The following procedures are performed to improve the physical pain and cosmetic appearance of varicose veins and spider veins. Dr. DiSaverio will discuss which procedure is the right one for you. |
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SCLEROTHERAPY
Sclerotherapy is the standard treatment for varicose and spider veins. A special sclerosing solution is injected into the diseased vein, which then collapses and is gradually absorbed by the body. By the end of the treatment program, the veins are less visible on the skin surface. Sclerotherapy usually also relieves symptoms associated with enlarged veins and prevents further complications.
Ultrasound-Guided Sclerotherapy
Ultrasound-guided sclerotherapy allows doctors to treat problematic veins that aren’t visible on the skin surface by monitoring veins on an ultrasound screen during the sclerotherapy procedure.
MICROPHLEBECTOMY
Microphlebectomy, sometimes called ambulatory phlebectomy, is a minimally invasive method of treating small varicose veins. A special hook is used to remove the vein through multiple tiny incisions that do not usually require stitches and leave minimal scarring. Recent advances have made it possible to perform the procedure using only local anesthesia and light sedation in a doctor’s office as an outpatient. After the microphlebectomy you will be asked to wear compression garments temporarily. The incisions typically heal within two weeks.
TriVex
Transilluminated Vein Extraction, or TriVex, is a three-step procedure that involves fewer incisions and less time than microphlebectomy for the removal of varicose veins. TriVex technology first employs a powerful light that targets only the damaged vein, which is then precisely removed with a powered resector under local anesthesia. Finally, similar to liposuction, the treated area is flushed clean through a process called tumescent infiltration. Advantages of TriVex over other vein removal methods are faster procedure and recovery time, and less scarring.
ENDOVENOUS LASER TREATMENT (EVLT)
Endolaser is one of the newest vein treatments that eliminates the need for surgery. During an endovenous laser treatment (EVLT) procedure, a tiny fiber is inserted into the vein via a needle. Pulses of laser light cause the vein to collapse and seal shut, effectively reducing visibility on the skin surface and eliminating pain and other complications. EVLT is approved by the FDA for treatment of the greater saphenous vein, the largest vein in the body which runs through the leg. After treatment, the treated area is temporarily put in a compression bandage to keep the collapsed vein in place.
VNUS CLOSURE®
VNUS Closure® is a minimally invasive alternative to vein stripping for the treatment of varicose veins and its common underlying cause, venous reflux. Instead of surgically removing the diseased vein, the Closure procedure delivers radio frequency (RF) energy via a catheter to the clogged vein, which shrinks in the heat and eventually closes. Anesthetic and a saline solution are also injected to numb the leg, squeeze blood from the vein and protect surrounding tissue. Ultrasound imaging is used to locate the treatment site, guide the catheter and confirm that the vein has been fully closed.
After the procedure, blood is naturally re-routed through other, healthier veins in the body. Closure offers benefits over vein stripping and other treatment methods such as faster treatment and recovery time, less discomfort during and after the procedure, and little or no scarring, bruising or swelling. Closure can be performed under local or general anesthesia in as little as 45-60 minutes.
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