specialists in non-surgical treatment of varicose veins

Transcription

SPECIALISTS IN
NON-SURGICAL TREATMENT
OF VARICOSE VEINS
Clinics throughout the UK
Vein treatment of the future here today
2
BE HAPPY WITH YOUR LEGS
The way our legs look and feel profoundly
plan effective, safe and aesthetically pleasing
prices surprisingly affordable and certainly very
affects our enjoyment of life. Up to a third
treatment undertaken under local anaesthetic on
competitive. We try to keep in touch with charges
of the population suffer from varicose veins
an outpatient basis. There is no need for time off
quoted by other clinics but in the unlikely event
which can make their lives a misery. Many
work and minimal discomfort and risk.
that you find cheaper quotes elsewhere please
let us know.
people are so embarrassed that they hide their
legs even from their partners. The thought
We are a specialist vein treatment provider.
of wearing shorts or skirts in public is out of
Veins are what we do and all we do. We do not
We regularly treat patients from all over the UK
the question. Embarrassment and distressing
dabble in other cosmetic/aesthetic treatments.
and abroad.
symptoms prevent enjoyment of popular
We were established specifically to treat varicose
sports and frequently affect choice of holiday
veins unlike some general cosmetic chains who
destination. Some worry about the long-term
have branched out into vein treatments.
health effects and the risks of ulcers.
All our treatments are carried out by Venous
We at Veincentre understand the distress this
Specialists who have extensive personal
common condition causes and are committed
experience in the non-surgical management of
to providing a comprehensive, friendly yet
varicose veins.
“Get your
confidence back!”
professional service utilising the very latest in
modern technology. Gone are the days when
Although our primary aim is to provide first
surgical stripping was the only real option. Using
class safe and effective modern treatment
state of the art image guidance we can accurately
we also pride ourselves on the efficiency of
diagnose precisely where the problem lies and
our organisation. This enables us to keep our
3
WHY SHOULD VARICOSE VEINS BE TREATED?
Although many patients don’t bother to get their
1.
Varicose veins are an indicator of an
3.
Varicose veins are a significant cosmetic
varicose veins treated or are refused treatment
underlying valve problem which increases
embarrassment to many patients (or to
on the NHS there are many good reasons to
the pressure in the veins in the legs. This
their partners or children!). This often
consider treatment. The refusal of the NHS to
pressure over time causes deterioration
prevents participation in sports, swimming
fund treatment for varicose veins may well turn
in the quality of the skin. This is often
etc. and changes normal lifestyles.
out to be a false economy in the longer term.
manifested by discolouration and, if left
Excellent cosmetic results can usually be
untreated, may result in a painful ulcer.
achieved by appropriate treatment.
Early appropriate treatment prevents this
problem.
4.
We do not, however, believe in over
diagnosing. There is absolutely no point in
2.
Varicose veins are usually symptomatic.
screening for venous problems if you have
Most patients complain of symptoms like
no visible unsightly veins and no symptoms.
itching, restless legs, aching, cramps
Some clinics advertise “Screening for Vein
and tired legs. Those who thought their
Problems” This is just a PR exercise aimed
problem was just cosmetic usually report
at boosting business and has no health or
that their legs feel so much better after
cosmetic benefit. Even if it is discovered by
treatment and they had forgotten what a
such screening scans that you already have
normal pair of legs felt like and worked
venous valve problems it will do no harm
like! Appropriate treatment quickly resolves
whatsoever to wait until such time as you
these symptoms.
develop symptoms or develop varicose or
thread veins which you want to eradicate.
4
WHY CHOOSE VEINCENTRE?
Are all the doctors VENOUS specialists?
Do they specifically audit the results of all
Most vascular surgeons offering these treatments
venous treatments?
spend the majority of their time treating arterial
If so what are the results?
problems rather than venous problems.
Success rates?
There is a bewildering array of clinics now
Do they offer a full range of specialist venous
Patient satisfaction?
offering treatments for varicose veins. Most of
treatments?
How often do they actually perform traditional
surgery rather than the promised minimally
these are general private hospitals or cosmetic
clinic chains with no specialist focus on vein
How many treatments have they actually
treatment. Veincentre is a specialist vein
performed and how long does it normally
treatment clinic. We just do veins and as a
take them to do a typical EVLA procedure?
invasive treatment?
What proportion of their patients end up
paying for additional “essential” treatments?
consequence all our staff, including those who
answer the phones, have specific knowledge
Can they undertake consultation, scan and
of your problem and the treatment options.
treatment on the same visit?
What is the price of treatment and what does
Experience of the doctors is crucial in developing
In many hospitals you will have to attend
that include?
the necessary diagnostic and technical skills and
separately for a consultation again for a scan
the judgement to decide how best to treat you.
again for a follow up and yet again for treatment!
What is the average TOTAL charge once
treatment completed?
Not only do we provide the best vein treatments
available but we do so at a sensible price. Before
If they are offering a “free” consultation is
This can be very different from the advertised
deciding which clinic to attend we suggest you
this with a doctor or a nurse and does this
headline price!
ask the following questions.
include a scan?
5
Remember life
before varicose veins?
OUR PROMISES
Although no doctor can or should offer
6.
To keep up to date with the very latest
11.
We will not try to justify treating incidental
treatment we can make certain reassuring
promises.
1.
7.
To let you know, if you want to know,
and irrelevant findings on scans to increase
our clinics’ results, success rates and
charges.
complications.
To treat every patient with respect as an
12.
individual, determining their personal
needs, wishes, and expectations.
To treat only that which is necessary to
treat to achieve a good long term result.
developments in the field.
guarantees of success or satisfaction of any
8.
To fully inform you of all costs prior to
To communicate with you in a timely and
understandable fashion.
treatment starting and to keep all charges
2.
competitive and reasonable.
To be honest and realistic in our
assessment of likely outcomes of treatment.
9.
3.
To offer treatment on the basis of potential
To pay scrupulous attention to hygiene
benefit (physical, psychological, or just
and technique to minimise the chance of
social) and not to discriminate against
infection or other complication.
anyone on account of e.g. age, weight,
personal reasons for requesting treatment.
4.
To offer the option of the least invasive
appropriate treatments.
10.
To provide sufficient information to enable
you, the patient, to make the decision that
5.
To inform you of all treatment options for
is right for you as to whether to undergo
your condition.
treatment and by which means.
7
Gross varicosities before and after EVLA.
Thread veins before and after sclerotherapy.
8
Typical varicose veins on back of leg.
Ulceration from untreated perforator.
A REFRESHING CHANGE OF ATTITUDE
Experience of trying to get your varicose veins assessed through traditional routes can be frustrating
At Veincentre we pledge to neither judge nor
to say the least.
patronise. We will inform you of the potential
This is especially so since NHS hospitals now rarely treat varicose veins. Does any of this sound
familiar?
• “They’re not bad enough!”
benefits and risks and leave it to you to decide
if active treatment is for you and if so by
what method. In particular old age and being
overweight are no reason to deny someone
treatment even if it is for a cosmetic problem only.
• “Wear these stockings & come back in 6 months”
• “Go away & lose some weight”
• “You’ve had surgery once; it’s more difﬁcult and
dangerous the second time round”
• “You’re too old, it’s not worth the risk”
• “Try this ointment”
• “There’s nothing wrong with you!
What are you moaning about?”
9
DR DAVID WEST
M.B.CH.B., D.M.R.D., F.R.C.R., E.B.I.R.
the great pioneers of Interventional Radiology,
David has also appeared on programmes about
Anders Lunderquist and Duncan Irving, before
varicose veins on BBC radio and television
moving to take up a consultant position at
and in numerous national newspaper and
the University Hospital of North Staffordshire
magazine articles. He is a luminary teacher for
in 1989. He developed one of the largest
EVLA Expert and a faculty member of both the
Interventional Radiology practices in the UK and
European School of Interventional Radiology
has undertaken thousands of minimally invasive
(ESIR) and the Charing Cross international
varicose vein procedures.
vascular symposium, training doctors from all
over Europe in EVLA and associated procedures.
As one of the very first doctors in the UK to go
He heads a select hand picked team of Venous
to the States and train in the EVLT® technique
Specialists chosen for their exceptional technical
he has one of the most extensive personal
skills and experience and their calming, confident
experiences of this treatment. This experience
and friendly bedside manner.
David is Medical Director and established
has led to him regularly being invited to lecture on
Veincentre in 2004 as the first British company
the subject at National and International medical
David is married to Deborah who is Business
specialising in minimally invasive out-patient
conferences. He is a fellow of the Cardiovascular
Manager and a Director of the company. They
laser treatment for varicose veins. He trained
and Interventional Radiology Society of Europe
have four children and live in rural Shropshire
in Medicine and Surgery at Leeds medical
(CIRSE) and other prestigious medical societies
accompanied by various ducks, a hamster and a
school qualifying in 1979. He specialised in
and has written chapters on the management
black Labrador called Mia.
the then new field of Interventional Radiology
of venous insufficiency in major textbooks of
gaining experience in Sweden and London with
radiology and many articles in medical journals.
11
LET US HELP YOU FEEL CONFIDENT AGAIN!
Our treatment choices are suitable for all
patients. They range from lifestyle advice
and reassurance, through simple injection
sclerotherapy for thread veins, foam
sclerotherapy injections and microavulsions
for small varicosities to EVLA laser therapy,
Clarivein®, Superglue, RFITT® and VNUS
Closure® for even the grossest of leg
varicosities.
We also offer embolisation treatment for
those increasing numbers whose varicose
veins originate in the pelvis, stent insertion for
obstructive deep vein disease, microphlebectomy
laser and RF ablation for perforators. In fact a
comprehensive range of treatments allowing
almost every sufferer to avoid surgery and
general anaesthesia if they so wish.
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No clinic offers a
wider choice of
modern treatments
OUR TREATMENTS... EVLA
Endovenous laser ablation (EVLA) was
EVLA has a very good safety record with
wear compression stockings for a week or 2
developed by New York Interventional
significant complications being virtually unknown.
after the treatment and we advise you do not fly
Radiologist Dr Robert Min in 1999. It is now the
In our hands it is over 98% successful at
long distance (out of Europe) for 4 weeks but
commonest non-surgical treatment method for
obliterating the cause of the varicosities and
otherwise you can get on with your life as normal
varicose veins. It is carried out on an outpatient
over 95% of patients are happy with the results.
and need no time off work.
basis under local anaesthetic. Using ultrasound
Recurrence of varicosities after EVLA is very
guidance a needle is placed in the vein which
uncommon. In our experience this occurs
We routinely use the very latest “gentler”
needs destroying; a laser fibre is threaded
in under 2% of cases which compares with
1470nm lasers and you can choose to have the
up the vein and the vein literally cooked so
reported recurrence after surgery of over 20%.
Radial fibre laser which some evidence suggests
that it shrinks down and stops carrying blood.
EVLA is used to treat about 80% of our patients.
causes less post procedure discomfort. There is
The lasering is painless but you will get some
The procedure takes about 20-40 minutes per
a small additional charge for this as the fibres are
discomfort from the local anaesthetic injections.
leg. You are likely to require some sclerotherapy
more expensive.
This is the stage of the treatment which is
or avulsions in addition for management of any
technically most challenging. Experience and
residual varicosities. Side effects from EVLA are
skill is required to do this quickly and with the
minor but do expect bruising, some discomfort
minimum of discomfort. This is analgous to
most apparent at 5 days and a tight feeling as
dental work where patients find huge differences
the vein contracts. Serious complications almost
from one dentist to another in how much the
never happen but could theoretically include
injections hurt them. An injection from a good
DVT (deep vein thrombosis), skin burns, nerve
dentist is hardly noticed!
damage causing patches of skin numbness,
leg swelling, arterial damage. You will have to
13
OUR TREATMENTS... VNUS CLOSURE ® AND RFITT ®
VNUS Closure® and RFITT® are trademarks
in addition for management of any residual
almost totally painless and there is little bruising.
for a type of minimally invasive varicose vein
varicosities. RF Ablation has a very good safety
However it is not suitable for many patients
treatment called RF Ablation. Although originally
record with significant complications being
(eg, very tortuous veins and very short veins)
undertaken under general anaesthetic and quite
virtually unknown. It is over 98% successful at
whereas laser can be used for almost all patients.
a slow process, recent developments with what
obliterating the cause of the varicosities and
The risk of serious side effects like burns and
are called VNUS Closure FAST™ catheters have
over 90% of patients are happy with the results.
thrombosis although low appears greater than
allowed the treatment to be undertaken under
Recurrence of varicosities after RF Ablation is
with laser. The discomfort with laser is usually
local anaesthesia and much more quickly.
very uncommon. In our experience this occurs
minimal anyway and does not prevent return to
in less than 2% which compares with recurrence
normal activities and the bruising is covered by
after surgery of over 20%.
the stockings for the 2 weeks that it lasts.
to be closed off through a needle puncture
Side-effects from RF Ablation are minor but do
For these reasons most patients prefer laser
just like EVLA. Instead of laser light energy an
expect slight bruising and a tight feeling as the
over RF Ablation. Certainly it is our view that
electric current is passed through the vein wall
vein contracts. Serious complications almost
all clinics offering a minimally invasive varicose
to heat it up in a controlled fashion. This heating
never happen but could theoretically include
vein service should have access to RF Ablation,
causes the vein wall to shrink and the vein to
DVT (deep vein thrombosis), skin burns, nerve
TRLOP and laser. To save money many
close off. Just like laser (EVLA) the heating is
damage causing patches of skin numbness, leg
hospitals only provide one treatment method but
painless but you will get some discomfort from
swelling, arterial damage. RF Ablation costs more
this denies patients choice and means that many
the local anaesthetic injections. The procedure
than laser as the single use catheters are more
still have unnecessary surgery.
takes about 20-40 minutes. You are likely to
expensive than the laser kits. There are minor
require some injection treatment or avulsions
advantages of RF Ablation over laser ie. it is
VNUS Closure® and RFITT® use a thin catheter
which is passed into the vein which requires
14
OUR TREATMENTS... FOAM SCLEROTHERAPY
Sclerotherapy (injection treatment) has been used
Foam sclerotherapy is virtually painless just
for decades to treat varicose veins with variable
involving one or two small needle punctures into
results. It is still the treatment of choice for thread
the affected veins. After treatment you will have
veins but for larger veins the results of just
to wear the dreaded compression stockings for
injecting liquids are not good.
a week or two. You may need more than one
sclerotherapy session to achieve the desired
Foam sclerotherapy is a simple and recent
result.
modification of the traditional injections which is
far more effective. The liquids are transformed
Like EVLA and RF Ablation serious complications
into a foam, like shaving foam consistency
with foam sclerotherapy are very rare but it is
and injected precisely into the correct place
possible for any of the following to happen:
by ultrasound guidance. These two simple
allergic reactions, deep vein thrombosis (DVT),
modifications have revolutionised injection
temporary (10 minutes) eye sight disturbances,
therapy and mean that many patients can be
ulceration of skin. The commonest problem
effectively treated by injections alone. Some
with foam sclerotherapy is staining of the skin
doctors even use foam as a substitute for major
which can take several weeks to go. If large
surgical stripping but we believe that laser and
veins are treated some patients experience an
RF ablation are more effective and durable for
uncomfortable phlebitis but this can usually be
this purpose and reserve foam injections for
relieved by aspirating though a needle.
those varicosities that persist after laser or RF
treatment.
15
OUR TREATMENTS... TRLOP
Although most varicose veins are caused by
destroy them using either RF or laser energy in a
faulty valves in the long main veins in the legs
technique called TRLOP (Transluminal occlusion
and are adeqautely treated by laser or RF
of perforators).
ablation some are caused by faulty valves in
perforator veins which directly communicate
TRLOP is a very useful tool in our armamentarium
between the veins lying deep inside the leg and
for both simple varicose veins and for treatment
those on the surface.
of serious problems like ulcers. Many patients
will be dissatisfied with their treatment if a
If the one way valves in these perforators break
simple means of dealing with these incompetent
down then high pressure blood from deep inside
perforators is not available. There is only a
the leg is forced out to the surface causing
handful of clinics with much experience of
varicosities and often tenderness, pain and skin
TRLOP treatment of perforators in the UK.
changes. Ulcers are often found to have a faulty
perforator vein immediately under them.
It is important to note however that many
incompetent perforator veins do not require this
It is important to detect and decide when these
treatment and will regain their competence by
need treating but many doctors ignore these
treatment only to the main vein by LASER.
important perforator veins.
We will NOT overtreat and will always do what
When we discover faulty perforator veins and
is necessary and only what is necessary to get a
determine that they require direct treatment we
good durable result.
16
OUR TREATMENTS... AVULSIONS
Traditional surgery for varicose veins involves
nicks in the skin require no stitches but are sealed
tying off and stripping the main truncal veins (the
with bits of sticky tape. Stockings are applied for
underlying cause) under general anaesthetic.
two weeks.
At the same time the varicosities (the branches
of the truncal veins) that most patients are
Avulsions cannot be performed like this on all
concerned about are removed through small
patients as there is a limit to the amount of local
incisions.
anaesthetic that can be used on one patient at
one time. It is more likely to be possible if only
With endovenous techniques like EVLA RFITT
one leg is treated.
and VNUS Closure® the varicosities are usually
dealt with by foam sclerotherapy injections after
Side effects are rare but expect some bruising,
6 weeks. This works well in most patients and the
a little discomfort and the possibility of longer
delay means that some patients require no further
term skin staining. Cosmetic results are usually
treatment and others very little. Some patients
excellent and most patients are happy with
however prefer to have all the treatment carried
the results.
out at one sitting and this can be achieved by the
use of avulsions rather than injections. Avulsions
can be performed under local rather than general
anaesthetic. A needle is used to make tiny
incisions over the varicosities and then they are
teased out using miniature “crochet” hooks. The
17
OUR TREATMENTS... NEEDLE FREE TREATMENTS
For the majority of patients thermal ablation
anaesthetic. These are Clarivein and Sapheon
is best for them. All patients and all veins are
(Laser or RF) is the best treatment. It can be
(Superglue) both of which are available at
not equal. Not all veins are suitable for these
used on almost all cases of varicose veins and
Veincentre.
treatments. Although these two new methods
avoid the discomfort of the local anaesthetic
there is extensive literature from scientific studies
demonstrating excellent clinical results, an
CLARIVEIN works by a combination of a rotating
needles there can be some pain after the
almost perfect safety record and durability of the
wire which scratches the vein wall and at the
procedure, particularly with Superglue, from
results over many years. It is for this reason that
same time a chemical sclerosant is injected. This
phlebitis. Perhaps the biggest downside however
NICE recommends that all varicose veins are
combination works better than sclerosants alone.
is the limited evidence of long term effectiveness
treated this way.
All this is carried out through just one tiny skin
and safety compared with thermal ablation.
puncture and is painless.
We do not know for sure yet whether these
techniques are as effective as durable or as safe.
It does however have one drawback. Local
anaesthetic must be administered to ensure
SAPHEON (Superglue) relies on sticking the
Almost inevitably these techniques are also more
no pain is felt during the heating process. This
walls of the vein together using a medical grade
expensive although our prices are still the most
anaesthetic is delivered through needles and
Superglue. This too is carried out through just one
competitive of any in the UK.
although these are tiny and in our hands most
tiny skin puncture and the procedure is painless.
patients tolerate the procedure very well, there are
some patients who are seriously needle phobic.
So what’s the snag? Why not use these
techniques routinely? Well all techniques have
Over recent years two new techniques have
advantages and downsides. Each patient must
been developed which can painlessly ablate
be carefully assessed and decide on the basis
veins and hence do not require the local
of the evidence in their case which technique
18
OUR TREATMENTS... OTHER TECHNIQUES
Although the majority of patients with varicose
leaking veins by inserting little coils of wire. This
veins of the legs can be adequately treated using
is called embolisation and is also used to treat
EVLA, VNUS Closure®, RFITT®, Clarivein®,
pelvic congestion syndrome, a common yet
sclerotherapy, Superglue or TRLOP, there are
underdiagnosed complaint which causes chronic
some who represent a more serious challenge
pelvic pain and, in men, the equivalent problem
requiring other minimally invasive techniques.
of varicocele which presents as an aching “bag
We have extensive experience of using movie
of worms” in the scrotum.
X-rays to guide catheters and wires and in some
patients the use of X-rays can be crucial to
Many patients are concerned with the
success. We are one of very few centres in the
appearance of thread veins. These are normally
UK who have access to X-ray guidance of these
best treated with microsclerotherapy but
techniques.
some are too small and require Veinwave®
Veins in other sites
Prominent veins can occur in other parts of
the body. It is not just a leg problem! Unlike
most clinics we have experience of managing
unsightly veins on the breasts (especially
common after implants), the chest, the vulva, the
scrotum and the face. We employ a specialist
oculoplastic surgeon to treat prominent veins
around the eyes.
thermocoagulation.We are at, and will remain
Some patients’ problems are caused by a
at, the cutting edge of new developments in vein
narrowing in the large veins in the pelvis. In
treatments.
such cases it is no use just treating the varicose
veins in the legs but the root cause must be
fixed. We use metallic stents to keep the vein
open. Others are caused by faulty ovarian veins
in the abdomen and in these cases we use
movie X-rays to guide catheters to seal off the
19
Before
After
Before
After
Before
After
Before
After
20
QUALITY CONTROL
The quality of our service is our number one
a pain to fill in but sincerely hope that you will
Although we have to warn all patients about the
priority.
complete those we give you both before and after
risk of all potential complications that have been
treatment so we can objectively assess what we
reported anywhere in the world, in our Veincentre
Registration with the Care Quality commission,
are doing well and where we still need to improve.
clinics we have seen no serious complications
professional bodies like the GMC and Royal
We have tried to make completion of these as
like DVT, pulmonary embolism, major nerve
Colleges, large insurance companies like BUPA
simple and quick as possible.
injury, arterial injury or leg swelling. In-case of any
unforeseen adverse event for which we are liable
and AXA-PPP and professional indemnity and
public liability insurers demand that certain basic
We know that patients need reassurance that
we carry public liability and professional indemnity
standards are maintained and audited.
they are being treated by staff who know what
insurance up to £10,000,000.
they are doing. We only employ consultants who
Many of these standards however are general,
have wide experience and proven expertise in
applying to all acute hospitals and a multitude
non-surgical varicose vein treatment. No-one will
of clinical problems. We have gone further than
be practising on you! Infection is also a worry
required of us by these regulatory bodies and set
to many patients. To reassure you on this ALL
rigorous standards specific to an outpatient based
equipment that comes into contact with your body
varicose vein service.
during your treatment is SINGLE USE ONLY and
thrown away at the end of the procedure. This
To audit (ie. Measure and make sure we
may cost more but avoids any nagging doubt
meet) these standards requires extensive and
about picking up infections from previous patients.
exhaustive data collection on our part but we also
We have never had any cases of infection after
need your help. We know questionnaires are
any of our varicose vein treatments.
21
OUR CLINICS
22
VEINCENTRE TESTIMONIALS
The great majority (95%) of our patients are
completely satisfied with the service and the
results of their treatment and we receive many
letters of appreciation. A typical example is
reproduced here. We do understand that clinics
could just make up such testimonials and therefore
we do our utmost to reassure potential patients
by enabling all past patients to put reviews of
their service on an independent website. This is
managed by Bazaarvoice the world leaders in
online rating systems. All reviews are moderated
by Bazaarvoice to ensure that fake reviews to
either promote ones own service or damage a
competitor’s reputation are detected and removed.
You can read these reviews by following the link
Dear Dr West,
I am writing to thank you for the recent treatment to my leg veins.
Some years ago I had similar problems with my other leg and had injections and surgery as an
inpatient in hospital. The process was uncomfortable, the recovery time was lengthy and I still
have scars.
I was a little apprehensive about the treatment you offer as it is still relatively new in this
country but decided to give it a try. From the explanation you gave me on my first visit and the
comprehensive paperwork about the procedure, to my check up visit yesterday, everything went
exactly as was predicted. The operation itself was nothing like as uncomfortable as I thought
it might be and the friendliness of everyone there made it almost interesting to follow. The
best thing was being able to go straight home and carry on as normal. As you predicted, slight
pain/soreness on the fifth day (and the bandage felt tight at the end of the week) but nothing
more than that. I was amazed at how painless the whole thing was and would recommend the
procedure to anyone - so much better than going into hospital. I also appreciated the ‘phone call
after a few days , to ask how I felt and if I had any problems (I didn’t of course).
on our website.
Although I could have simply written a short “Thank you” I felt by going into some detail you
may show this letter to anyone who may be a little hesitant.
We are also happy to put you in touch with
Many thanks again
previous patients so you can talk with them about
what it was really like!
PH (Mrs)
23
It’s time to get those veins sorted,
show off your legs again,
and get your old life back!
No scars. No cuts. No time off work.
No general anaesthesia.
www.veincentre.com
Call 01782 753960
Registered with the CARE QUALITY COMMISSION Reg. No. 1-136108318
Head Office: Veincentre Ltd. Unit 6 Lyme Vale Court Parklands Stoke on Trent ST4 6NW
EVLT® - laser therapy
VNUS® RFITT®
CLARIVEIN®
SAPHEON®

specialists in non-surgical treatment of varicose veins

Transcription

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