Diagnosis and Treatment

Varicose veins are not useful for effective blood circulation. Once treated, they will quickly be replaced by healthy veins that will efficiently do the job.

We offer patients several solutions to effectively treat spider, reticular, and varicose veins,. as well as chronic venous insufficiency. It will be up to the physician and the patient to determine the best match for each case.

During the last few years, two different lines of treatment have revolutionized the way we approach venous disorders: foam sclerotherapy and endovenous vein ablation, which encompasses VNUS Closure (R) and laser. In many instances, not in all of them, these procedures have replaced traditional surgery.

Compression stockings

Compression stockings gradually compress the leg, with the greater pressure around the ankle. eThe stockings help prevent the blood from pooling in the veins. Several types of stockings with different degrees of compression are available; the physician will prescribe the appropriate one for the patientʼs condition.

Sclerotherapy

This is the treatment of choice for spider veins and reticular veins. A polydocanol solution is inyected directly inside the vein in order to “dry” it out. Nature will take its course and reabsorb the dried vein, making it disappear from under the skin.

In foam sclerotherapy we use a foam-like medication that has proved to be very successful in the treatment of reticular veins and even some varicose veins. The vein too is dried out and reabsorbed, with excellent results.

Radiofrequency Endovenous Ablation (VNUS Closure (R) Procedure)

It is a minimally invasive procedure, quite successful in the treatment of the saphenous vein and perforating veins. A radiofrequency catheter is inserted by ultrasound guided venopunction, and radiofrequency energy is carefully delivered through it. The vein then heats up and shuts close. It is an outpatient procedure, usually requiring local anesthesia and intravenous sedation of the patient.

VNUS Closure (R) shares many similarities with laser, but the energy delivered with it is more subtle and the surrounding tissue suffers less damage, thus recovery is faster.

Ambulatory Flebectomy

Also known as mini flebectomy, in this surgical procedure the superficial varicose veins are removed through tiny 1 to 2 milimeter incisions, with the help of a tiny hook. By itself it is a medical office procedure, with local anesthesia, or it can be combined with the removal of the safenous vein by surgery or by radiofrequency endovenous ablation.

Saphenous Vein Surgery (Saphenectomy)

The key to permanent success in the treatment of venous insuficiency has always been identifying and eliminating the vein reflux at its point of origin. This is followed by the removal of the damaged vein causing varicose veins. Our techinique is extremely delicate and minimally invasive, ambulatory, and the patient goes home in the evening. The incisions are minuscule and leave tiny scars, if any. In many cases, surgery can be replaced by radiofrequency endovenous ablation, but in the more advanced cases, surgery continues to be the ideal choice in order to cure the patient completely. Chosing a skilled vein surgeon will allow the patient to enjoy the “four expected outcomes” of successful vein surgery:
Cure - Painless - Fast recovery - Minimal scarring.