Heart and Vascular Care Consultants are board-certified physicians who deliver minimally invasive treatments with less risk, less pain and less recovery time than traditional surgery to treat conditions that impact a person’s quality of life.
Endovenous laser ablation treatment (EVLT)
EVLT is a minimally invasive treatment that uses heat to close off problematic veins and relieve the symptoms they cause. Using imaging guidance (guided by x-ray images), the interventional radiologist threads a thin laser fiber into the problem vein through a tiny needle. Next, the radiologist numbs the length of the vein to minimize discomfort during the heating process. Finally, the laser heat causes the vein to close. Once the problem vein is closed, blood will flow through the remaining healthy veins. This is all accomplished while patients rest comfortably. Return to most normal daily activities is allowed immediately.
In endovenous laser ablation (above), an interventional radiologist uses heat to close off problematic veins and relieve symptoms.
Radiofrequency ablation is a similar treatment, using a fiber that emits radiofrequency energy instead of heat from a laser fiber.
A variety of non-thermal treatment options are also available for varicose veins. These treatments include:
- VenaSeal cyanoacrylate: Injects medical glue into the vein to cause closure.
- Clarivein: Guides a rotating catheter, which is a small, flexible tube, inside the vein to evenly disperse a chemical solution that results in complete closure.
- Varithena: A foam material is injected into a varicose vein to improve symptoms or appearance.
The main advantage of all of these techniques is the avoidance of multiple needle sticks for local anesthesia. There is also decreased risk for potential nerve damage that can occur with burns.
Sclerotherapy is the direct injection of a chemical irritant into a vein to close the vessel. This technique is often used to treat smaller veins such as telangiectasia (spider veins). A variety of materials can be used to irritate the vein lining, which causes them to shrink and close. The solution is administered through a tiny needle.