Treatment of Lower Extremity Venous Problems
Treatment for venous issues depends on the specific condition. Whether you have spider veins, varicose veins, or deep vein thrombosis, our surgeons will take the time to discuss the treatments available and help determine the best for option for you. Before any treatment, our surgeons will review your plan with you, in detail, so that you know what to expect before, during, and after the procedure.
Spider and Varicose Veins
All treatments for varicose and spider veins are minimally invasive and can be performed as an outpatient procedure.
Treatment options include cutaneous laser treatment, sclerotherapy, ambulatory phlebectomy, endovascular laser therapy, and minimally invasive vein surgery.
Cutaneous Laser Treatment
Cutaneous laser treatment eliminates spider veins with high-intensity laser beams targeted at the veins. This procedure may be combined with sclerotherapy for optimal results.
Sclerotherapy is used to treat spider and small varicose veins. During this procedure, the veins are injected with a solution that causes the affected veins to close. Blood flow is taken up by the healthier veins. This procedure may be combined with cutaneous laser treatment for optimal results.
Ambulatory phlebectomy requires tiny incisions along the path of the enlarged varicose vein in order to remove it. A phlebectomy may be combined with endovascular laser management to remove the veins with minimal scarring.
Endovascular Laser Treatment
Endovascular laser treatment is a minimally invasive technique used to treat varicose veins using a thin laser fiber, guided by ultrasound, into the vein. The vein is then heated with laser technology. This procedure has replaced the previous technique to remove veins, referred to as “vein stripping.”
Minimally Invasive Vein Surgery (Stripping and Ligation)
Our surgeons offer minimally invasive stripping and ligation procedures for varicose veins.
Vein ligation and stripping is used to remove a damaged vein and to prevent complications caused by varicose veins. When several valves in the vein are severely damaged, minimally invasive surgery can be used to remove (strip) the vein. A small incision is made below the vein and a flexible instrument is threaded up the vein so that it can be grasped and removed (stripped). When the vein does not need to be removed, the damaged valve(s) in a vein can be tied off (ligated) in a procedure called ligation.
Deep Vein Thrombosis
In most cases, deep vein thrombosis is treated with blood thinners or anticoagulants (used to break up a clot). Surgery may be used for patients who cannot take blood thinners or for patients who have developed blood clots while taking an anticoagulant.