Dr. David Park visiting patient
We offer a wide range of state-of-the-art treatment modalities depending on the treatment plan designed specifically for you by our board-certified vein doctors. Most treatments take less than an hour, and the majority of patients resume normal activities the same day.
As previously mentioned, at VEININNOVATIONS, treatment is tailored to meet the specific needs of the individual patient. Obviously, some patients have more extensive venous disease than others. Each patient is evaluated individually to ensure adequate treatment. An important issue to determine when treating varicose veins is the level at which the venous valves have ceased to function. Duplex ultrasound examination can help determine if large valves are malfunctioning, and where. If the problem is not correctly addressed at its source, vein disease such as varicose veins and spider veins can reappear or even become worse. Correctly addressing vein problems does not guarantee that there will be no future problems, but should lessen them and make them easier to treat.
Now that we have talked about the importance of a correct diagnosis in dealing with vein problems, we can talk about treatments. We have two very effective new approaches for treating varicose veins that take the place of surgery. Feel fortunate! For thirty to forty years, the answer to the question “will I need surgery?” would have been yes. Even now, some physicians will tell you that you need surgery to correct the problem of varicose veins, but it’s just not the best option anymore! The following two procedures were developed as alternatives to the surgical procedures of vein stripping and high ligation of the saphenous vein and are considered state-of-the-art approaches to treatment of varicose veins and saphenous vein reflux. VEININNOVATIONS is pleased to offer BOTH treatments to patients for whom they are indicated. Please note that while many services provided by VI are not covered by insurance or Medicare, ClosureFast, formerly Venefit (radio frequency ablation of the greater saphenous vein), and EVLA (described by the next two headings) are very frequently covered.
ClosureFast, formerly Venefit procedure: (radio frequency ablation of the greater saphenous vein) is done by your board-certified VI physician and makes use of a needle puncture or small incision, which enables a small catheter with a special electrode to be passed into the saphenous vein. The electrodes then produce radio frequency energy that closes the vein. Recovery time from this procedure is short, allowing return to normal activities the same day. This procedure is performed under local anesthesia in our office. Data suggests that over 90% of veins remain closed after 1 year. Nine out of 10 patients who have received ClosureFast would recommend the treatment to a friend.
EVLA (Endovenous Laser Ablation): This approach to the treatment of GSV reflux involves insertion of a small diameter laser filament into the vein through a needle puncture. This procedure is done at our office with minimal anesthesia. EVLA is highly effective, and has minimal post-op discomfort.
VenaSeal™ Closure System
The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a medical adhesive. Created by Medtronic, the Venaseal(tm) adhesive is delivered endovenously to close the vein. Clinical studies have shown the procedure to be safe and effective. The procedure is performed without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks.
Other non-invasive or minimally invasive treatment options include:
Compression stockings and/or leg elevation are examples of conservative approaches to treatment of venous disease. Support hose are available over-the-counter, but compression stockings generally offer a higher grade of compression, and are available by prescription only. For the convenience of our patients, VeinInnovations stocks compression stockings.
Ambulatory Phlebectomy is generally a scar-free procedure with excellent functional and cosmetic results. During an “AP” procedure, surgeons use a needle-sized puncture to access and “tease out” a diseased vein.
Sclerotherapy treatment is a non-surgical, virtually pain free option and is effective about 80-90% of the time, when done by experts. VeinInnovations has three highly-trained registered nurses performing sclerotherapy. Some insurance companies cover up to three sclerotherapy treatments if Chronic Venous Insufficiency is present and CVI treatments have been completed.
Laser Treatment of Leg Veins: Laser treatment involves the use of lasers to produce selective light-induced thermal damage to small veins, causing them to disappear. Often, treatment of small vein disease at VeinInnovations involves a combination of sclerotherapy and laser treatment.