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Venous Insufficiency 

Chronic venous insufficiency is an ongoing condition in which the valves in your leg veins are weakened or damaged, causing blood to back up and pool in your veins – this is referred to as stasis. Chronic venous insufficiency also prevents your blood from effectively reaching your heart.

What Causes Chronic Venous Insufficiency

Chronic venous insufficiency is caused by weakened or damaged valves in your veins. The job of your veins is to carry blood throughout your body, and the valves in your veins are what allow your blood to pass through your veins to get to where it’s needed. When the valves in your veins malfunction, blood that should be flowing up to your heart may flow back down into your legs, depriving your heart of blood. Factors that may increase your risk of developing chronic venous insufficiency include:

  • Being overweight

  • Being over the age of 50

  • Being pregnant or having multiple pregnancies

  • Smoking

  • Coming from a family with a  history of chronic venous insufficiency

  • Having a history of blood clots

  • Smoking

Deep vein thrombosis (DVT), standing for extended periods of time, or sitting for extended periods of time may also cause your valves to become weak or damaged.

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If left untreated, capillaries in your legs may rupture, causing patches of thin red lines to appear under the skin. This can manifest into swelling or ulcers. Ulcers may be difficult to heal and have a high risk of becoming infected. Speaking with your doctor if you display any signs of chronic venous insufficiency, can help you receive treatment early on and potentially prevent the onset of ulcers.

Image of venous insufficiency and varicose veins

Venous Ablation

Venous ablation is a minimally invasive procedure used to treat varicose veins. It is one of the more advanced treatments available, and is used as an alternative to more uncomfortable varicose vein procedures. In the past, the only options for eliminating varicose veins were stripping or ligation, which were invasive and required a recovery time of up to two weeks. Vein ablation has changed all of that, using radiofrequency (RF) technology to get rid of veins in an effective, virtually painless way.

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When you choose to undergo vein ablation, you have chosen a procedure that will restore the function and aesthetics that have been marred by varicose veins. This outpatient treatment is safe, requires no anesthesia, and can be performed in our office in about an hour.

Vein ablation procedures treated the abnormal veins

Ambulatory Phlebectomy

Am I a Candidate for Ambulatory Phlebectomy?

When you come in to be treated for varicose veins, your doctor will talk to you about your medical history and perform diagnostic testing, which may include an ultrasound, to determine if you are a good candidate for treatment. There are a number of procedures available to treat varicose veins. Some of these treatments include laser therapy, radiofrequency ablation, sclerotherapy, and phlebectomy. In certain patients, a combination of treatments will be recommended.

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What to Expect from the Procedure?​

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Ambulatory Phlebectomy

When you arrive for your procedure, your vascular specialist will have you stand to identify and mark your varicose veins. The treatment area will then be sterilized, and a local anesthetic will be injected to numb the area, separate the veins from surrounding tissue, and minimize post-procedure bleeding by compressing nearby capillaries.

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Next, small incisions or needle punctures will be made over the varicose veins, allowing them to be removed in sections using specialized vein hooks. Once all targeted veins have been extracted, a dressing will be applied, and your leg will be wrapped with a compression bandage to aid healing.

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Ambulatory phlebectomy is a minimally invasive outpatient procedure designed to remove varicose veins through small punctures or incisions, providing both cosmetic and symptomatic relief.

Ambulatory phlebectomy at houston vein and vascular

Ambulatory phlebectomy is a minimally invasive outpatient procedure to remove varicose veins through small punctures or incisions in your skin.

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Venous Ablation

Venous ablation is a minimally invasive procedure that uses radiofrequency (RF) energy to treat damaged and inefficient veins. The advanced medical lasers employed in this treatment deliver targeted energy with precision, ensuring that only the affected veins are treated without harming surrounding tissue.

At Houston Vein and Vascular, our highly trained and experienced physicians specialize in venous ablation, ensuring you receive expert care.

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Before your procedure, we will have already identified the varicose veins requiring treatment. Upon arrival, you will be comfortably positioned on the procedure table, and a local anesthetic will be applied to numb the treatment area.

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During the procedure, a thin catheter is inserted into the varicose vein through a small needle under ultrasound guidance. The catheter is then slowly withdrawn while emitting RF energy, which causes the vein walls to collapse and seal shut. As the treated vein closes, blood is naturally rerouted to healthier veins, improving circulation and alleviating discomfort.

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Once the catheter is removed, a compression bandage will be applied to the insertion site to minimize swelling, bruising, and bleeding.

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We proudly offer this safe and effective treatment at Houston Vein and Vascular, providing patients with a reliable solution for varicose vein removal and improved vascular health.

Scleotherapy

Are unsightly varicose or spider veins causing you to feel embarrassed or self-conscious

in your skin? Nearly 55 percent of women and 45 percent of men suffer from

venous insufficiency, making visible veins an all-too-common concern for many.

These problem veins are not just a cosmetic nuisance; when left untreated, they

can lead to potentially uncomfortable symptoms as well as a number of health

complications, including a number of skin conditions and deep vein thrombosis (DVT).

Venous insufficiency and spider veins can cause pain

What is Sclerotherapy?

Sclerotherapy is often considered to be the gold standard when it comes to treating insufficient veins. It is a minimally-invasive and highly effective therapy that is designed to eliminate prominent varicose and spider veins. The sclerotherapy method involves the injection of a specialized solution that works to irritate the lining of the affected vein. Over time, the solution causes the targeted vein to close off and redirect blood flow to healthy veins. The treated vein will eventually turn into scar tissue, which is then processed and eliminated naturally by the body. At Houston Vein and Vascular, we have helped countless patients achieve better vein health and a more aesthetically-pleasing appearance with sclerotherapy.

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Am I a Candidate for Sclerotherapy?

When you visit Interventional and Vascular Consultants for the treatment of varicose or spider veins, your doctor will first sit down with you to discuss your medical history, concerns and what to expect from your results. Diagnostic testing may be performed, which will likely include ultrasound imaging to ensure accuracy during the procedure.

Ideal candidates for sclerotherapy are men and women who are bothered by the appearance or uncomfortable side effects of insufficient veins and meet the following criteria:

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  • Have realistic expectations

  • Are between the ages of 30 and 60

  • Are not pregnant or breastfeeding for a period of at least three months

  • Understand that sclerotherapy will not prevent the development of new insufficient veins

 

Your candidacy for sclerotherapy will depend on your specific diagnosis and consultation with your

interventional radiologist (IR) at Houston Vein and Vascular. However, if you are currently suffering from painful or unsightly veins, sclerotherapy may be an appropriate solution for you. The best way to find out if sclerotherapy is right for you is to call our office and schedule your initial consultation.

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What to Expect From the Procedure?

 

Sclerotherapy is a minimally-invasive and straightforward procedure performed in an outpatient setting at IVC. The treatment will typically take between 30 to 45 minutes to complete depending on your concerns. Your doctor will use a very fine needle to inject the vein-dissolving solution into the varicose and spider veins. You may feel small needle sticks and possibly a mild burning sensation, but most patients tolerate the treatment well. The number of veins that can be addressed during your treatment session will vary by the size and location of the affected veins.

If bulging varicose veins or discolored spider veins are causing you to experience leg pain, soreness or swelling, or are merely standing in the way of your self-confidence, Interventional and Vascular Consultants are here to help. Our doctors will help to identify the underlying cause of your venous insufficiency to alleviate your symptoms and help you to avoid further issues in the years to come. Now is the time to take action and improve the function and appearance of your veins by scheduling a consultation appointment at Interventional and Vascular Consultants today.

Here at Houston Vein and Vascular, we offer full breadth of venous insufficiency treatments including venous ablation, ambulatory phlebotomy, sclerotherapy, DVT thrombectomy, and venous stenting.  

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