Endovenous Laser Ablation
Endovenous laser ablation is one of the newest vein treatments that eliminates the need for surgery. A tiny fiber is inserted into the diseased vein via a needle. Laser energy is then delivered to the fiber tip, causing the vein to collapse and seal shut. The body then automatically routes the blood flow to other healthy veins. The procedure takes about 45 minutes, and requires only a local anesthetic. The procedure is safe and effective, and patients can expect a rapid recovery and return to normal activities.
Microphlebectomy (Ambulatory Phlebectomy)
Microphlebectomy, sometimes called ambulatory phlebectomy, is a minimally invasive method of removing large surface varicose veins. A special hook is used to remove the vein through tiny incisions that do not require stitches and leave minimal scarring. A compression bandage is typically applied after the procedure, and the patient is encouraged to ambulate prior to going home. This procedure is often combined with endovenous laser ablation.
Sclerotherapy is a treatment for both varicose and spider veins. A tiny needle is used to inject a special solution into the vein, causing it to collapse and to be absorbed by the body. The procedure is performed in the office setting, and causes only minimal discomfort. Different concentrations of the solution are used, depending upon the size of the vein being treated. Multiple veins may be injected at a time. The number of sessions required for treatment depends on the type and number of abnormal veins. Sclerotherapy of large veins may be facilitated by the use of ultrasound imaging.
Compression therapy has many benefits in patients with venous disease, venous ulcers, and leg swelling. Compression is often the initial form of treatment for such patients. Compression may be applied as elastic or inelastic wraps, or by means of properly-fitted stockings. Compression therapy increases venous and lymphatic flow, thereby reducing swelling. Its anti-inflammatory effects also reduce the pain and discomfort often associated with chronic venous disease. Compression therapy is often implemented with other measures such as leg elevation, exercise, and weight optimization.
Color Flow Duplex Ultrasound
Ultrasound imaging techniques have improved the management of venous problems from both a diagnostic and therapeutic standpoint. The use of sound waves allows for a thorough evaluation of the veins in the leg, providing information regarding the presence of blood clots, obstruction, and valvular function. Most patients with significant venous disease will undergo an ultrasound examination to determine the nature of the venous abnormality, and to determine the appropriate treatment options. In addition, visualization of leg veins using ultrasound imaging is an integral part of endovenous laser ablation and some sclerotherapy procedures.