Vein Disease Overview

To Understand how vein treatments work, we have to understand how Vein Disease occurs first. The heart pumps blood through the arteries to various body organs, while veins return blood back to the heart. Lower extremity veins are equipped with valves to prevent accumulation of blood in the legs. For various reasons, the valves become incompetent and blood starts to pool in these veins, leading to swelling of the vein, which is known as varicose veins.

This process leads to leg swelling, cramping, dry itchy skin, numbness, achiness and eventually can lead to chronic venous ulcers. The goal of treatment is to identify these “leaky” veins and close them to divert the blood to healthier veins. The Choice of treatment option depends on: Size of the vein (Spider veins vs Varicose veins), depth of the vein from the skin, and the location of the vein.

It also depends on your health insurance. Some plans do not cover all treatment options. Upon your evaluation, our doctors will utilize advanced ultrasound to map your intricate veins connections and blood flow. A Vein Doctor must perform a venous insufficiency examination and administer treatment to stop the development of new superficial veins in order to permanently remove these unhealthy veins. Although this issue is often simple to cure, a board-certified Vein Doctor is needed.

Let’s take a closer look at the available procedures so you can choose the best vein doctor in the state of New Jersey for your particular needs and the best course of therapy.

Treatment Options:

1- Endovenous Ablation
2- VenaSeal
3- Sclerotherapy
4- ClariVein
5- Surgery (Vein Stripping or Mircrophlebectomy)

This is the first line treatment for Venous Insufficiency with 98% success rate. Endovenous ablation treats the underlying vein disease in addition to the visible veins. It has replaced surgical interventions due to higher safety and efficacy.

Under ultrasound guidance, vein doctors introduce a small device into the unhealthy vein. The device releases thermal injury (via laser or high intensity sound wave) prompting the unhealthy vein to close. Therefore, blood is diverted into healthier circulation with competent valves.

The procedure is minimally invasive, painless, takes only 15-30 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No required downtime and patients can resume daily activities immediately. Another advantage, it is covered by all insurances. The physicians at our New Jersey Vein Center in Wayne, North Bergen, and Clifton are skilled in a variety of endovenous ablation techniques, including laser and radiofrequency therapy.

Radiofrequency ablation is preferred over laser therapy due to better efficacy. Patient can feel significant improvement as soon as one week after the initial ablation, especially with leg heaviness, restless legs and cramps. Click here to learn more.

Under ultrasound guidance, doctors introduce a device into the vein. The devices releases “cyanoacrylate glue”. The glue works as an adhesive to close the unhealthy vein. The glue is a medical adhesive that is gradually absorbed by the body with time. It has long been used in other vascular medical procedures with a proven safety record.

The procedure is minimally invasive and can be done in office. No downtime and can resume daily activities immediately. One advantage of VenaSeal over Radiofrequency ablation is the ability to close the vein without the use of heat delivery. As a result, using anesthetic solution is not required. Many insurances do not cover VenaSeal yet. Click here to learn more.

With Sclerotherapy, using a fine needle, vein doctors inject Liquid Medication (FDA approved) directly into the vein, which causes instant closure of vein. There are two types of Sclerotherapy: Liquid Sclerotherapy and Foam Sclerotherapy.

Each patient’s sclerotherapy regimen for varicose and spider veins is customized for their specific case depending on the size of their veins, desired treatment target and extent of vein disease.

Liquid Sclerotherapy is the preferred method for tiny spider veins. Liquid Medication is injected directly into the vein. On the other hand, Foam Sclerotherapy is the preferred method for larger varicose veins. This procedure involves creating a frothy, cream-like substance by mixing a small amount of liquid Medication and air.

The bubbles in this foam allow the injected medication to cover larger surface area, making it more potent and effective, which is why it is preferred for larger varicose vein treatments.

If the vein is located at the surface, your doctor can inject it under direct visualization. However, If the vein is deeper, Ultrasound is utilized to deliver the medication precisely. Click here to learn more.

After numbing the skin with Lidocaine, the ClariVein Cather will be inserted through a tiny skin incision and will be advanced through the unhealthy vein. When the device is activated, the rotating tip will injure the vein walls while injecting a sclerosant agent at the same time. This rotation induces injury the wall of the vein, prompting the unhealthy vein to fuse and close.

Therefore, Blood will be diverted to healthy veins with competent valves. ClariVein is performed using one injection. It doesn’t utilize thermal or laser energy and it doesn’t involve injecting any glue into your body, so it’s virtually painless.

The procedure is minimally invasive, takes only 15-30 minutes, doesn’t require general anesthesia, and can be done in office for most patients. No downtime and can resume daily activities immediately. Not covered by all insurances yet. Click here to learn more.

Ambulatory phlebectomy is an advanced minimally invasive procedure done under local anesthesia. It’s reserved for patients who are do not qualify for sclerotherapy or venous ablation. Your vein doctor will make a series of tiny skin incisions over the targeted vein. A small phlebectomy hook is introduced through the incision to extract and remove the unhealthy vein physically.

This allows the accumulated blood to divert into healthier competent veins. The procedure requires 30-60 minutes to complete and may be repeated depending on the severity and extents vein disease. Click here to learn more.

Vein Stripping is no longer a first line of treatment as modern, minimally invasive procedures are clearly superior to surgery. Surgery is only reserved for the extremely rare patients who are not candidates for any other treatment modality or those who failed all other treatment modalities that we just discussed.

Before & After

7823 Bergenline Ave Second Floor
North Bergen, NJ 07047

Phone: (973) 363-2029

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