Info for GPs
Online Seminar for General Practitioners
Please register below for our next “Venous Disease for GPs” online seminar on the date/time agreed with your practice.
Dr Peter Paraskevas, Medical Director of the Vein Health Medical Clinic, will present the latest advancements in varicose vein assessment and management.
- The role of the phlebologist in scanning, diagnosing & managing venous disease
- Presentation of the CEAP classification of venous disease
- Modern treatment modalities and the role of duplex ultrasound
Confirmation of Attendance – GP Education Session
Refer a patient for varicose vein assessment and treatment
Email to info@veinhealth.com.au
What will the phlebologist do?
Dr Paraskevas will assess the patient’s medical history and perform a clinical examination of the areas of concern. The Vascular Sonographer will conduct a duplex ultrasound, mapping out the abnormal veins in the legs and groin. Dr Paraskevas will explain the findings and create a treatment plan. This may include the use of treatments such as sclerotherapy, ultrasound-guided sclerotherapy, endovenous laser ablation, radiofrequency ablation, and VenaSeal (superglue for veins).
Classifying the severity of varicose veins
CEAP stands for:
Clinical – The patient’s clinical presentation. There are 6 categories ranging from CEAP 0 (no venous disease) to CEAP 6 (venous ulceration). See below.
Etiology – Is the problem congenital, primary or secondary.
Anatomy – Which veins are involved? Are superficial, deep, or perforating veins involved?
Pathophysiology – Is there reflux or obstruction?
CEAP Classifications
CEAP 0 – No visible or palpable signs of venous disease
CEAP 1 – Superficial spider veins, telangiectases, or reticular veins
CEAP 2 – Varicose veins only
CEAP 3 – Ankle oedema (swelling) of venous origin, not foot oedema
CEAP 4a – Dermatitis/eczema and/or hyperpigmentation
CEAP 4b – Lipodermatosclerosis and or atrophie blanche
CEAP 4c – Corona phlebectatica paraplantaris (CPP)
CEAP 5 – Healed venous ulcer
CEAP 6 – Active venous ulcer (open sore)
Learn more about CEAP classification of varicose veins.
About Dr Peter Paraskevas
Qualifications
- MBBS (Bachelor of Medicine, Bachelor of Surgery – Monash University)
- Certified Sclerotherapist (Australasian College of Phlebology)
- Graduate Certificate of Health Science (Medical Sonography – University of Sydney)
- PHLEBOLOGIST – FACP (Fellow of the Australasian College of Phlebology). Note: the Australasian College of Phlebology is not an AMC Accredited Speciality.
Positions Held
- Medical Director Paras Clinic – Vein Health Medical Clinic
- Executive Board Member of the Australasian College of Phlebology (ACP)
- Committee Chair of Continuing Professional Education, ACP
- Committee Chair of MBS Committee, ACP
- Committee Chair of Membership Approval Committee, ACP
- Committee Member Board of Censors, ACP
Featured on Channel 9 news
Also featured on:
Papers & Further Reading
Read more about venous disease and its treatment.
Right-click a link and click “Save Link As…” to download the PDF.
- Three cases of stroke following peripheral venous interventions
By R W L Ma, A Pilotelle, Peter Paraskevas and K Parsi. - Successful ultrasound-guided foam sclerotherapy for vulval and leg varicosities secondary to ovarian vein reflux: a case study
By Dr Peter Paraskevas (MBBS, FACP, GCertHSc (Med Sonography) - Femoral vein duplication: incidence and potential significance
By Dr Peter Paraskevas (MBBS, FACP, GCertHSc (Med Sonography) - Triage of patients with venous and lymphatic diseases during the COVID-19 pandemic
By Kurosh Parsi, Andre M. van Rij, Mark H. Meissner, et. al. (including Peter Paraskevas) - Comparison of cyanoacrylate closure and radiofrequency ablation for the treatment of incompetent great saphenous veins
By Nick Morrison, Raghu Kolluri, Michael Vasquez, Monte Madsen, Andrew Jones, and Kathleen Gibson - Removal of Periocular Veins by Sclerotherapy
By David Green, MD - Cyanoacrylate embolisation for the treatment of varicose veins due to chronic venous insufficiency – MSAC Report
- Phlebolymphology, Vol 24, No. 3, 2017, P117-172
Jean-Luc Gerard, Lourdes Reina, Yu. T. Tsukanov, A. Yu. Tsukanov, Sarah Thomis, Djordje Radak, Slobodan Tanaskovic. - Endovenous Laser Therapy (ELT) for Varicose Veins – Assessment Report
By Medical Services Advisory Committee - Radiofrequency Ablation and Laser Ablation in the Treatment of Varicose Veins
Jose I. Almeida (MD, FACS, RVT) and Jeffrey K. Raines (PhD, RVT) - Persistent Sciatic Veins and Sciatic Nerve Varicosities
By Dr David Jenkins