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44-533: Blankenese has a long history as a fishing village along the Elbe River. In 1060, Archbishop Adalbert of Bremen built a provost's residence at the site of an older settlement at the hill Süllberg . Later the counts of Holstein built a castle. Both were destroyed through Hamburg. Until 1927, Blankenese was an independent town in Holstein and then it was merged into the town Altona by law. In 1938 Altona

88-479: A randomised controlled trial on patients with and without routine ultrasound have shown a significant difference in recurrence rate and reoperation rate at 2 and 7 years of follow-up. The CEAP (Clinical, Etiological, Anatomical, and Pathophysiological) Classification, developed in 1994 by an international ad hoc committee of the American Venous Forum , outlines these stages Each clinical class

132-404: A cause of recurrent varicose veins. There is increasing evidence for the role of incompetent perforator veins (or "perforators") in the formation of varicose veins. and recurrent varicose veins. Varicose veins could also be caused by hyperhomocysteinemia in the body, which can degrade and inhibit the formation of the three main structural components of the artery: collagen , elastin and

176-615: A cosmetic ailment, in some cases they cause fatigue, pain, itching , and nighttime leg cramps . These veins typically develop in the legs, just under the skin. Their complications can include bleeding, skin ulcers , and superficial thrombophlebitis . Varices in the scrotum are known as varicocele , while those around the anus are known as hemorrhoids . The physical, social, and psychological effects of varicose veins can lower their bearers' quality of life . Varicose veins have no specific cause. Risk factors include obesity , lack of exercise, leg trauma, and family history of

220-406: A height of 32 m with similar Platform near Ferry Restaurants, and 40 m high Blankenese High Lighthouse at Bauerspark and a 62.25 m high one at a boat marina. Both pairs form a line together to Elbe River for incoming ships. The two new lighthouses were erected in summer 2020 because of an extension of the river bed. The two old lighthouses were demolished in autumn 2020 and replaced by others. On

264-489: A natural agent, fast recovery to daily activities). ELA and ERA require specialized training for doctors and special equipment. ELA is performed as an outpatient procedure and does not require an operating theatre, nor does the patient need a general anaesthetic . Doctors use high-frequency ultrasound during the procedure to visualize the anatomical relationships between the saphenous structures. Some practitioners also perform phlebectomy or ultrasound-guided sclerotherapy at

308-579: A recurrence rate of 33%, to open surgery, which had a recurrence rate of 23%. Steam treatment consists in injection of pulses of steam into the sick vein. This treatment which works with a natural agent (water) has results similar to laser or radiofrequency. The steam presents a lot of post-operative advantages for the patient (good aesthetic results, less pain, etc.) Steam is a very promising treatment for both doctors (easy introduction of catheters, efficient on recurrences, ambulatory procedure, easy and economic procedure) and patients (less post-operative pain,

352-436: A small incision and no hospital stay, medical super glue has generated great interest within the last years, with a success rate of about 96.8%. A follow-up consultation is required after this treatment, just like any other one, in order to re-assess the diseased vein and further treat it if needed. In the field of varicose veins, the latest medical innovation is high-intensity focused ultrasound therapy ( HIFU ). This method

396-715: Is 39 months. Two prospective randomized trials found speedier recovery and fewer complications after radiofrequency ablation (ERA) compared to open surgery. Myers wrote that open surgery for small saphenous vein reflux is obsolete. Myers said these veins should be treated with endovenous techniques, citing high recurrence rates after surgical management, and risk of nerve damage up to 15%. By comparison ERA has been shown to control 80% of cases of small saphenous vein reflux at 4 years, said Myers. Complications for ERA include burns, paraesthesia, clinical phlebitis and slightly higher rates of deep vein thrombosis (0.57%) and pulmonary embolism (0.17%). One 3-year study compared ERA, with

440-431: Is an advanced non-surgical treatment for varicose veins during which a solution is injected into the diseased vein through a small catheter and under the assistance of ultrasound-guided imagery. The "super glue" solution is made of cyanoacrylate, aiming at sealing the vein and rerouting the blood flow to other healthy veins. Post-treatment, the body will naturally absorb the treated vein which will disappear. Involving only

484-525: Is chronic alcohol consumption due to the vasodilatation side effect in relation to gravity and blood viscosity. Clinical tests that may be used include: Traditionally, varicose veins were investigated using imaging techniques only if there was a suspicion of deep venous insufficiency, if they were recurrent, or if they involved the saphenopopliteal junction. This practice is now less widely accepted. People with varicose veins should now be investigated using lower limbs venous ultrasonography . The results from

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528-401: Is completely non-invasive and is not necessarily performed in an operating room, unlike existing techniques. This is because the procedure involves treating from outside the body, able to penetrate the skin without damage, to treat the veins in a targeted area. This leaves no scars and allows the patient to return to their daily life immediately. Varicose veins are most common after age 50. It

572-445: Is further characterized by a subscript depending upon whether the patient is symptomatic (S) or asymptomatic (A), e.g. C2S. Treatment can be either active or conservative. Treatment options include surgery, laser and radiofrequency ablation , and ultrasound-guided foam sclerotherapy . Newer treatments include cyanoacrylate glue, mechanochemical ablation, and endovenous steam ablation. No real difference could be found between

616-630: Is not known if sclerotherapy decreases the chance of varicose veins returning (recurrent varicose veins). It is also not known which type of substance (liquid or foam) used for the sclerotherapy procedure is more effective and comes with the lowest risk of complications. Complications of sclerotherapy are rare, but can include blood clots and ulceration. Anaphylactic reactions are "extraordinarily rare but can be life-threatening," and doctors should have resuscitation equipment ready. There has been one reported case of stroke after ultrasound-guided sclerotherapy when an unusually large dose of sclerosant foam

660-631: Is serviced by the rapid transit system of the S-Bahn (with the Blankenese station ) and by several buses of the public transport organisation . According to the Department of Motor Vehicles (Kraftfahrt-Bundesamt), there were 6,333 private cars registered (486 cars/1000 people) in 2006. In summer 2008, the main train station in Blankenese has been completely rebuilt. Blankenese's waterfront

704-408: Is serviced several times a day by a ferry connecting it with Cranz on the southern shore of the river. There are many buoys in the river to help guide all sizes of watercraft, since this part of the river has many shoals and is tidal. As of July 2020 there are four lighthouses, the old and new Blankenese Low Lighthouse , with a height of 42 m and 3 Platform decks for visitors at Strandweg and with

748-431: Is still somewhat controversial , and there is no clear evidence that foams are superior. Sclerotherapy has been used in the treatment of varicose veins for over 150 years. Sclerotherapy is often used for telangiectasias (spider veins) and varicose veins that persist or recur after vein stripping. Sclerotherapy can also be performed using foamed sclerosants under ultrasound guidance to treat larger varicose veins, including

792-420: Is the main difficulty within the race. The football clubs of SV Blankenese (founded in 1903) and FTSV Komet Blankenese (founded 1907) have a long tradition in the quarter. A local office of the main district office Altona called Customer Centre Blankenese is located at Erik Blumenfeld Platz . The local quarter court Amtsgericht Hamburg-Blankenese is located at Dormienstrasse . The Honorary Consulate of

836-582: The Hamburg Parliament . These are the results of Blankenese in the Hamburg state election : Facts of area Inhabitants: 13,686 Of which under 18: 2532 About 65: 3758 Median income: 117,139 € / (2013) Area: 7.7 km Number of day nurseries: 8 Number of schools: 1 primary school, 3 high schools, 1 district school Residential building: 3424 Apartments: 6898 Established doctors: 111 Crime in 2018: recorded: 868, enlightened: 286 The population density

880-820: The Kingdom of Morocco (Al Mamlakah al Maghribiyah) established in Hamburg in 1960 is located on the street In de Bargen . Blankeneser Landstrasse and Blankenese Bahnhofstrasse form the main intersection of commercial activities in Bankenese. While the shops, banks and post office are open normal business hours from Monday through Saturday, the popular public farmer's market is only available on Tuesday, Friday & Saturday. The hospital Tabea GmbH , located at Kösterbergstrasse , has 32 beds and specializes on hip and knee surgery and varicose vein surgery. There are 73 physicians in private practice and 5 pharmacies. Blankenese

924-614: The barge Uwe , sunk there in 1975 after colliding against the coaster Wiedau . The Uwe was torn into pieces and while most of these chunks had eventually been towed into the harbor, it became apparent its stern was too heavy, and was left between the Polstjernan and the Lighthouse of Blankenese, where it remains to this day. Blankense has its own website which posts recent pictures and news events for its residents. Additionally, one can view live webcam feeds from up and down

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968-554: The proteoglycans . Homocysteine permanently degrades cysteine disulfide bridges and lysine amino acid residues in proteins , gradually affecting function and structure. Simply put, homocysteine is a 'corrosive' of long-living proteins, i.e. collagen or elastin , or lifelong proteins, i.e. fibrillin . These long-term effects are difficult to establish in clinical trials focusing on groups with existing artery decline. Klippel–Trenaunay syndrome and Parkes Weber syndrome are relevant for differential diagnosis . Another cause

1012-479: The 2006 records of Hamburg and Schleswig-Holsteins' statistical office, Blankenese comprises a total area of 8.3 square kilometres (3.2 square miles). Blankenese is located south of Sülldorf , east of Rissen and west of Nienstedten . To the south is the widest point of the river Elbe (2.8 km) which provides various tourist and recreational opportunities as well as a view of the Airbus plant. The views from

1056-464: The Elbe River, starting with the harbor all the way to Cuxhaven. These webcams allow virtual visitors of Blankenese to watch the many commercial container and pleasure ships travel up and down the Elbe in real time. Blankenese is twinned with: [REDACTED] Media related to Hamburg-Blankenese at Wikimedia Commons Adalbert von Hamburg-Bremen Too Many Requests If you report this error to

1100-583: The United States, Aethoxysklerol in Australia), sodium tetradecyl sulphate (STS), Sclerodex (Canada), hypertonic saline, glycerin and chromated glycerin. STS (branded Fibrovein in Australia) liquids can be mixed at varying concentrations of sclerosant and varying sclerosant/gas proportions, with air or CO 2 or O 2 to create foams. Foams may allow more veins to be treated per session with comparable efficacy. Their use in contrast to liquid sclerosant

1144-553: The Wikimedia System Administrators, please include the details below. Request from 172.68.168.237 via cp1104 cp1104, Varnish XID 211752499 Upstream caches: cp1104 int Error: 429, Too Many Requests at Thu, 28 Nov 2024 07:51:20 GMT Varicose vein Varicose veins , also known as varicoses , are a medical condition in which superficial veins become enlarged and twisted. Although usually just

1188-423: The condition. They also develop more commonly during pregnancy . Occasionally they result from chronic venous insufficiency . Underlying causes include weak or damaged valves in the veins. They are typically diagnosed by examination, including observation by ultrasound . By contrast, spider veins affect the capillaries and are smaller. Treatment may involve lifestyle changes or medical procedures with

1232-470: The cycling world elite annually drives through Blankenese on the course of the EuroEyes Cyclassics (until 2005 HEW Cyclassics , until 2015 Vattenfall Cyclassics ), the only German World Tour race . The streets of Blankenese are usually included in the course several times, as the drivers have to go across the notorious hill of Waseberg , which is also located in the quarter, three times. It

1276-601: The goal of improving symptoms and appearance. Lifestyle changes may include wearing compression stockings , exercising, elevating the legs, and weight loss. Possible medical procedures include sclerotherapy , laser surgery , and vein stripping . However, recurrence is common following treatment. Varicose veins are very common, affecting about 30% of people at some point in their lives. They become more common with age. Women develop varicose veins about twice as often as men. Varicose veins have been described throughout history and have been treated with surgery since at least

1320-431: The great saphenous and small saphenous veins. There is some evidence that sclerotherapy is a safe and possibly effective treatment option for improving the cosmetic appearance, reducing residual varicose veins, improving the quality of life, and reducing symptoms that may be present due to the varicose veins. There is also weak evidence that this treatment option may have a slightly higher risk of deep vein thrombosis. It

1364-417: The hill of Baursberg the waterworks of the same name is located since 1859, supplying the western suburbs of Hamburg and also the nearby town of Schenefeld . The hulls of the following two sunken vessels are located outside the main international shipping strait. They had been earmarked for removal as they may pose a hazard to recreational marine traffic. However they afford scenic views and are popular with

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1408-706: The legs or ankles. Less commonly, but not exceptionally, varicose veins can be due to other causes, such as post-phlebitic obstruction or incontinence, venous and arteriovenous malformations. Venous reflux is a significant cause. Research has also shown the importance of pelvic vein reflux (PVR) in the development of varicose veins. Varicose veins in the legs could be due to ovarian vein reflux. Both ovarian and internal iliac vein reflux causes leg varicose veins. This condition affects 14% of women with varicose veins or 20% of women who have had vaginal delivery and have leg varicose veins. In addition, evidence suggests that failing to look for and treat pelvic vein reflux can be

1452-617: The locals, hence were allowed to remain there: The remains of the four-masted Finnish powered schooner Polstjernan (Polar Star), which caught fire on 20.10.1926 in today's Kiel Canal and was towed away by the Blankenese-based salvage company Harmstorf. Location: By the bank called Falkensteiner Ufer, house no. 26. UTM coordinates: 5934830.59 N, 552083.28 E The wreck can be reached at low tide without getting your feet wet. Its cargo of wood caught fire when an engine exploded while passing Kaiser Wilhelm Canal (today's Kiel Canal). She

1496-550: The river-facing portions of Blankenese have resulted in highly desirable properties and expensive real estate prices. The steep hillside residences boast many tiny, pedestrian-only streets and 4,864 stairs. The Strandweg is home to the Strand Hotel, built in 1902, as well as several other cafes and restaurants. There are two lighthouses, a Roman garden, a doll museum and several parks and walking trails in Blankenese. Anna-Elisabeth von Treuenfels-Frowein represents Blankenese in

1540-457: The saphenous main trunks, they are no longer available for use as venous bypass grafts in the future (coronary or leg artery vital disease). Other surgical treatments are: A commonly performed non-surgical treatment for varicose and "spider leg veins" is sclerotherapy , in which medicine called a sclerosant is injected into the veins to make them shrink. The medicines that are commonly used as sclerosants are polidocanol (POL branded Asclera in

1584-732: The second century BC, when Plutarch tells of such treatment performed on the Roman leader Gaius Marius. People with varicose veins might have a positive D-dimer blood test result due to chronic low-level thrombosis within dilated veins ( varices ). Most varicose veins are reasonably benign, but severe varicosities can lead to major complications, due to the poor circulation through the affected limb. Varicose veins are more common in women than in men and are linked with heredity . Other related factors are pregnancy , obesity , menopause , aging , prolonged standing, leg injury and abdominal straining. Varicose veins are unlikely to be caused by crossing

1628-471: The time of endovenous treatment. This is also known as an ambulatory phlebectomy . The distal veins are removed following the complete ablation of the proximal vein. This treatment is most commonly used for varicose veins off of the great saphenous vein, small saphenous vein, and pudendal veins. Follow-up treatment to smaller branch varicose veins is often needed in the weeks or months after the initial procedure. Also called medical super glue, medical adhesive

1672-438: The treatment of varicose veins." It also found in its assessment of available literature, that "occurrence rates of more severe complications such as DVT, nerve injury, and paraesthesia, post-operative infections, and haematomas, appears to be greater after ligation and stripping than after EVLT". Complications for ELA include minor skin burns (0.4%) and temporary paresthesia (2.1%). The longest study of endovenous laser ablation

1716-473: The treatments, except that radiofrequency ablation could have a better long-term benefit. The National Institute for Health and Clinical Excellence (NICE) produced clinical guidelines in July 2013 recommending that all people with symptomatic varicose veins (C2S) and worse should be referred to a vascular service for treatment. Conservative treatments such as support stockings should not be used unless treatment

1760-583: Was 1,577/km (4,084/sq mi). Of the total population 10.2% were immigrants. 189 people were registered as unemployed. In 1999 there were 6,990 households, out of which 16.7% had children under the age of 18 living with them and 47.1% of all households were made up of individuals. The average household size was 1.97. Number of schools: 1 primary school, 3 high schools, 1 district school. There are 4 elementary schools and 4 secondary schools: Marion Dönhoff Gymnasium , Gymnasium Blankenese , Bugenhagenschule am Hessepark and Gesamtschule Blankenese . Since 1997

1804-428: Was injected. There are three kinds of endovenous thermal ablation treatment possible: laser, radiofrequency, and steam. The Australian Medical Services Advisory Committee (MSAC) in 2008 determined that endovenous laser treatment /ablation (ELA) for varicose veins "appears to be more effective in the short term, and at least as effective overall, as the comparative procedure of junction ligation and vein stripping for

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1848-606: Was merged into Hamburg with the Greater Hamburg Act . During World War II , the suburb held a Luftwaffe Officer Cadet camp, which became HQ 85 Group Signals for the Royal Air Force in 1945. After the war, an orphanage operated in Blankenese, for children who were Holocaust survivors. Blankenese comes from the Low German blank ness , meaning white promontory in the Elbe river. According to

1892-578: Was not possible. The symptoms of varicose veins can be controlled to an extent with the following: Stripping consists of removal of all or part the saphenous vein ( great/long or lesser/short ) main trunk. The complications include deep vein thrombosis (5.3%), pulmonary embolism (0.06%), and wound complications including infection (2.2%). There is evidence for the great saphenous vein regrowing after stripping. For traditional surgery, reported recurrence rates, which have been tracked for 10 years, range from 5% to 60%. In addition, since stripping removes

1936-464: Was then, a few days later, towed to Blankenese , where she was temporarily moored. Her insurers disputed responsibility for the wreck and it remained lying there ever since. As the wreck tended to float in flood conditions it was weighted down with scrap metal from submarine parts after World War II and has since been used as a breakwater . A few meters from the Polstjernan lies what is left of

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