Interventional Radiology - Treatment of Venous Disease (Varicose Veins)

Varicose veins are a very common problem, generally appearing as twisting, bulging rope-like cords on the legs, anywhere from groin to ankle. Varicose veins affect an estimated 40% of women and 25% of men. Factors leading to varicose veins include heredity, gender, pregnancy, age and other factors. Some factors may speed up the development of this disease and make the veins worse, including prolonged standing, obesity, hormone levels, and physical trauma.

In addition to the visual appearance, many patients may experience one or more of the following leg symptoms: (1) Pain (an aching or cramping feeling) (2) Heaviness/Tiredness Burning or tingling sensations (3) Swelling/Throbbing Tender areas around the veins  These symptoms may progress onward to more serious complications including: (1) Inflammation (phlebitis), (2)  Blood clots (e.g., DVT), (3)  Ankle sores or skin ulcers, and or (4) bleeding.

Varicose veins are traditionally treated by conservative measures.  If these fail, surgical stripping procedures have been developed to treat the condition.  More recently, less invasive laser methods have been developed and are performed with very high success rates and very low patient morbidity.  The procedure is performed on an outpatient basis and can result in an immediate relief of symptoms with rapid return to full activity.

Utilizing laser treatment, a compete vein mapping procedure is initially performed utilizing ultrasound.  The procedure is then performed under a local anesthetic.  A thin laser fiber is inserted through a tiny entry point usually near the knee. Laser energy is then delivered to seal the faulty vein.