Merced Area Vein Treatment

Leg Vein

In the past, an invasive form of vein surgery called ligation & stripping was the recommended treatment for varicose veins. Although this approach is still occasionally used, there are many more options now. Our highly trained vein doctors at Valley Vein Health Center are experienced in a wide range of vein treatment techniques, including the following.

Duplex Ultrasound

Duplex ultrasound is a diagnostic technique that your vein doctor will use to determine the specific locations, pathways and extent of your varicose veins. It draws upon ultrasound imaging to allow the physician to see veins not easily visible from the surface of the skin. Duplex ultrasound is painless and non-invasive.

VNUS ClosureFast™

Modesto area patients treated at the Valley Vein Health Center benefit from our experience with VNUS ClosureFAST, considered the “gold standard” for treating varicose veins. In this minimally invasive procedure, a catheter is inserted into a faulty vein to direct radiofrequency energy into the vein walls. The unhealthy vein reacts by sealing itself shut and is eventually reabsorbed by the body, while blood flow is redirected to healthy veins. Along with its effectiveness, the benefits of this procedure include little if any discomfort and minimal recovery time.

Sclerotherapy

Sclerotherapy is the tried-and-true treatment that works best on spider veins, the tiny and usually painless veins that appear on the arms, legs, chest, neck, or head. It is a minimally invasive technique in which a chemical “sclerosing” agent is injected into the problem vein. In response, the vein, corroded by the sclerosant, shuts down and is eventually reabsorbed by the body while blood is redirected to healthy veins.

Ultrasound-guided sclerotherapy

Ultrasound-guided sclerotherapy is a similar approach to treating spider veins (and occasionally other kinds of veins as well), but it draws upon ultrasound imaging to help your vein surgeon find the deeper veins not easily visible at the surface of the skin.

Ambulatory Phlebectomy

Ambulatory phlebectomy is a highly effective treatment for varicose veins that are large and close to the surface of the skin. This procedure, which can be done alone or in conjunction with other approaches, involves an incision in the skin through which a tiny hook is inserted. The damaged veins are then extracted with the hook through the small incision. Ambulatory phlebectomy is done with the use of a local anesthesia, and compression bandages are usually recommended for two weeks afterwards to promote healing. Most patients report little if any pain associated with the procedure.

Botox and Juvederm

In addition to treating problem veins, the physicians at Valley Vein Health Center are trained in skin rejuvenation techniques such as Botox and Juvederm, the latest forms of medical technology for fixing facial wrinkles and lines to give you a more youthful appearance. Discover how improving your appearance can make you feel like a younger, healthier, more vibrant person!

 

Radiofrequency Ablation as First Line Treatment of Varicose Veins:

John Avery, B.S., Vijaya Thakur, MD, Anjani Thakur, MD, FACS*Valley Vein Health Center, Turlock, California* Assistant Clinical Adjunct Professor of Surgery, Touro University, Vallejo, CA

Background: Endovascular radiofrequency ablation is minimally invasive method to safely treat symptomatic refluxing varicose veins.

Methods:  Retrospective chart review was used to determine patient demographics, disease severity, treatment algorithm, and outcome in patients who underwent radiofrequency ablation of symptomatic refluxing veins that had failed conservative management. Statistical analysis was done using GraphPad Demo Version (San Diego, CA).

Results: 241 limbs in 179 patients (average age of 53 years; 73% females, 27% males), were treated. Pre procedure CEAP scores were C2s: 236, C3s: 4, C5s:1.  Procedures were performed in office using tumescent anesthetic; all patients could ambulate immediately after the procedure. Post procedure total occlusion (TO) rate was 93%.  No relationship was found between patients who did not have total occlusion and sex, CEAP scores, volume of tumescent anesthetic, and vein length (p>0.05). Patient with larger diameter of veins and tortuosity were more likely to require retreatment due to absence of total occlusion (p<0.05).

Conclusion: The VNUS procedure is in-office, minimally invasive procedure with a low complication rate and quick recovery.  Total occlusion rates are high and there is improvement in disease severity following treatment.  Larger, tortuous veins may require pretreatment which can be done safely in the office.

Call or e-mail Advanced Vein & Vascular Solutions today to schedule your initial consultation – and set out on the road to the end of your vein problems.

Read Dr. Thakur’ and John Avery’s paper on VNUS Ablation: CLICK HERE

Closure™ is a registered trademark of VNUS Medical Technologies, Inc. (San Jose, CA)

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