins, that is, they are usually related to the most advanced stages of venous insufficiency, and in which there are usually changes in the skin, atrophy, spots or even the presence of venous ulcers. In this regard, Dr. Izquierdo affirms that, "in this situation it is common to associate it with the presence of damaged perforating veins. These are very deep veins that are difficult to access by usual surgery and for laser or radio frequencies, and with those techniques they cannot be treated until the skin has healed. Sonovein can be used to treat these perforating veins in an optimal way even with the open ulcer, accelerating its healing.
Conservation of saphenous veins
Another of Sonovein's strengths is that it is the ideal system for the so-called conservation of saphenous veins, which are generally used by vascular surgeons to perform heart or leg grafts or bypasses. "With conventional treatments, these veins were destroyed by thermal tearing or ablation, but Sonovein is so precise that it is the ideal instrument for performing this type of saphenous vein conservation therapy, since it can treat a specific part of the venous system to
redirect the blood, preserving the saphenous vein while eliminating the pressure and reflux of the varicose veins, making them disappear," confirms Dr. Izquierdo.
HIFU technology is undoubtedly the most advanced in the world for treating varicose veins and venous ulcers, and it is already being used in other therapeutic fields such as oncology or neurology. HM Hospitals is also a pioneer in neurology, by using ultrasound to reverse the essential tremor or motor manifestations of Parkinson's disease in the Comprehensive Center for Neurosciences HM CINAC.
HM SANCHINARRO
DR. FELIPE SAINZ GONZALEZ
HM HOSPITALES