Varicose Vein Treatment
Varicose Vein treatment
Advanced treatments are often required to address the underlying cause of varicose veins. These treatment options include:
Endovenous (Radiofrequency) Ablation
Radiofrequency Ablation is a minimally invasive alternative to surgical stripping used to treat varicose veins and its common underlying cause, venous reflux. A small radiofrequency catheter is inserted into the refluxing vein and catheter delivers radiofrequency pulses to the vein wall that cause it to constrict permanently. Once this abnormal vein is treated, the blood selectively travels through the more robust deep veins of the leg. Radiofrequency ablation is an outpatient procedure that takes about one hour to complete. You will be instructed to return to normal activities the following day.
Endovenous Laser Vein Treatment (ELVT)
Endovenous Laser Treatment (ELVT) is another minimally invasive procedure that treats the incompetence (backward flow of blood) of the greater saphenous veins. A hollow needle is inserted into the leg and vein followed by the laser catheter. The laser heats the vein wall and coagulates the blood inside the vein as the vein collapses. There is a low incidence of bruising and blistering with laser treatment. Usually, patients experience a slight stinging sensation. Following treatment, pain is rarely an issue, and some redness over the vein persists for 12 to 24 hours. Most improvement is noted within 2-6 weeks, but some veins may take several months to clear and repeated treatment may be necessary.
Sclerotherapy is a medical procedure used to treat the painful symptoms and the unsightly appearance of varicose veins. It is often performed in addition with ultrasound imaging to ensure precise results. The affected veins are injected with a solution that causes the veins to collapse and become absorbed into the bloodstream. The procedure takes about one hour and can be performed in the doctor’s office.
Microphlebectomy is a minimally invasive procedure used to treat large varicose veins that have been permanently deformed due to delayed treatment of the underlying cause by, for example, endovenous ablation. A specialized hook is used to remove the vein through multiple tiny incisions. The incisions do not usually require stitches and leave minimal scarring. Microphlebectomy can be performed for cosmetic or medical purposes, depending on the patient’s individual condition and goals for treatment. Following the procedure, the patient is instructed to wear compression socks temporarily. The incisions typically heal within two weeks.