Dr. Paolo Casoni

Preventing the onset of venous insufficiency, a disease that affects about one in three Italians, is essential for the well-being of one’s body. And if it is true that this disease affects people over 50 years of age more, however, it is necessary to know that there are specific tests and therapeutic paths that can counteract its development from a young age.

“An efficient venous circulation is one of the pillars of well-being, because the waste blood flows in the veins that must be cleaned of toxins before returning to the heart – explains Dr. Paolo Casoni, vascular surgeon, general and oncologist and director of the Hippocrates Medical Center – for this reason it is important to take care of it from an early age, studying ad hoc therapies for each individual on the basis of preliminary examinations that reveal trends and potential future developments of the disease “. Thanks to these tests, which are the basis of the phlebological path developed by Dr. Casoni, it is possible to develop therapeutic strategies that can curb the evolution of the pathology in subjects at risk.

Chronic venous insufficiency mainly affects women but not even men are immune to it and the factors that increase the risk are an unhealthy lifestyle, excess weight, heredity but also hormonal problems. “One of the preliminary tests that I recommend, for example, is that of the thyroid gland, with ultrasound and blood analysis because the TSH hormone above the limits is a new index of vascular damage – emphasizes Dr. Casoni – We have in fact noticed that 88 % of people with varicose vein problems also have asymptomatic thyroid nodules “.

In cases where it is necessary to resort to the operation, today it is necessary to prefer a conservative surgery of the venous system and, above all, of the saphenous vein, a very important blood vessel, because, explains Dr. Casoni, it can be used as a way of compensation in case of obstruction of deep veins or to replace segments of blocked arteries, but also in case of relapses. “Medicine has evolved and the new methodologies are modern as ‘materials’ but not as an anatomical and hemodynamic concept, because they do nothing to safeguard the venous system – explains Dr. Casoni – At the Hippocrates Medical Center, on the other hand, we prefer the Sono Vein or Echotherapy, an ultrasound method that allows you to intervene without a scalpel in diseased veins, which is the evolution and integration of the Chiva and Asval method, minimally invasive surgeries aimed at safeguarding the venous heritage “.