Getting the right Treatments

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This therapy is for spider and smaller varicose veins. It is performed using either hypertonic saline or a FDA approved sclerosing agent. The solution is directly inserted into the affected veins under local anesthesia. Once inserted, the vein walls will scar and collapse. This causes them to become darker and then ultimately disappear. Often sclerotherapy needs to be repeated as the veins may appear overtime past the area of treatment. Each patient will be individualized to a treatment plan that works for them. Insurance may or may pay for this service. We have financial packages for this treatment.

Ultrasound Guided Sclerotherapy is often used to treat veins that are too small or too twisted to treat with a laser, ultrasound-guided sclerotherapy uses ultrasound technology to guide injections of a solution that seals the vein at the source of the problem. This treatment is also commonly used in patients who have had surgical vein stripping or other endovenous treatments and have residual pieces of leaking vein. It is a highly effective alternative when laser treatment is too superficial to target the vein.

The injection uses either a liquid or a foam solution that irritates the vein wall, causing it to collaspe. The vein that is injected with the solution is eventually absorbed into your body. Our institute only uses FDA approved pharmacological solutions for this treatment. With no anesthesia needed and no downtime after your treatment, ultrasound-guided sclerotherapy is a highly effective vein disease treatment and a valuable tool in fighting vein disease. This procedure is a great aid in preventing recurrence.

Micro-Ambulatory Phlebectomy

This is a micro-surgery, in which small (1cm) incisions are made and the varicose veins are directly removed from under the skin surface with local anesthesia. These twisted, bulgy veins are easily seen and are the result of faulty valves in the saphenous veins. Once removed, we close the incision with absorbable suture. Removing the vein in small sections minimizes the occurrence of blood clots and makes for a faster healing time. In many cases, this procedure takes approximately 30 minutes in our office procedural suite. After the procedure, you can resume all your normal activities within 24 hours. Ambulatory phlebectomy is often used in conjunction with EVLT laser or RFA technologies for the treatment of varicose veins. Both treatments will close the saphenous vein(s) that are the cause of the varicose veins, and the ambulatory phlebectomy will treat the varicose veins themselves.

Topical Skin Fascial and Hand Laser Therapy
The tiny, red or blue, thread-like spider veins seen on the surface of your skin at various locations on your body, can often be removed with a topical laser treatment. We use a laser that penetrates the superficial blood vessel. The temperature of the laser heats the blood inside the vessel, causing it to collapse and seal. The vessel will slowly disappear and be absorbed by the body. The directed focus of the tiny laser means that the spider vein is destroyed without damaging nearby, healthy tissue. You will feel a pinching sensation as the laser fires, but topical laser treatment is purely superficial and will not limit you will be able to return to normal activities several hours after treatment.
Endovenous Radiofrequency Vein Ablation (RFA)

Radiofrequency ablation uses soundwave energy to seal malfunctioning veins. The procedure is performed under local anesthesia. This therapy is for patients with varicose veins related to superficial vein insufficiency. Under ultrasound guidance and sometimes venography, a small catheter is inserted into the superficial vein under local anesthesia that is not performing properly. Once inside, a small device delivers sound wave heat at segmental levels to the vein wall causing it to scar and the walls will collapse together forcing blood to no longer travel inside the vein and lead to shrinking varicosities. You will be able to return to normal activites the next day with minimal restrictions

Endovenous Laser Vein Therapy (EVLT)
Similar to RFA, EVLT uses a laser fiber directly into the vein, which produces heat that seals the vein closed. The flow of blood automatically is re-routed to healthy veins, and the patient is left with only a tiny, one-millimeter incision. This therapy is for patients with varicose veins related to superficial vein insufficiency. Once inside, a small device delivers heat energy continuously to the vein wall causing to scar and the walls will collapse together forcing blood to no longer travel inside the vein and lead to shrinking varicosities.
Venography with angioplasty and stenting
Venography is a minimally invasive diagnostic and therapeutic study used to rule out both anatomical obstruction and vein insufficiency. A small catheter is inserted into your veins with local anesthesia and a small amount of dye is used to highlight your venous anatomy to identify venous obstruction. If disease is found, we can balloon and if necessary stent the vessel back to normal size to repair the vein. This procedure is used for patients with deep vein thrombosis, venous wounds, ulcers and venous insufficiency.
Intra-Vascular Ultrasound Therapy (IVUS)
IVUS therapy is used in conjunction with venography to better understand and diagnose venous anatomy and malfunction. This technology allows us to look “inside” the vein wall to identify valve dysfunction, narrowing of the vein walls, abnormal vein wall tissue and blood clot fragments. The information gained from this technology allows us precision in balloon angioplasty and stenting for deep vein disorders and proper embolization for superficial venous treatment.
Deep Vein Thrombectomy
Patients who present with deep vein thrombosis often have acute and painful leg swelling in which sometimes medication may not be sufficient to resolve the discomfort. Deep vein thrombectomy is a minimally invasive option in which a small catheter is inserted into your vein which has clot. Once inserted, we use venography to guide the catheter through the clot and simultaneously “vacuum” the clot out of your vein thereby reducing swelling and healing time. This procedure allows for faster recovery time and enhances the effectiveness of medication but providing less clot to dissolve and vessels to return to normal function
Pelvic & Scrotal Vein Treatment

For patients who we diagnose with pelvic congestion syndrome, pelvic, labial or scrotal varicose veins, the veins that supply the pelvic space are not working properly. This insufficiency causes a “congestion” of veins become piled up in the pelvic region thereby causing painful pelvic veins. This painful condition can be treated with a safe, minimally-invasive procedure called pelvic vein embolization. Using x-ray technology and a contrast dye, the affected veins are visualized, and a small, thin catheter is inserted the damaged veins. We can eliminate the veins that cause the congestion by placing small vascular clips or synthetic medication inside the vessel that force them to clot and permanently sealing the faulty veins. Once this occurs, the uncomfortable veins will disappear and restore the natural venous flow to the region.

Cava Filter Placement for Cardiopulmonary disease

Many patients who are diagnosed with deep vein thrombosis or pulmonary emboli (clots in the lungs) may not be candidates for blood thinning medicine due to the risk of falls or persistent bleeding. For these patients, we can protect their lungs from blood clots by placing a small filter (similar to a reverse umbrella) into their large vein to capture any loose clots from injuring lung tissue. This is performed by placing a small catheter into their veins under local anesthesia and placing the device through the catheter. The filter can be permanent or temporary based upon the patient’s condition and is removeable when medically necessary.

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