Treatment Options for Varicose Veins

Endovenous Laser (Elas), and Endovenous Radio Frequency (Closure®) are both methods to eliminate the abnormal saphenous vein from circulation without stripping. Assisted by ultrasound guidance, (1) a special thin catheter is placed inside the saphenous vein. (2) The energy applied heats the inside of the vein to destroy the lining. (3) The vein contracts forming a fibrous tissue which ultimately dissolves. Blood flow diverts spontaneously to the deep veins where the valves are almost always normal.

Sclerotherapy: Sclerotherapy is a very effective method of treating varicose veins. This technique eliminates reticular or medium sized veins.

Ultrasound Guided Sclerotherapy: Utilizing ultrasound the varicose vein is visualized on a screen and Dr. Bardwil uses this technology to guide the placement of a needle directly into the diseased vein. A sclerosing agent is injected into the veins. This causes an irritation to the inner lining of the vein resulting in closure of the vein. The injections are done along the course of the vessel, as needed, usually 4-5 injections per leg. The number of treatments varies depending on the severity of your condition. The Doctor will determine if this procedure will be effective and safe for you.

Ambulatory Phlebectomy: After initial consultation with ultrasound to evaluate leg veins, we determine if the saphenous vein needs to be treated. If the saphenous vein is normal, we remove the varicose veins by making small (less than 5mm) incisions under local anesthesia. After the closure of the saphenous vein, residual veins may be treated in a similar manner.

Compression Hose aid in the treatment of varicose veins by helping squeeze the blood up and out of the legs by means of an upward gradient compression and are commonly used during treatment.

Treatment for Spider Veins

Spider veins are best treated with a combination of injections (sclerotherapy) and laser (diode 940nm laser). Special solutions are injected into the veins with a very small needle. The solutions destroy and dry up the vein. The laser has a specific wavelength that passes through the skin and penetrates the targeted veins causing its collapse, helping to clear away any remaining spider veins. This combination treatment offers the very best results. This highly advanced laser system quickly and safely helps rid patients of undesirable leg, face, neck or chest veins.

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