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A patient's guide to vein health The Vein GuideVein health, explained clearly 95 guides · Free to read

Vein Health Glossary

Plain-English definitions of the medical words you'll hear about veins, vein conditions and vein treatments — from ablation to venous ulcer.

A

Ablation (endovenous ablation)
Treatment that closes a leaking vein from the inside using heat (radiofrequency or laser). The body then reroutes blood through healthy veins.
Anticoagulant
A "blood thinner" medicine that lowers the risk of clots forming or growing. Used to treat deep vein thrombosis.

C

Calf muscle pump
The squeezing action of the calf muscles on the deep veins when you walk, which pushes blood back up towards the heart.
CEAP classification
The international system doctors use to grade vein disease from C0 (no visible signs) to C6 (active venous ulcer). C2 means varicose veins; C3 means swelling; C4 means skin changes.
Chronic venous insufficiency (CVI)
Long-term poor blood return from the legs, usually because of faulty valves, causing swelling, skin changes and sometimes ulcers.
ClariVein
A non-thermal treatment that closes a vein using a rotating wire tip combined with a sclerosant medicine.
Compression stockings
Elastic stockings that apply graduated pressure — strongest at the ankle — to help blood flow up the leg. Strength is measured in mmHg.

D

Deep vein thrombosis (DVT)
A blood clot in one of the deep veins, usually in the leg. It needs urgent medical attention because part of the clot can travel to the lungs.
Duplex ultrasound
A painless scan that shows both the structure of the veins and the direction of blood flow. It is the main test for diagnosing venous reflux.

E

EVLA (endovenous laser ablation)
Ablation using laser energy delivered through a thin fibre inside the vein.

G

Great saphenous vein (GSV)
The longest surface vein in the body, running from the inner ankle up the inner leg to the groin. A common source of varicose veins.

L

Lipodermatosclerosis
Hardening, tightening and darkening of the skin and fat above the ankle, caused by long-standing high vein pressure.

M

May-Thurner syndrome
Compression of the left iliac vein in the pelvis by the artery crossing over it, which can cause left leg swelling or clots.
MediSave
Singapore's national medical savings scheme under the CPF. It can be used for approved medically necessary procedures, subject to withdrawal limits.
Mini-phlebectomy (ambulatory phlebectomy)
Removal of bulging surface veins through tiny skin nicks, usually under local anaesthetic.

P

Pelvic congestion syndrome
Chronic pelvic pain linked to enlarged, leaking veins in the pelvis. It can be associated with varicose veins on the vulva, buttocks or thighs.
Perforator veins
Short veins that connect the surface veins to the deep veins through the muscle.
Pulmonary embolism (PE)
A blood clot that has travelled to the lungs. Symptoms include sudden breathlessness and chest pain — a medical emergency.

R

Radiofrequency ablation (RFA)
Ablation using radiofrequency energy delivered through a thin catheter to heat and seal the vein.
Reflux (venous reflux)
Blood flowing backwards down a vein because its valves don't close properly. The main cause of varicose veins.

S

Sclerotherapy
Injection of a medicine (liquid or foam) into a vein that irritates its lining so it closes and fades over time. Ultrasound-guided foam sclerotherapy treats larger veins.
Small saphenous vein (SSV)
A surface vein running up the back of the calf to behind the knee.
Spider veins (telangiectasia)
Tiny red, blue or purple veins less than 1 mm across, close to the skin surface.
Superficial thrombophlebitis
Inflammation and clotting in a surface vein, causing a tender, red, firm cord under the skin.

T

TOSP code
The code from Singapore's Table of Surgical Procedures that classifies a procedure and determines its MediSave withdrawal limit.

V

Varicose veins
Enlarged, twisted surface veins, usually 3 mm or more across, caused by venous reflux.
VenaSeal
A non-thermal treatment that closes a vein using a small amount of medical-grade adhesive.
Venous ulcer
An open wound, usually above the inner ankle, caused by long-standing high vein pressure. The most advanced stage of chronic venous disease (CEAP C6).
VeinGogh
A device that uses a very fine probe and high-frequency energy (ohmic thermolysis) to treat tiny spider veins on the legs and face.