What is it?… Endovascular surgery and interventional radiology.
The evolution of vascular surgery, recently giving rise to endovascular surgery and interventional radiology; It is a rare specialty in Morocco and in many countries.
It makes it possible to consider non-surgical treatment of varicose veins and varicoceles, by endovascular route through the skin, under local anesthesia alone.
It is the last evolution of medicine, it is a scientific revolution.
How?.. Procedure of endovascular interventions
It is easy with the help of a simple puncture of the artery or vein, under ultrasound and local anesthesia, this method allows us to treat the vessels from the inside without the need for a surgical operation.
It is a vascular specialty comprising several acts, mainly arterial dilation. We start with the placement of a needle in the artery allowing the establishment of an introducer and a guide, followed by the introduction of a probe carrying a balloon at its end, which allows the realization of a dilation with or without placement of a stent.
Finally, the application of a vascular closure system is put in place, after removing the introducer. A compression bandage is preferable for more security (24h).
Pelvic vascular embolization and varicocele are also endovascular treatments, they are fairly quick and less painful interventions than conventional surgery. They make it possible to eliminate dilated diseased veins in the testicles in men and in the ovarian or pelvic veins in women, without resorting to surgery. At the beginning a puncture is applied at the level of the skin to allow the insertion of a small cannula, in the vein, which will allow the introduction of a probe and a guide, the latter allow to navigate in the veins in a painless way. , without anesthesia . Finally the use of a coils, biological glue and/or a sclerosing foam are applied and allow the diseased vessel to be eliminated: this is called embolization
Why?… A wise choice!
The endovascular is often the best treatment, I recommend it as first intention. In terms of results, they are better than those of surgery, the operative risk is almost zero. And in case of failure (very rare) surgery is always possible; In second intention.
This intervention is more comfortable for the patient, because he does not feel pain and can leave very quickly (1 to 2 hours later) and continue his life normally the next day.