Services
- Email Advice: VascularAdvice@nhslothian.scot.nhs.uk
- RIE: Refer to Vascular Surgeons only.
Who to refer for Varicose Veins:
- Those with venous pigmentation, varicose eczema or ulceration (see right)
- Those with an episode / episodes of superficial thrombophlebitis that either required treatment with low molecular weight heparin or were ultrasound scan proven
- Those who have experienced haemorrhage from a varicose vein
Who not to refer:
- Patients with asymptomatic varicose veins or thread veins whose concern is principally cosmetic
- Patients with undiagnosed bilateral limb swelling
How to refer:
Use SCI Gateway (Royal Infirmary of Edinburgh at Little France >> Vascular Surgery >> LI Varicose Vein).
https://www.sehd.scot.nhs.uk/cmo/DC20190522Varicose.pdf ( CMO Letter May 2019 PROTOCOL FOR ACCESS TO VARICOSE VEIN SURGERY
https://cks.nice.org.uk/venous-eczema-and-lipodermatosclerosis
