Varicose Veins

 

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VARICOSE VEIN TREATMENTS


Minimally Invasive Vein Laser Ablation - This minimally invasive technique is an outpatient procedure performed using imaging guidance. After applying local anesthetic to the vein, the radiologist inserts a thin catheter, about the size of a strand of spaghetti, into the vein and guides it up the greater saphenous vein in the thigh. Then laser is applied to the inside of the vein. This heats the vein and seals the vein closed. By closing the greater saphenous vein, the twisted and varicosed branch veins, which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow.

The Benefits of Vein Ablation Treatment are:

· The treatment takes less than an hour and provides immediate relief of symptoms

· Immediate return to normal activity with little or no pain. There may be minor soreness or bruising, which can be treated with over-the-counter pain relievers.

· No scars or stitches - because the procedure does not require a surgical incision, just a nick in the skin, about the size of a pencil tip.

· High success rate and low recurrence rate compared to surgery

· The success rate ranges for vein ablation ranges from 93 - 95 percent


Ambulatory Phlebectomy - A minimally invasive surgical technique used to treat varicose veins that are not caused by saphenous vein reflux. The abnormal vein is removed through a tiny incision or incisions using a special set of tools. The procedure is done under local anesthesia, and typically takes under an hour. Recovery is rapid, and most patients do not need to interrupt regular activity after ambulatory phlebectomy.


Injection Sclerotherapy - Can also be used to treat some varicose and nearly all spider veins. An extremely fine needle is used to inject the vein with a solution which shrinks the vein.



What are varicose veins?

Varicose veins are enlarged veins that are swollen and raised above the surface of the skin. They can be dark purple or blue, and look twisted and bulging. Varicose veins are commonly found on the backs of the calves or on the inside of the leg. They develop when valves in the veins that allow blood to flow toward the heart stop working properly. As a result, blood pools in the veins and causes them to get larger.


Who do they affect?

Varicose veins affect 1 out of 2 people over age 50. They are more common in women than men. Hemorrhoids are a type of varicose vein. Spider veins are like varicose veins, but they are smaller.


How we diagnose

An interventional radiologist, a doctor specially trained in performing minimally invasive treatments using imaging guidance, will use duplex ultrasound to assess the venous anatomy, vein valve function, and venous blood flow changes, which can assist in diagnosing venous insufficiency. The doctor will map the greater saphenous vein and examine the deep and superficial venous systems to determine if the veins are open and to pinpoint any reflux. This will help determine if the patient is a candidate for a minimally invasive treatment, known as vein laser ablation.


Symptoms

Reflux within the greater saphenous vein leads to pooling in the visible varicose veins below. People without visible varicose veins can still have symptoms. The symptoms can arise from spider veins as well as from varicose veins, because, in both cases, the symptoms are caused by pressure on nerves by dilated veins. If you are a patient that experiences any of these symptoms, please call Cascade Radiology to make an appointment.

Symptoms caused by venous insufficiency and varicose veins include:

·      Aching leg pain

·      Easy leg fatigue

·      Leg heaviness

·      Pregnancy, especially multiple pregnancies, is one of the most common factors accelerating the worsening of varicose veins.

·      Family History

·      Age

In more severe cases venous insufficiency and reflux can cause:

· Skin discolorization and ulceration

· 1% of adults over age 60 have chronic wounds known as ulcers


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