Vascular surgeon Po-Jen Ko MD 血管外科 柯博仁醫師
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Chang Gung Vascular Intervention Team
Notice:
Chang Gung Vascular Intervention Team had stopped its operation since June 2023 since Dr. Ko had begun his own private clinic service in PW clinc, New Taipei City

​Our Vascular Intervention Team

We had constructed a multidisciplinary intervention team comprised of experienced vascular surgeons, radiologists an cardiac surgeons. Our team is dedicated to provide the most effective treatment and to minimize the invasiveness of vascular interventions. With the evolvement of cutting edge technology and dedicated team work, we had been able to treat all aspect of vascular disease in a minimally invasive fashion. Nowadays, we are able to
successfully perform most of our elective endovascular repair for abdominal aortic aneurysms in a day surgery fashion. Under local anesthesia with intravenous sedation, most of the patients can be sent home in the same day after totally percutaneous endovascular repair of their disease. All of our aortic intervention are performed using percutaneous fashion, without cutting wounds.

​
Big volume & High skills
Section of Vascular Surgery in Chang-Gung Memorial Hospital is one of the well-known high volume vascular intervention centers in Taiwan.
We perform more than
5000 vascular access related procedures (more than 2000 access interventions), 300 lower limb arterial interventions, 400venous interventions, and more than 150 aortic related procedures annually.

Multidisciplinary teamwork approach
To provide the most up-to-day aortic intervention treatment for our patients has always been one of the most important task. The Vascular Intervention Team of Chang-Gung Memorial Hospital, lead by Dr. Po-Jen Ko (Senior surgeon of Vascular Surgery Section), comprised of multidisciplinary experts from Vascular Surgery, Intervention Radiology and Anesthesiology. All aortic and peripheral arterial interventions were performed by the members of the Vascular Intervention Team in a team work fashion to achieve the highest standard of service. Though the cooperation of well-trained physicians, we had done our best to optimized the quality of o ur aortic and peripheral interventions to minimize the invasiveness of the procedures.


We believe in Minimal Invasiveness!!

Total percutaneous approach/100% No more surgical blade! We adopt the cutting edge technology “Preclose technique” to perform a hundred percent our aortic stenting (EVAR and TEVAR) in a total percutaneous fashion. That is to say, no more cutting wound needed. Every step of the treatment is done through the tiny puncture hole in the inguinal area. And the puncture holes are sutured by vascular suture devices immediately at the completion of the treatment. Our patients can ambulate unrestively after two hours of bed rest and go home on the same day.

Local anesthesia/We perform the aortic intervention in a less invasive way. Most of the aortic procedures are performed using local anesthesia with some light intravenous sedation, if needed. It has been established that the less invasive anesthesia technology reduces the preoperative system complication such as myocardial infarction, pulmonary failure, and central nervous accidents. Thus the patients can recover in a short period and back to their normal daily activity.

Outpatient procedures/No admission needed! We are the first and probably the only medical center that perform elective aortic interventions as one-day (outpatient) procedures. Most of our asymptomatic abdominal aortic aneurysm patient and some of our elective thoracic aortic disease patients can receive the treatment without admitted to the hospital. Due to our cutting edge technology, the procedures can be completed in the morning and the patients thus can be discharged in the afternoon. This significantly reduced the related medical cost and the inconvenience caused by the treatment.

Devices/We choose the best suitable devices for our patient according to their unique anatomy from FDA approved aortic endografts such as graft from Medtronic, Gore and Cook. Endoanchors are considered routinely for longer durability of the treatment. All the procedures are done following the detailed discussion of our regular basis weekly Vascular Intervention Team Conference before the procedures. The patients are not treated by single interventionist but also cared by a bunch of experienced physicians all together.

Contact:

5 Fu-Shing Street, Kweishan, Taoyuan, Taiwan, R.O.C.
Tel: 886-3-3281200 ext. 2118
Fax: 886-3-3285818
Email: [email protected]



什麼是完整的靜脈曲張微創治療計畫|博文血管聯盟

什麼是完整的靜脈曲張微創治療計畫

三大系統整合:主幹 × 穿透支 × 分枝|博文血管聯盟專業團隊

靜脈曲張不只是腿上血管凸起的外觀問題,而是靜脈回流壓力異常的警訊。若只處理表層血管,而忽略深層逆流源頭,復發率極高。
因此,完整的微創治療計畫包含三個關鍵步驟:

找出病因 → 精準治療 → 穩定修復

□ 一、完整評估:以超音波描繪「逆流地圖」

治療的第一步,是進行立姿高解析血管超音波檢查。醫師會針對三大系統進行評估與標記:

  • 主幹系統(Main trunk):大隱靜脈與小隱靜脈的逆流,是主要病灶源頭。
  • 穿透支系統(Perforator veins):連接深層與淺層靜脈,容易成為壓力外溢的通道。
  • 分枝系統(Tributary branches):表層曲張與蜘蛛網狀靜脈的來源。

□這份「逆流地圖」能精確規劃出每位病患的專屬治療藍圖。

□ 二、完整病灶處理:三大系統逐層整合

1️⃣ 主幹系統:治本的關鍵

主幹逆流是靜脈曲張的根本。治療目標是封閉逆流主幹靜脈,讓血流回到健康通道。

  • 靜脈膠水封閉術(VenaSeal):無需麻醉,幾乎無疼痛感,當天可走路返家。
  • 雷射封閉術(EVLA)或射頻治療(RFA):以精準熱能封閉病變血管。

□ 修正主幹後,腿部壓力顯著下降,症狀明顯改善。

2️⃣ 穿透支系統:消除「壓力回流點」

穿透支若逆流,會讓深層高壓血液倒灌至表層,導致皮下曲張與色素沉著。

  • 超音波導引下高張溶液局部治療
  • 微創導管式封閉(如膠水或射頻導管)

⚙️ 處理穿透支可「關閉閘門」,降低皮膚變色與復發機率。

3️⃣ 分枝系統:外觀與壓力的最後平衡

主幹與穿透支穩定後,表層分枝曲張可透過:

  • 高張溶液局部治療(局部注射方式)
  • 極細針孔微切除術:改善外觀與壓力分布。

□ 這是「修飾與精緻化」階段,讓腿部更輕盈、美觀自然。

□ 三、術後修復與追蹤:穩定循環、防止復發

  • 進行壓力治療(如彈性壓力套或專用繃帶),促進靜脈回流。
  • 避免長時間久站或久坐。
  • 定期超音波追蹤,偵測新生分支或殘餘逆流。
  • 維持健康體重與均衡飲食,減少靜脈壓力負擔。

□️ 這一步是防止復發與維持治療成果的關鍵。

□ 博文血管聯盟的三層治療理念

主幹穩 → 穿透支通 → 分枝美

博文血管聯盟以超音波影像導引為核心,整合靜脈膠水、雷射、射頻與高張溶液局部治療,形成完整、精準又安全的靜脈曲張微創治療體系。

□ 通路維護與靜脈治療專線:02-7709-9197

立即預約諮詢

□ www.pwclinic.tw

#靜脈曲張 #微創治療 #靜脈膠水 #血管健康 #雷射治療 #高張溶液 #分層整合 #博文血管聯盟 #PWClinic #腿部修復 #血流重建 #醫療衛教 #健康新循環


微創膠水治療經驗

累積豐富的靜脈曲張微創膠水治療經驗

除了大量微創雷射經驗以外,我們的專業團隊也已累積近1000 例的靜脈微創膠水治療經驗,透過先進技術與個人化診療方式,致力於為患者提供最優質的醫療服務。

若有任何疑問或需要進一步資訊,歡迎聯繫我們的診所!

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