A professional varicose vein treatment center will stay current with leading-edge vein treatment options for vein disease which for example include duplex ultrasound, ultrasound-guided sclerotherapy and endovenous laser treatment (EVLT ®).

Varicose and Spider Vein Treatments: Duplex ultrasound

Ultrasound is one way to examine problem varicose vein or spider vein below the surface of the skin. This technology is non-invasive. It lets a physician see the varicose or spider veins below the skin surface. It is painless. The physicians can see the blood flow within the veins. So they can determine if you have varicose vein disease, how severe it is. This tools helps them develop the appropriate vein treatment.

Sclerotherapy

Sclerotherapy involves the direct injection of spider veins with a chemical solution called a sclerosant. This solution causes the spider veins to close down and eventually get reabsorbed into the body. Sclerotherapy is considered the gold standard treatment for spider veins and, in the right hands, is a very safe and effective procedure. Multiple sclerotherapy sessions may be required to achieve full clearance of all veins and a complete, cosmetic result.
Some larger veins can be treated with ultrasound-guided sclerotherapy. In this procedure, ultrasound is used to visualize the deeper veins, insure proper needle placement and allowing tracking of injected sclerosant. Ultrasound-guided sclerotherapy is often used in combination with foamed (i.e., mixed with air) sclerosants.

Varicose Vein Treatment with Endovenous Laser Treatment (EVLT®)

EndoVenous Laser Treatment (EVLT, also know as EVLA, ELVeS, EVA). EVLT is FDA-approved for varicose veins, requires only local anesthesia and can usually be performed in 45-minutes in the office. A small laser fiber is inserted into the faulty vein, where laser energy is directed causing the vein to seal shut. Patients can usually resume normal activity within 24 hours – with little to no pain. EVLT is much less traumatic than vein surgery, and has been shown to have higher efficacy.

Ambulatory Phlebectomy

Ambulatory phlebectomy (also called mini-phlebectomy) involves tiny incisions made around large, bulging veins so that they can be directly removed. Phlebectomy can be performed in the office and offers excellent cosmetic results with little discomfort.

Transdermal Laser Treatment

Transdermal laser treatment (or pulsed light therapy) is used for spider vein treatment with a light-based procedure that heats the veins (from the outside). A light beam is pulsed onto the veins in order to close them off and cause them to be dissolved.

Varicose Vein Surgery (Ligation & Stripping)
Use of vein surgery has become extremely limited as the minimally-invasive procedures like EVLT have largely replaced it.

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