Varicose Veins are only a sign of much more important underlying venous disease(s): CHRONIC VENOUS HYPERTENSION, CONGESTION, INSUFFICIENCY AND/OR PELVIC DERIVED VENOUS DISEASE.
For ease of discussion and understanding by the general public, varicose vein treatment options have been listed but treatment options are actually for CHRONIC VENOUS HYPERTENSION, CONGESTION, INSUFFICIENCY AND/OR PELVIC DERIVED VENOUS DISEASE.
Once the causative underlying disease is treated, with some exceptions, varicose veins are minimized.
A partial list of treatment options available to Dr. DiMarco follows (he will decide which is the best for you):
Venous Occlusion, EVLT, Sclerotherapy, Compression Stockings, VNUS, Compression Pump, Venous Duplex Studies, Endovenous Laser Ablation, Radiofrequency Ablation, Foam Sclerotherapy, Microphlebectomy, Ultrasound-Guided Sclerotherapy, Vein Ligation and Stripping, Ambulatory Phlebectomy, Ultrasound-Guided Sclerofoam, Spider Vein Injections.
Endovenous Laser Therapy
This treatment is one of the best, the gold standard in varicose vein treatment. Endovenous laser therapy uses highly concentrated beams of light (lasers) to treat varicose veins. This type of technology is extremely precise, and its use has been proven safe and effective over many years. By delivering light energy to targeted tissue areas, lasers can offer thorough, precise treatment that does not harm surrounding tissues. This makes it less risky than conventional surgery in many instances.
To complete this treatment, the doctor inserts a small fiber into the damaged vein, using a tiny entry point in the skin. The doctor then sends a laser light through the fiber. When the fiber is pulled through the vein, it delivers a precise amount of energy. This light energy causes the vein to close and shut. Only superficial veins (carrying less than 5% of blood flow) are shut, allowing the blood to be rerouted to healthy veins automatically.
General anesthesia is not required for this minimally-invasive procedure. The doctor will use a local anesthetic to numb the area where he or she is working. You’ll be able to walk as soon as the procedure is complete and can resume your routine activities that very day.
VNUS Closure is a minimally invasive varicose vein treatment that treats varicose veins and their underlying cause, venous reflux, with little or no pain. It can be performed on an outpatient basis using local anesthetic. With ultrasound, the ClosureFAST catheter is positioned into the diseased vein through a tiny opening in the skin. Radiofrequency (RF) energy powers the tiny catheter to deliver controlled heat to the vein wall, making the collagen in the wall shrink and the vein close. Once the diseased vein is closed, blood is rerouted to healthy veins. Patients who undergo the Closure procedure typically resume normal activities within a day or two.
Sclerotherapy is most commonly used to treat spider veins for cosmetic purposes. This procedure involves a scarifying (or sclerosing) agent being injected directly into the spider vein, which helps gradually reduce its visibility over a few weeks. The treatment can last up to 30 minutes, depending on how many veins must be treated, and you may need several sessions for complete results. In the infrequent case where endovenous ablation cannot be performed, ultrasound guided sclerotherapy can be done, albeit with a lower success rate.