Venous Treatments

Radio Frequency Ablation

Radio Frequency Ablation is a minimally invasive, image-guided procedure used to treat varicose veins. An RFA utilizes high-frequency radio waves directed through a thin tube to create intense heat within the varicose vein. This closes up the problem vessel so blood cannot flow through it, redirecting blood flow into healthy veins to allow the blood to return to the heart. Eliminating the unhealthy vein reduces the vein bulging and minimizes leg pain and swelling. It is performed as an outpatient procedure with minimal recovery and discomfort.

Varithena (polidocanol injectable foam)

In addition to RVTA treatments, our physicians can also provide outpatient Varithena therapy for patients with varicose veins. Varithena (polidocanol injectable foam) is a prescription medicine used to treat varicose veins caused by problems with the great saphenous vein (GSV) and other related veins in the leg’s GSV system. To begin the procedure, our physician administers a small amount of Varithena through a catheter, or by direct injection, into the malfunctioning vein. The foam quickly fills the desired section of the vein to collapse and “deactivate” the diseased vein. With the unhealthy vein no longer operational, blood flow shifts to healthier veins nearby, allowing for proper blood flow back up to the heart.

Varithena treatments typically take less than an hour. While many patients see relief of symptoms in one treatment, patients with more severe varicose veins may require additional treatments to fully resolve symptoms.

Patients who receive Varithena treatment may resume some activities the same day as treatment, but heavy exercise should be avoided for one week. Post-treatment bandages need to be kept dry and in place for 48 hours, and compression stockings must be worn on the treated leg for 2 weeks.

Sclerotherapy

Sclerotherapy is a minimally invasive procedure that injects sclerosing solutions into the veins. It is used to treat spider, reticular and varicose veins, and blocks the unsightly or non-functioning veins to gradually improve appearance. This generally involves multiple treatments over the course of several months.

Phlebectomy

Microphlebectomy is a minimally invasive surgical technique that removes varicose veins. It is an outpatient procedure that removes the problematic veins through tiny incisions. Performed under local anethesia, the incisions are so small the result is usually little to no scarring. Compression stockings are worn for 1-2 weeks following the treatment, and most patients immediately return to normal activity.

Deep Venous Disease Treatments

Thrombectomy/Thrombolysis

The majority of patients that are diagnosed with DVT are treated with blood thinners, anticoagulants, and compression stockings to try to encourage the body to naturally remove the DVT. Prescribing anticoagulants and blood thinners alone prevents the clot from moving to your heart or lungs or growing larger in size but does not guarantee that the clot will disappear or diminish in size overtime or that your symptoms will go away. In addition to anticoagulation therapy, our Vascular Specialists can oftentimes remove a DVT with a simple, minimally invasive catheter procedure called a Thrombectomy. Our doctors will use a device that acts like a vacuum to disrupt the clot and quickly remove the blockage from your vein, immediately restoring flow to your legs.

For many patients, a Thrombectomy offers immediate benefits, eliminates the need for a hospital stay, and reduces the pain and swelling.Removing your DVT also provides long-term benefits to your health and dramatically reduces your risk for developing Post-Thrombotic Syndrome. When your Vascular Specialist removes your DVT from your veins, you are much less at risk for contracting chronic complications that affect your quality of life.

IVC Filter Placement and Removal

Blood clots that develop in the veins of the leg or pelvis, a condition called deep vein thrombosis (DVT), occasionally break up travel to the lungs— called an embolism. An inferior vena cava (IVC) filter is a small cone-shaped device that is implanted in the inferior vena cava just below the kidneys. An IVC filter traps large clot fragments and prevents them from traveling through the vena cava vein to the heart and lungs, where they could cause severe complications or even death. IVC filters are placed in patients who have a history of recurring DVTs or who are at high embolism risk as an additional “safety net.”

 

Our physicians use IVC filters in patients who cannot be successfully treated by other methods, including blood thinning agents and/or thrombectomy or thrombolysis to remove the presence of the clot. Our physicians use state-of-the-art retrievable filters to give patients the flexibility of leaving the filter in place permanently or removing it from the vena cava after eliminating the risk of embolism.