Vein Treatment
Center for Advanced Vein Care
Center for Advanced Vein Care
(440) 710-1140
7200 Mentor Ave, Mentor OH, 44022
Vein Treatment
Advanced Vein Care - What You Need to Know If you have varicose or spider veins, don’t wait to get treatment.Leaving them untreated can lead to serious complications including pain and blood clots.
Medication treatment, wearing compression stockings and at-home techniques can help alleviate symptoms.
However, some cases may require surgical treatment for venous disease.
Fortunately, procedures that at one time required open surgery now use minimally invasive methods.
Radiofrequency Ablation This minimally invasive treatment for varicose veins uses heat to damage the wall inside a varicose vein, which creates scar tissue and closes the vein.
Blood is then redirected to nearby healthy veins.
This procedure is performed in our Dayton office and recovery time is typically short.
The physician uses ultrasound guidance to locate the refluxing vein in the leg, and inserts a catheter at the point of incompetence.
Tumescent anesthesia is then injected into the vein using ultrasound guidance.
This anesthetic solution consists of a mixture of epinephrine, bicarbonate, and lidocaine.
Once the tumescent anesthetic is in place, the catheter is positioned over the refluxing vein and RF energy is applied to the vein wall over a period of 20 seconds.
This energy causes the collagen in the vein to contract, causing obliteration of the lumen through endothelial destruction, inflammatory response, and fibrosis.
Following the procedure, the patient is placed in what is called the Trendelenburg position (a slight tilt of the body on a platform).
This positions the vein against gravity and increases circulation.
This improves the effectiveness of the procedure and shortens recovery.
Some patients feel a tugging sensation, or cord-like feeling in the area that was treated.
This usually improves with walking and wearing compression stockings.
Some bruising and swelling is also common, but is generally mild.
These symptoms should subside within a few days or weeks.
AVLC will provide you with detailed aftercare instructions and compression garments to wear to support healthy circulation.
In some cases, you will be asked to return to the clinic for a follow-up appointment to ensure healing is progressing as expected.
The appointment will involve a quick assessment of your symptoms and an examination of the treatment area.
Sclerotherapy Sclerotherapy is a minimally invasive outpatient procedure for varicose and spider veins.
This treatment involves injecting a sclerosing solution, such as polidocanol or sodium tetradecyl sulfate, into the abnormal blood vessel with a needle.
This causes the vein to swell and block the blood flow through it.
This forces the body to redirect blood to other healthy veins, which improves circulation.
The injection is generally painless.
However, larger varicose veins may cause a cramping sensation for a minute or two.
The vascular specialist will determine how many veins are treated in a session, depending on the size and location of each one.
Some people require several sclerotherapy sessions to get the desired results.
A medically prescribed compression stocking will be worn after the treatment to keep the blood vessels collapsed and to reduce discomfort.
After a few days, the skin around the injection site will become red and raised.
This should disappear over a few weeks.
Bruising and blistering also occur in some patients, especially in those with fair skin.
This will usually fade over time, but it can take up to a month for the redness and bruising to dissipate in large varicose veins.
Rarely, a blood clot can form at the injection site and travel to the lungs (pulmonary embolism).
This condition requires immediate medical attention and might involve pain in the leg or chest, difficulty breathing or coughing up blood.
It is also possible for air bubbles to rise in the blood and block a vital artery, but this is less common.
This is why you should follow your doctor’s instructions before and after the treatment.
Endovenous Laser Treatment EVLT is a minimally invasive technique used to treat varicose veins.
A doctor (a radiologist) will use imaging techniques to guide a tube (catheter) into your varicose vein.
At the end of the catheter is a laser fiber that heats the lining of your varicose vein, causing it to close up and eventually shrink.
A small cut or incision will be made where the catheter was inserted, but it doesn’t need stitches.
A bandage will be put on the area.
The procedure usually takes less than an hour.
During the treatment, you may feel pressure on your leg or a pulling sensation.
This is because numbing medicine is injected in the area where the tube will be inserted.
You will be asked to lie on the procedure table in a face-down or face-up position, depending on the site of your varicose vein.
After the numbing medicine wears off, you will experience some discomfort during the procedure.
The numbing medicine is used to reduce pain during the injections and the laser treatment.
The numbing medicine is also used to prevent any allergic reaction during the procedure.
Before the procedure, tell your doctor if you are allergic to any medicines or latex.
You should also tell your doctor about any illnesses or medical conditions you have and if you are pregnant or breastfeeding.
The EVLT procedure is highly effective.
Clinical data shows a success rate of 93-98%.
This is much higher than surgical ligation and stripping, radiofrequency electrosurgery, and injection sclerotherapy.
It’s also an outpatient procedure that can be performed right in the doctor’s office and doesn’t require general anesthesia.
It’s also reimbursed by most insurance carriers, including Medicare.
VenaSeal Varicose veins can be a cosmetic issue and they can also cause pain.
People who have them often seek treatment, and fortunately, the treatments for this condition have evolved significantly over the years.
What was once a surgical procedure that required significant recovery time has now been replaced with an outpatient appointment and a minimally invasive approach.
VenaSeal is a new procedure that uses a medical glue to close the affected veins and prevent them from re-occurring.
This vascular treatment uses ultrasound to both locate the varicose vein and guide your doctor to its location inside of your body.
Your doctor makes a small cut in your leg, and then inserts a catheter that carries the medical glue into the affected vein.
Once the doctor deposits the glue in the vein, they will apply gentle pressure over the area to allow it to bond with the walls of the vein.
Once the adhesive has sealed off the vein, your body will automatically begin to create scar tissue that keeps it closed and prevents blood flow from traveling through that vein.
The medical glue used in this treatment is a cyanoacrylate.
This is the same substance that doctors use in some types of brain surgery and is a highly safe product for use in your body.
The adhesive is inert and won’t trigger an immune response or cause any allergic reactions.
The main benefit of this procedure is that it offers immediate relief from symptoms, including varicose veins.
It also helps prevent the progression of symptomatic vein disease to advanced stages that may lead to leg ulcers.
It is a great option for those who want to get rid of the unsightly and painful varicose veins, but who don’t qualify for thermal ablation or other laser and radiofrequency treatment options.
Phlebectomy In the most severe cases of varicose veins, patients may require a surgical procedure called phlebectomy.
In this minimally invasive treatment, the surgeon removes the affected varicose vein through tiny incisions.
The technique is performed under local anesthesia and requires just one in-office visit.
It is often combined with other treatments such as ligation and stripping, laser, and radiofrequency ablation.
During phlebectomy, the doctor will cleanse and anesthetize the area around the varicose vein and then make a series of small incisions that are no larger than a pencil eraser.
The doctor then inserts a hook into the incision and pulls out the faulty vein.
After the procedure, the doctor will seal the tiny incisions with a piece of tape.
The incisions are so small that they do not require stitches, and the scars are nearly unnoticeable for most patients, especially those with fair skin or freckles.
If you have recurrent varicose veins, our expert vein care team can recommend several treatment options to help you eliminate them.
We may recommend ambulatory phlebectomy or foam or liquid sclerotherapy.
We also offer Apligraf, a cell-based treatment for leg ulcers caused by chronic vein disease.
Center for Advanced Vein Care
Center for Advanced Vein Care
(440) 710-1140
7200 Mentor Ave, Mentor OH, 44022
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