Treatment Options For Varicose Veins
If you are found to have large varicose veins at the time of your consult, you will then be scheduled for a full diagnostic ultrasound venous flow mapping at your next appointment. This diagnostic scan will fully evaluate all of the deep and superficial veins in your legs, definitively determine what is broken and what is normal, and show us the flow patterns and interconnections that we need to be aware of to determine the best individual plan of care for you. Please note that upright (standing) ultrasound venous flow mapping is now considered the pre-treatment standard of care and should be done prior to ALL treatments being planned for varicose veins.
Endovenous Laser. This procedure has replaced surgical stripping for the treatment of the largest varicose veins. A small laser fiber is inserted inside the vein under ultrasound-guidance and laser energy then permanently seals the vein shut as the fiber is withdrawn. The body then dissolves the small vein remnant over the next few months. It takes about one hour, is done using local anesthesia only, and allows you to be back on your feet immediately following the procedure.
Ultrasound-guided foam sclerotherapy. (Including Varithena.) This procedure is used to treat the branch veins left over after the endovenous laser has sealed the main trunks. It can also be used to treat any form of recurrence, even after a prior procedure such as a vein stripping. A series of injections are performed under ultrasound-guidance using a FDA approved detergent solution which causes the targeted veins to seal shut. The body then dissolves the small vein remnant over the next few months. It takes about one hour and allows you to be on your feet and back to work by the following day at the latest.
Ambulatory Phlebectomy. This procedure is used for the treatment of large localized superficial branch veins. The target vein is surgically removed through a series of tiny incisions so small they typically will not leave a scar. It takes one to two hours and allows you to be back on your feet and back to work by the following day.