Vein Treatments
The goal of treatment for vein disease is to reduce or stop the backward flow of blood. With proper treatment, the progressive symptoms of vein disease are preventable. Without treatment, signs and symptoms may progress and significantly impact quality of life, and lead to venous leg ulcers. The following may be prescribed to treat your varicose veins. Your doctor can help you decide which treatment is best for you:
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- Compression stockings
- Closing diseased vein (through thermal or nonthermal treatment)
- Removing diseased vein
Compression Stockings Therapy
Medical grade compression therapy, according to Insurance guidelines, consists of 20-30 mmHg compression. The Higher the number the tighter the stockings will be, so the lower the more loose they will be. Compression stockings are tempoary relief of Venous reflux disease. Stockings are also used for other isuses as for slow healing wounds, swelling of legs. Compression stocking help push blood back up out of the legs to return to the heart faster. I encourage to all my patients to wear sometype of compression when flying in airplane.
Nonthermal Vein Closure (VenaSeal)
The VenaSeal system delivers a small amount of a specially formulated medical adhesive to seal — or close — the diseased vein, rerouting blood to nearby healthy veins, which provides symptom relief.
Radio Frequency Ablations (ClosureFast)
The ClosureFast™ procedure uses radiofrequency energy or heat to close the diseased vein, which redirects blood flow to healthy veins, relieving symptoms.
Clarivein
This is a a vein closer technique that uses mechanochemical way of closing the refluxing vein. This is done by making a small nic in the skin and delivering a small catheter that rotates and disrupts the inside lining of the vein and eventually will close down and reroute blood into the deep system. *Image source Clarivein.com
Sclerotherapy
Sclerotherapy is a medical procedure used to eliminate spider veins. Sclerotherapy involves an injection of a solution directly into the spider vein. The solution irritates the lining of the blood vessel, causing it to collapse and stick together and the blood to clot. Over time, the vessel turns into scar tissue that fades from view. This sometimes can leave darker pigmented ares on the skin. This a depends the patient skin type. Sclerotherapy is a proven procedure that has been in use since the 1930s.
Venous Stenting
Stents are made of wire mesh that is placed in narrow or occluded veins that would be obstructing the outflow of blood in the deep vein system. These are placed angiographically in a angiogram suite in a outpatient setting.
Microphlebectomy
Microphlebectomy is an outpatient procedure performed to remove varicose veins through small, slit-like incisions in your skin. This minimally invasive treatment does not require sutures or general anesthesia and can easily be performed in your doctor’s office with minimal downtime.
Microphlebectomy is often the recommended treatment for large surface varicose veins that cannot be effectively treated with sclerotherapy.
Because only the large surface varicose veins are removed, microphlebectomy is less invasive than surgical stripping and results in quicker healing, less pain, and a better cosmetic result. Recovery is more rapid, and a majority of patients do not need to interrupt regular activity after microphlebectomy. Microphlebectomy may be done at the same time as venous ablation.