Hudson County's Premier Center for Venous Disorders
Laser Ablation (EVLT)
Endovenous laser or EVLT treatment openly attacks the lumen of the blood vessel, closing off the damaged area and redirecting the flow of blood to other veins in the leg. EVLT lasts 45 minutes and is done as an outpatient, in most instances right in your doctor’s office using a local anesthetic. The energy from the laser attacks the vein walls, shrinking them and closing the defective vein so that the blood cannot flow through it. This eliminates any bulging from the vein right at its source. Once the vein has been treated, the blood from the defective vein is diverted to the normal veins that are in your leg
Radiofrequency Ablation (VNUS)
This procedure utilizes heat to permanently close the problem vein. With VNUS Closure FAST a catheter is threaded into the vein near the knee, through a very small (2 mm to 3 mm) incision. Ultrasound is then used to correctly position the catheter in the vein. Before the catheter is turned on, local anesthesia is injected around the vein. The catheter heats up a 6.5 cm length of the vein for about 20 seconds and is then moved along the length of the vein. The VNUS Closure FAST closes and scars the vein, which is then treated as waste by the body and is removed over time. Some parts of the treated varicose vein may remain in bulging sections and a few smaller veins may remain after treatment. These remaining veins can later be treated with sclerotherapy (injections which also close smaller veins) or laser treatment. Because this treatment is minimally invasive, and performed with only local anesthesia, patients are back on their feet the next day. Improvements will be noticed in about one week, with the body taking several months to remove the scarred vein.
VeinGogh Laser Therapy (spider veins and facial veins)
The VeinGogh OhmicThermolysis System provides a superior solution for the treatment of fine telangiectasia, spider veins and small angiomas, especially recalcitrant vessels that have shown a resistance to sclerotherapy, laser or IPL treatment. VeinGogh is the fast, easy way to reliably treat these and other cosmetically unacceptable conditions, often with less discomfort compared to older therapies .VeinGogh uses a hair-thin, insulated probe to thermocoagulate and instantly eliminate vessels dependably, repeatably, on any skin-type and on any part of the body.
Ultrasound-Guided Sclerotherapy (USGS)
Ultrasound guided sclerotherapy is a godsend for individuals who have always wanted a fast, relatively painless method for varicose vein removal. Often a single treatment with ultrasound-guided sclerotherapy will also remove a cluster of spider veins especially if they are networked with large varicose veins. This is an important point because often before having conventional sclerotherapy you may be asked by your surgeon to deal with very large varicose veins first if you suffer from both spider and varicose veins. Varicose veins are dead veins that are very painful and laser surgery on the skin surrounding them can cause all kinds of discomfort and complications. Obviously, if there is a chance that ultrasound guided sclerotherapy can remove them all then you will greatly minimize the cost of your total treatment.
Ambulatory Microphlebectomy
Large, bulging veins close to the skin's surface are often found in the lower legs and feet and are called varicose. Because we walk, stand and run on our feet, veins in our lower legs and feet receive quite a bit of blood pressure. Varicose veins can be more than a cosmetic concern since they impede blood flow and hinder the return of oxygen-depleted blood from the lower legs and back to the heart and lungs. The usual cause for this is damaged valves within the veins that allow backward blood flow and pooling of blood resulting in enlarged veins. Untreated veins can lead to serious medical conditions with associated pain, inflammation and discoloration. Ambulatory phlebectomy—small incisions or needle punctures are used to extract the problematic veins with a phlebectomy hook. A hook is inserted into a micro-incision in the leg. A section of the vein is hooked and then removed through the incision. With this procedure, a compression bandage is worn for two weeks. This minimizes swelling and discomfort and allows for proper healing.
Visual Sclerotherapy (spider veins and reticular veins)
If you have spider veins and want them removed, this can be achieved by having a cosmetic procedure called Sclerotherapy done. Spider veins are small, thin veins that lie close to the surface of the skin. Although these minuscule veins are linked to your larger venous system, they are not a necessary part of it. These veins have a spider shape with a number of veins stretching outward from a dark central point. Or they could imitate a pattern that looks like small branch-like shapes, although sometimes they appear like thin separate lines or like a sunburst or cartwheel that are found mostly on the inner knee or the outer thigh area. Sclerotherapy Treatment is where your veins are injected with a sclerosing solution that will make them collapse and fade from sight. This can also clear up other symptoms that you may be experiencing that are associated with spider veins, like aching, burning, swelling and night cramps.
Compression Stockings
Compression stockings are used to support the muscles of the calf in circulating blood and lymph fluid through the legs. These stockings or hose are usually made of elastic or rubber fibers that aid in compressing the leg. Compression stockings have a graduated compression with maximum compression at the ankle and decreasing up the leg. There are different types of compression available in these stockings, so be sure to check with your doctor about which level of compression would be best for you.
