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Varicose Veins

Varicose Veins

A varicose vein is an abnormal vein and can be one of three types: 
  • Spider veins 
  • Blue reticular veins
  • Bulging venous varicosities  
These veins become abnormal because their one-way valves degenerate and wear out, allowing the flow of blood to reflux or flow backward down the leg. This is often a genetic tendency. Contributing factors can include pregnancy, extreme obesity, prolonged standing or sitting and hormones.

Sclerotherapy

A sclerosing solution is injected into abnormal veins to close the vein. The vein then gradually and permanently disappears. Microfine needles are used meticulously so pain is minimized. Compression microfiber hose are then worn. Although this procedure has been available for more than 60 years, advances and refinements have led to dramatic results with minimal inconvenience. Patients are usually able to return to their normal activities on the day of their treatment. Graduated compression stockings are utilized following sclerotherapy. Cooler microfiber stockings are available.

Radiofrequency Ablation (VNUS Closure)

During this procedure, a closure catheter powered by radiofrequency (RF) energy is inserted into the diseased vein and gives off heat to the vein wall. The heat will cause the wall to shrink and seal. After it is sealed, blood will begin to travel through the healthy veins. After this outpatient procedure, it generally only takes a day for patients to be able to continue activities as normal. 

Endovenous Laser Treatment (EVLT)

This innovative treatment was FDA approved in 2001 and is an in-office treatment performed for select patients with bulging varicose veins. Under local anesthesia, a thin laser catheter is introduced into a varicose vein under duplex ultrasound guidance. Laser thermal energy then seals shut the abnormal vein which will then gradually reabsorb. Dr. Montague’s experience with this procedure is consistent with national studies that reveal a greater than 98% success rate. Current success rates and Dr. Montague’s experience with EVLT as well as patient satisfaction have made this procedure one of the two most commonly performed procedures in our office.

Ultrasound Guided Sclerotherapy (UGS)

Color-flow computerized duplex ultrasound guided sclerotherapy has forever changed the treatment of varicose veins. This state-of-the-art procedure allows office treatment of varicosities that previously required hospitalization and surgical stripping. Patients may return to their usual activities following treatment.

As with any procedure, results depend on the experience, training and dedication of the professionals performing it. California Vein & Laser Center is fortunate to have an exclusive association with Michael Gardner, the most experienced venous ultrasound technician in the Western United States, who has performed more than 35,000 venous ultrasound examinations and procedures. Dr. Montague has performed thousands of ultrasound guided procedures with Michael Gardner’s expertise and ultrasound guidance since 1997.

Bulging Varicose Veins

A careful and thorough evaluation is first performed on initial examination and on the subsequent computerized color flow duplex ultrasound to find the sources of reflux. Bulging varicose veins can then be treated with either radiofrequency ablation therapy (VNUS closure), ultrasound guided sclerotherapy (UGS) or endovenous laser treatment (EVLT).

All treatments are performed in our office utilizing state-of-the-art equipment and the services of an ultrasound technician with more than 25 years of experience. Dr. Montague has performed more than 6,000 of these procedures with a success rate approaching 99%. Surgical vein stripping procedures are no longer necessary.

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