Modern approaches to the treatment of venous diseases
An overview of the main groups of treatment approaches for venous disease — from lifestyle changes to minimally invasive methods such as radiofrequency ablation.
Vascular Surgeon · Sofia
Dr Elena
Goranova, PhD
More than 25 years of care for vascular health — from precise Doppler ultrasound diagnostics to modern minimally invasive treatment of venous diseases.
- Experience
- 25+ years in vascular surgery
- Specialist training
- Paris · Hamburg
- Practice
- Hubcha 16 Medical Centre, Sofia
What brings you here?
Your legs are talking.
Listen to them in time.
Do your legs feel heavy or painful at the end of the day?
Heaviness, dull pain and night cramps often get worse after long periods of standing or sitting.
Have you noticed swelling around the ankles or visible veins?
Swelling and varicose veins can be an early sign of venous disease — not just a cosmetic issue.
Do you have a wound on your leg that will not heal?
Hard-to-heal wounds on the limbs often have a vascular cause that can be identified.
Have you been referred for vascular diagnostics?
Doppler ultrasound is non-invasive and gives a clear picture of the veins and arteries.
These questions do not make a diagnosis — but they are a good reason for an examination. See the answers to frequently asked questions or book a consultation.
Treatment
Map of the branches
Five areas of care, one starting point — an accurate diagnosis. Choose a node on the vascular map to learn more.
- Venous diseasesVaricose veins, chronic venous disease and thrombophlebitis.
- Arterial diseasesDiseases of the arteries of the limbs and aneurysms.
- Wounds of vascular originHard-to-heal wounds associated with vascular disease.
- LymphoedemaAssessment and care for lymphoedema and swelling of the limbs.
- Doppler ultrasound diagnosticsNon-invasive ultrasound examination of veins and arteries.
Discussion at a scientific event
About
Experience built in the operating theatre and in science
Vascular surgeon with over 25 years of practice and a doctoral degree in medicine, with scientific publications and participation in Bulgarian and international forums.
- 1982
Graduated in medicine from the Medical University of Sofia.
- 1992
Qualified as a specialist in General Surgery; specialist training at Pitié-Salpêtrière Hospital, Paris.
- 1996
Qualified as a specialist in Vascular Surgery.
- 2007–2008
Specialist training in venous radiofrequency ablation in Paris and Hamburg.
- Today
Sees patients at Hubcha 16 Medical Centre, Sofia. Co-author of European and Bulgarian professional guidelines and standards.
VeinConsult
A consultation dedicated to your veins
A specialised examination for venous complaints — structured, unhurried and focused on a clear plan.
Conversation
We discuss your complaints and your medical history.
Examination and diagnostics
Clinical examination and, where indicated, a Doppler ultrasound scan.
Individual plan
We discuss the options and the next steps, tailored to you.
Articles
Vascular health, explained clearly
Scientific activity
From the conference hall
Participation and presentations at Bulgarian and international scientific forums on phlebology and vascular surgery.
Scientific activity →Patient reviews on Superdoc
Up-to-date, verified patient reviews of Dr Goranova are maintained on the independent Superdoc platform.
See the profile and verified reviews on SuperdocFrequently asked questions
Before you come for an examination
What is chronic venous disease?
Chronic venous disease is a progressive disease of the veins in which the superficial veins can dilate and blood can pool. Over time this can cause complaints such as heaviness, pain, itching, cramps and swelling, and in some patients complications as well. An early consultation with a vascular surgeon allows the condition to be assessed in time.
Which symptoms are a reason to consult a vascular surgeon?
Reasons for an examination include heaviness and pain in the legs, swelling around the ankles, visibly dilated veins, itching or burning of the skin of the lower legs, night cramps, and a wound on the limb that will not heal. These complaints can have various causes, which is why only an examination can establish whether a vascular disease is involved.
What is the role of the Doppler ultrasound scan?
Doppler ultrasound is a non-invasive ultrasound examination that shows the condition of the veins and arteries and the direction and speed of the blood flow. It helps to establish where and to what extent the vascular system is affected and is an important basis for deciding on the appropriate approach.
Take the first step towards healthy legs
Book an appointment online via Superdoc or give us a call — the practice team will help you find a convenient time.
Consultation hours: monday 09:00 – 13:00 · wednesday 14:00 – 18:00 — Hubcha 16 Medical Centre, Sofia