Services

Vein Treatments

After a comprehensive evaluation that includes an ultra-sound examination of the veins, our vein specialists will determine the optimal treatment for each patient’s needs.

Our Services Include:

  • Patient Education and Facilitation of Preventive Medicine
  • Duplex Ultrasound Vein Mapping
  • The VNUS Closure® Procedure
  • Vena Cure- laser treatment as seeing in ‘The Doctors‘
  • Foam Sclerotherapy
  • Ambulatory Phlebectomy
  • Anesthesia for your comfort
  • Translations Services: Hebrew, Russian and Spanish

The VNUS Closure® Procedure

The VNUS® Closure Procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins. Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your doctor may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time. Patients who undergo the Closure procedure typically resume normal activities within a day.

Highlights of the Closure Procedure

  • Relief of Symptoms
  • Resume Normal Activity within a Day
  • Outpatient Procedure
  • Local or General Anesthesia
  • Good Cosmetic Outcome with Minimal to No Scarring, Bruising or Swelling

Ambulatory Phlebectomy

Ambulatory phlebectomy is a method of surgical removal of surface veins. This is usually completed in our office using local anesthesia. Incisions are tiny (stitches are generally not necessary) and typically leave imperceptible puncture mark scars. Post-operative discomfort is minimal. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period.

Foam Sclerotherapy

Foam sclerotherapy is a cosmetic medical procedure used to treat varicose veins and spider veins. A tiny needle is used to inject a solution directly into the vein. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Overtime, the body will absorb the treated vein. Mild discomfort may occur, and a cramping sensation may be felt for 1 to 2 minutes when larger veins are injected. The number of veins injected in one session is variable, depending on the size and location of the veins, and the patient’s overall medical condition. Anywhere from one to several sclerotherapy sessions may be needed for any vein region. Medically prescribed support hose and/or bandages may need to be worn for several days to several weeks to assist in resolution of the veins. In general, spider veins respond to treatment in 3 to 6 weeks, and larger veins respond in 3 to 4 months.

Asclera® (polidocanol) Injection is a prescription medicine that is also used for sclerotherapy. Dr. Lev will evaluate your condition and decide if Asclera is right for you.

Asclera® is recommended for patients with:

  • Uncomplicated spider veins (very small varicose veins ≤ 1 mm in diameter)
  • Uncomplicated small varicose veins (1 to 3 mm in diameter) known as reticular veins

How Does Asclera® Work?

Asclera® is a sclerosing agent that is injected into the vein. It works by damaging the endothelium, the cells lining the inside of blood vessels. This causes blood platelets to attach to the lining of the vessels; eventually, cellular debris and platelets cause the blood vessel to clot. Over time, the clotted vein will be replaced with tissue.

For more information about Asclera® visit www.asclera.com.


 

 

 

The Venacure EVLT™ procedure uses a minimally invasive endovenous laser to treat varicose veins and is a clinically proven alternative to traditional and painful ligation and stripping surgery. It requires no general anesthesia and offers minimal risk and shorter recovery time.

The VenaCure EVLT procedure uses the latest generation of EVLT® catheter, which has been cleared by the Food and Drug Administration (FDA) for use in the United States, to insert a laser fiber directly inside the faulty vein under local anesthesia. The laser delivers a precise dose of energy into the vein wall, collapsing it. This process, called ablation, cures the condition and diverts blood flow to nearby functional veins. The resulting increased circulation significantly reduces the symptoms of varicose veins and improves their surface appearance.

The VenaCure EVLT treatment generally takes less than one hour in a doctor’s office and offers immediate relief with minimal-to-no scarring. Patients can usually resume normal activities immediately with minimal or no pain. The success rate of the VenaCure EVLT procedure is as high as 98 percent – measurably better than the alternatives of surgical ligation or stripping and radiofrequency electrosurgery.

All surgical procedures carry some degree of risk and a potential for complications that should be discussed with your physician and weighed against the risk of leaving your varicose veins untreated. Potential complications include vessel perforation, thrombosis, pulmonary embolism, phlebitis, hematoma, infection, skin pigmentation alteration, neovascularization, paresthesia due to thermal damage of adjacent sensory nerves, anesthetic tumescence, non-target irradiation, vasospasm, hemorrhage, necrosis, skin burns and pain.

Side effects of the VenaCure EVLT procedure include mild bruising and tenderness that usually disappear within a few weeks, and a delayed tightness within the first week after treatment. This “pulling” sensation confirms that the veins were destroyed. Discomfort is usually managed with over-the-counter medications like acetaminophen and ibuprofen. Cosmetic improvement of the varicose veins is often seen, although other procedures likeambulatory phlebectomy may be required to obtain optimal results.

When used to treat medical symptoms such as swelling and poor circulation, VenaCure EVLT treatment is usually reimbursed by health insurance. Contact your insurer to determine coverage.

With more than 70,000 procedures performed and more than 60 published clinical articles documenting the VenaCure EVLT treatment efficacy over the last five years, this system is a proven alternative to invasive surgery. To determine if the VenaCure EVLT procedure is a viable treatment for you, consult with Dr. Lev.