| Spider
Veins & Varicose Vein Treatments
Varicose
veins are large swollen veins that have incompetent valves. They
may have a bluish color and at times may be painful. Spider veins
are tiny red and purple vessels found on the legs and face.Varicose
and spider veins are not needed for the normal vascular system to
function correctly. They can be eliminated with Sclerotherapy.
Many
physicians use a hypertonic saline solution for sclerosing veins.
This is a more painful and less effective solution for treating
veins. We use a sclerosing solution that is much less painful and
much more effective for treating varicose and spider veins.
Foam
Sclerotherapy
Instead of using a sclerosing agent in its liquid
form we use a technique that converts the solution to a foam. Foam
has a greater surface area than a liquid so much more of the vein
comes in contact with the sclerosing agent. This allows us to treat
even larger veins with faster more effective results.
Ultrasound
Guided Sclerotherapy
Our high tech Ultrasound machine allows us to
visualize the deeper veins that cause the problems with the veins
seen near the surface of the skin. With ultrasound guided sclerotherapy
we can see the needle and the vein deep under the skin and visualize
that we are directly injecting the problem vein. Large varicose
veins can go away quickly without the need for surgery. Spider veins
often fade with fewer treatments and longer lasting results.
A recent article in Dermatologic Surgery 2004; 30:6-12 stated:
Ultrasound Guided Sclerotherapy (UGS) is certainly the most
cost effective and patient friendly alternative (better, cheaper,
and quicker than endovenous laser or venous closure). If
one accepts a "re-do
injection" session
as a frequently occurring fact, (about 1 in 3 at 3 months), all
GSV incompetence could be treated by UGS. The closure rate
of the Greater and/or Lesser Saphenous Veins at 12 and 24
monhts, confirmed by duplex ultrasound is comparable for UGS, EVLT,
and VNUS Closure (between 88% and 97%).
The reason we don our UGS in 3 sessions over a 3 month
period is to assure the Greater and Lesser Saphenous Veins have
closed. Patient satisfaction and relief of symptoms were
excellent in the same study as above. The procedure is virtually
painless, and you can return to work in 2-3 days.
EndoVenous
Laser and VNUS Closure Treatment
Endovenous
laser ablation (EVLT) is a new advanced technique for the treatment
of varicose veins. This treatment has essentially replaced vein
stripping. This minimally invasive procedure requires only local
anesthesia. A small catheter with a laser tip is inserted through
a needle and
passed up the length of the affected vein. The laser heats the
inside of the vein, which causes the vein to collapse. Recovery
is quite
mild and the procedure takes approximately an hour.
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