Screening for CVI is done through a simple, non-invasive ultrasound test. The ultrasound uses sound waves to measure the speed and blood flow through the vessels in the leg. It also produces an image of the vein structure, offering a visual of the veins, valve damage and any vein obstructions that may be causing CVI. If the ultrasound confirms that you have CVI, we will discuss treatment options and help you identify the best fit for your lifestyle.
Take our simple self-assessment which can tell you if you should consider scheduling a consultation with one of our doctors.
Radiofrequency Ablation uses radiofrequency energy to provide an even and uniform heat to contract the collagen in the vein walls, causing them to collapse and seal off. After the vein is sealed shut, blood then re-routes to healthy veins. Venefit™ Targeted Endovenous Therapy using the ClosureFast™ catheter is currently the only form of segmental radiofrequency ablation for the treatment of CVI in the United States.
Under ultrasound guidance, a radiofrequency catheter is inserted into the abnormal vein and the vessel is treated with radio-energy, resulting in closure of the involved vein. Radiofrequency ablation is used to treat the great saphenous vein, the small saphenous vein, and the perforator veins. The perforator veins are the connecting veins that transport blood from the superficial veins to the deep veins.
Branch varicose veins are then usually treated with other minimally invasive procedures, such as ambulatory phlebectomy, sclerotherapy, or foam sclerotherapy.
It should be pointed out that the possibility of skin burn during the procedure is very small, because the large volumes (500 cc) of dilute Lidocaine (0.1%) tumescent anesthesia injected along the entire vein prior to the application of radiofrequency provide a heat sink that absorbs the heat created by the device. Early studies have shown a high success rate with low rates of complications.
Endovenous Laser Therapy
Endovenous Laser Therapy is highly effective, safe treatment for varicose veins and, like our other procedures, FDA approved. The post-procedure recovery is usually uneventful, with patients experiencing minimal discomfort, bruising or swelling. Usually patients are able to return to normal activities within a few days.
After closing your deeper veins, you may still have some residual varicose veins left behind. To remove them, Ambulatory Phlebectomy is performed, a procedure in which varicose veins are removed from a tiny incision.
First, your leg will be numbed with an injection of a local anesthetic. Next, tiny 1 to 2mm incisions will be made and the diseased vein will be removed with a small hook-like instrument. Because the incision is so small, no sutures are needed. Instead, you will have small bandages, called steri strips, placed along the incisions. Cosmetically, the result is great and nearly scarless.
You should be able to return to normal light activity including work and walking on the same day.
Exercise can be resumed as early as 7 days following the procedure, though light walking is recommended. When sitting or lying down, it is best to elevate the treated leg to avoid swelling. A follow up appointment will be scheduled shortly after your treatment.
Sclerotherapy is a popular method for eliminating superficial spider veins and deeper feeder veins. It is performed by injecting a solution (called a “sclerosing agent”) directly into the vein. Sclerotherapy is done in our office and usually takes 30 minutes. It is performed using a very fine needle to ensure minimal pain. The doctor may use a vein light which can illuminate the veins below your skin which are feeding your spider veins.
A sclerosing solution is then injected into the desired veins. This solution will irritate the wall of the vein and cause it to close over the next few weeks. You may feel pinching from the needle and a tingling sensation as the solution is injected.
Typically you will need three (3) treatments, one month apart to achieve the best results.
All information herein is for informational purposes only. Source: rethinkvaricoseveins.com