Treatment Options

Do you experience leg discomfort, swelling and varicose veins? If so, you may be suffering from superficial venous reflux disease. Approximately 25 million people in the United States suffer from this condition. Traditionally, patients diagnosed with venous reflex would undergo invasive vein stripping surgery.

Now, patients can be treated with minimally invasive vein closure procedures which are a more comfortable alternative.

Procedures are performed on an outpatient basis and patients can usually return to normal activities within 24 hours of treatment.

Treatment methods include:

  • Foam sclerotherapy
  • Liquid sclerotherapy
  • VNUS RFA ablation
  • Endovenous laser ablation
  • Ambulatory phlebectomy
  • Spider vein treatments

Fluoroscopic x-ray equipment is also used for complicated cases, including pelvice congestion syndrome, vulvar varices, varicoceles, and those with complex leg vein anatomy.

Thermal Vein Ablation Procedures

The procedure uses state-of-the-art catheters designed to ablate or close the vein with minimal impact on the surrounding tissue. This procedure is performed on an outpatient basis. Using ultrasound, we will position the catheter into the diseased vein through a small opening in the skin. The tiny catheter powered by radio-frequency (RF) or laser energy delivers heat to the vein wall.

As the thermal energy is delivered, the vein wall shrinks and the vein is sealed closed. Once the diseased vein is closed, blood is re-routed to other healthy veins. Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. We may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time. Patients who undergo the procedure typically resume normal activities within a day.

Procedural highlights include:

  • Relief of symptoms
  • Outpatient procedure
  • Local anesthesia with or without conscious sedation
  • Resume normal activities within 1-2 days

The procedure results in good cosmetic outcome with minimal to no scarring, bruising or swelling.

    Frequently Asked Questions Regarding Minimally Invasive Procedures

    Vein Legs

    Is the procedure painful?
    Patients report feeling little, if any, pain during and after the procedure.

    How quickly can I resume normal activity?
    Patients are walking immediately following the procedure, and patients typically resume normal activities within one day.

    How soon will my symptoms improve?
    Many patients notice an immediate relief of symptoms such as pain, leg heaviness and fatigue. The full benefits of the procedure may take 1-2 weeks.

    Is there any scarring, bruising, or swelling after the procedure?
    Patients report minimal to no scarring, bruising or swelling following the procedure.

    How are these procedures different from vein stripping?
    During vein stripping, incisions are made in the groin and calf, and a stripper tool is threaded through the diseased vein to pull the vein out of the leg. With minimally invasive procedures, only one small incision is made at the insertion site and the vein is then closed and left in place. This minimally invasive approach eliminates pain and bruising associated with vein stripping surgery.

    What if I need the vein for bypass surgery in the future?
    These procedures treat diseased veins only, which are not appropriate for bypass surgery. Physicians can use other healthy vessels should bypass surgery be necessary.

    Are these procedure covered by insurance?
    Most major health insurers cover the minimally invasive vein treatment procedures. Your physician can discuss your coverage further at the time of the consultation.

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