After a comprehensive evaluation that includes an ultrasound examination of the veins, our vein specialists will determine the optimal treatment for each patient's needs.
- VNUS Closure™ procedure
- VenaCure EVLT™ procedure
- Ambulatory Phlebectomy
- Treating Venous Ulcers
Patient EducationClick below to view a short video about the VNUS procedure.
The 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 guidance, your physician will position the Closure catheter into the diseased vein through a small opening in the skin. The slender catheter delivers radiofrequency (RF) energy to the catheter, which heats the vein wall. As the vein wall is heated and the catheter withdrawn, the collagen in the wall shrinks and the vein closes. 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 at frequent intervals and to refrain from prolonged 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 procedureClick below to view a short video about the VNUS 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
VenaCure EVLT Procedure
Nearly 40 percent of women and 25 percent of men suffer from lower extremity venous insufficiency and associated visible varicose veins. Primary risk factors include heredity, gender, pregnancy, and age. Most of these patients have long-standing leg symptoms, which compromise their daily routines, with symptoms worsening during the day while they are on the job or simply living their lives. Without varicose vein treatment, these symptoms can progress to a lifestyle limiting condition.Click below to view a short video about the VenaCure EVLT.
Traditionally, varicose vein treatment has required painful surgery (called ligation and stripping). Now, the VenaCure EVLT system provides a proven, minimally invasive alternative that allows patients to return to their everyday lives immediately. Varicose veins (and sometimes spider veins) are usually a symptom of chronic venous insufficiency, a disease that causes blood to flow backward in the veins, making them bulge and twist down the leg. Venous insufficiency (also called venous reflux) can occur throughout the venous system, but occurs most frequently in the great saphenous vein, small saphenous vein, and other veins of the superficial venous system in the lower legs.
One-way valves in the veins of the legs typically ensure that blood is carried toward the heart and prevent it from flowing backward (down the leg) and pooling. Valve failure leading to chronic venous insufficiency can be caused by multiple factors:
- Injury or other trauma
- Weak vein walls that dilate under normal pressures
- Genetically abnormal valves
- Normal veins whose vein walls are weakened by hormones (as in pregnancy)
Varicose vein treatment may be indicated when valves fail, blood flows backward (or downward) in the veins, and pressure increases in the venous system below. This increased pressure causes many of the symptoms of venous insufficiency as well as potentially (over time) causing the failure of additional valves below the original failed valve.
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.
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. Over time, 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.
Treating the Venous Ulcer (Treating Perforating Veins)
In the United States it is estimated that up to 1.8 million people are afflicted with venous ulcers which are the most common chronic wounds treated in wound care centers.1,2 More than half of the venous ulcers treated are recurring ulcerations, or wounds that might have healed before, but later return.
Conventional treatments for venous ulcer patients include the use of antibiotics, salves, and compression therapy. But these treatments have often resulted in high failure and recurrence rates.
Attempts to heal the skin without correcting the underlying venous insufficiency can lead to a delayed ulcer healing and recurrence.1, 3, 4, 5
The VNUS ClosureRFS™ stylet allows our practice to offer you a minimally-invasive option to traditional surgery for the venous ulcers on your legs. It is the only endovenous ablation device specifically cleared by FDA for the treatment of incompetent perforating veins, the most common origin of your leg ulcers. This outpatient treatment can be either the primary procedure or it can be performed in addition to another outpatient leg vein Closure™ procedure, using the VNUS ClosureFAST™ catheter, when chronic venous insufficiency disease of your large saphenous veins has been diagnosed.
Click below to see a quick animation of the ClosureRFS.
1 Barwell JR, Davies CE, Deacon J, et al: Comparison of surgery and compression with compression alone in chronic venous ulceration (ESCHAR study): Randomised controlled trial. Lancet. 2004;363(9424):1854–1859.
2 Poblete H, Elias S: Venous ulcers: new options in treatment: minimally invasive vein surgery. Journal of the American College of Certified Wound Specialists (2009) 1, 12–19
3 Obermayer A, Gostl K, Walli G, et al. Chronic venous leg ulcers benefit from surgery: long term results from 173 legs. J Vasc Surg 2006;44:572-79
4 Nelzen O, Fransson I. True long-term healing and recurrence of venous leg ulcers following SEPS combined with superficial venous surgery: a prospective study. Eur J Vasc Endovasc Surg 2007;34:605-12.
5 Zamboni P, Cisno F. et al. Minimally invasive surgical management of primary venous ulcers vs. compression treatment: A randomized clinical trial. Eur J Vasc Endovasc Surg 2003;25:313-18.