To understand why your leg hurts, a comparison helps: Imagine your vein as a motorway on which blood flows back to the heart. A thrombosis was a serious accident that blocked all lanes. <\/span><\/p>\n Even when the debris (the clot) has been cleared, the motorway is often no longer the same:<\/span><\/p>\n The result:<\/b> A <\/span>venous hypertension<\/b> develops \u2013 chronic high pressure in the leg. This pressure forces fluid into your tissue, leading to swelling and pain.<\/span><\/p>\n <\/p>\n Many patients come to us and say, \u201cMy GP did an ultrasound and found nothing.\u201d This is not due to the doctor, but to the physical limitations of standard methods. <\/span><\/p>\n Standard ultrasound looks from the outside through skin and tissue. It is like looking through a window from the street: you can see the fa\u00e7ade, but not the details in the hallway. Especially in the pelvic area, intestinal gas or bones often obscure the view of the decisive narrowings. <\/span><\/p>\n Contrast agent is injected here. The problem: it is a two-dimensional shadow image. A vein can look completely normal from the front, while, when viewed from the side, it is almost completely compressed by an overlying artery (the so-called ” <\/span>May-Thurner syndrome<\/b>).<\/span><\/p>\n <\/p>\n At <\/span>VenaZiel\u00ae<\/b> begin where others must stop. We use the <\/span>Philips\u00ae IVUS<\/b>. This stands for <\/span>I<\/b>ntra<\/span>v<\/b>ascular <\/span>u<\/b>ltra<\/span>s<\/b>ound.<\/span><\/p>\n Instead of scanning from the outside, we insert a tiny probe (smaller than a noodle) directly into the vein. At the tip is a high-tech sensor from our partner ” <\/span>Philips\u00ae<\/b>.<\/span><\/p>\n In scientific terms:<\/b> IVUS enables a morphological assessment of the vessel wall and the lumen in real time. It is the gold standard for precisely measuring the vein\u2019s \u201carea\u201d (cross-sectional area).<\/span><\/p>\n <\/p>\n We use this specialised diagnostic method whenever we suspect a mechanical cause for your symptoms.<\/span><\/p>\n The left pelvic vein is often compressed by an artery against the spine. Patients suffer from a persistently swollen left leg. Only IVUS can determine the extent of this compression with centimetre-level precision. <\/span><\/p>\n If your thigh vein (femoral vein) is \u201cleaky,\u201d we use IVUS to look one level higher into the pelvis. There is often congestion there. If we restore outflow in the pelvis, this often relieves the thigh vein so much that the symptoms disappear. <\/span><\/p>\n If your veins are scarred from an old thrombosis, IVUS shows us whether we can dilate these scars to normalise blood flow again.<\/span><\/p>\n <\/p>\n If a vein is so severely narrowed that a <\/span>stent<\/b> (a small mesh support) has to be inserted, <\/span>Philips\u00ae IVUS<\/b> is our most important tool for your safety:<\/span><\/p>\n A procedure at <\/span>VenaZiel\u00ae<\/b> is minimally invasive. This means: we work through a tiny opening in the skin.<\/span><\/p>\n Venous conditions are complex. Standard therapy often helps only superficially. With <\/span>At VenaZiel\u00ae<\/b>, we combine medical expertise with the world-leading technology from <\/span>Philips\u00ae<\/b>.<\/span><\/p>\n Post-thrombotic syndrome (PTS) is not a fate you have to accept. If compression stockings alone do not help, there is often a mechanical problem that we can identify with <\/span>VenaZiel\u00ae<\/b> can make visible.<\/span><\/p>\n IVUS<\/span> <\/b> gives us the certainty we need for your recovery. Rely on the precision of the \u201cview from the inside\u201d.<\/span><\/p>\n Are you suffering from the consequences of thrombosis? Let us find out together whether we can restore blood flow in your legs. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":" Many people breathe a sigh of relief once the acute treatment of deep vein thrombosis (DVT) is completed. But for almost every second patient, a rude awakening follows: the leg remains swollen, feels tight, hurts, or becomes darkly discoloured. In medicine, we call this post-thrombotic syndrome (PTS) \u2013 a permanent secondary damage to the veins. <\/p>\n Those affected often hear that they simply have to live with it or wear compression stockings for life. At VenaZiel\u00ae, we do not accept that. We use the most precise technology in the world \u2013 Philips\u00ae IVUS (intravascular ultrasound) \u2013 to find and address the true cause of your condition inside the vessels. <\/p>\n","protected":false},"author":1,"featured_media":66885,"parent":4959,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-66707","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/66707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/comments?post=66707"}],"version-history":[{"count":5,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/66707\/revisions"}],"predecessor-version":[{"id":70020,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/66707\/revisions\/70020"}],"up":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/pages\/4959"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media\/66885"}],"wp:attachment":[{"href":"https:\/\/venaziel.de\/en\/wp-json\/wp\/v2\/media?parent=66707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
2. Why conventional examinations are often \u201cblind\u201d<\/b><\/h2>\n
External ultrasound (duplex)<\/strong><\/h3>\n
X-ray phlebography<\/strong><\/h3>\n
3. The revolution at VenaZiel\u00ae: Philips\u00ae IVUS \u2013 the \u201ceye\u201d inside the vein<\/strong><\/h2>\n
How does the view from the inside work?<\/strong><\/h3>\n
\n
4. When is IVUS at VenaZiel\u00ae useful for you? (Indications) <\/strong><\/h2>\n
A. Suspected May-Thurner syndrome<\/strong><\/h3>\n
B. Deep venous insufficiency of the femoral vein<\/strong><\/h3>\n
C. Post-thrombotic syndrome (PTS)<\/strong><\/h3>\n
5. Precision in treatment: placing the stent perfectly<\/strong><\/h2>\n
\n
<\/h2>\n
6. Examination procedure: safe and painless<\/strong><\/h2>\n
\n
<\/h2>\n
7. Why VenaZiel\u00ae is the right partner for your legs<\/strong><\/h2>\n
\n
<\/h2>\n
Summary: your path to lighter legs<\/strong><\/h2>\n
Book your consultation now<\/strong><\/h3>\n