Our Types Of Treatment

Endovenous Laser Ablation

ELA requires no sedation and uses thermal energy to break down varicose veins and ultimately disappear.

Endovenous Laser Ablation (EVLA) utilizes laser energy, which is simply a highly concentrated beam of light. Medical lasers work by delivering this light energy to the targeted tissue with extreme precision, without damaging the surrounding tissue. Lasers have proven safe and effective through years of use in all types of medical procedures, from eye surgery to dermatology. In the hands of a skilled physician, laser procedures produce far fewer complications than conventional surgery.

Initially, ultrasound is utilized to map the course of a diseased vein. Subsequently, the physician guides a thin fiber into the diseased vein, through a small incision in the skin and vein wall. The laser fiber is advanced under ultrasound guidance through the vein and appropriately positioned. The fiber delivers pulsed laser heat to the diseased vein wall, thus closing and sealing the varicosed vein, and eliminating venous reflux. The vein is treated in segments as the catheter is gradually retracted towards the incision. When the entire vein has been ablated, the blood flow is automatically rerouted through adjacent healthy veins, restoring and improving circulation and reducing swelling. Possible rare complications of endovenous laser treatment are thermal skin burns and transient numbness.

EVLA is reimbursed by Medicare and most private insurers, once proof of medical necessity has been documented and the patient has failed conservative therapy. Approved for use in the United States by the Food and Drug Administration in 2002, EVLA is performed in a physician’s office utilizing local anesthesia. Patients are encouraged to walk immediately following the procedure, and are usually able to resume their normal activities within twenty-four hours. Compression stockings are generally prescribed for one to two weeks following the procedure.

EVLA offers a variety of benefits including:

• Relief of symptoms
• Minimally invasive, nonsurgical procedure
• Same day, outpatient procedure
• Minimal downtime
• Minimal or no scarring

Radio-Frequency Ablation

Radiofrequency is used to create heat and cauterize the varicose veins.
Radio-frequency Ablation (RFA), also called the Closure procedure, is a minimally invasive varicose vein treatment technique that utilizes radiofrequency energy (electricity) to heat, collapse and seal targeted blood vessels.
Initially, ultrasound is utilized to map the course of the a diseased vein. Subsequently, the physician guides a catheter (thin tube) into the diseased vein, through a small incision in the skin and vein wall. The catheter is advanced under ultrasound guidance through the vein and appropriately positioned. Electricity is delivered to a heating element in 20-second pulses, heating and contracting the collagen within the walls of the vein until they shrink and permanently collapse. This process is called ablation.

The vein is treated in segments as the catheter is gradually retracted towards the incision. When the entire vein has been ablated, the blood flow is automatically rerouted through adjacent healthy veins, restoring and improving circulation and reducing swelling. The ablated vein becomes scar tissue and is absorbed by the body. Possible rare complications of endovenous radiofrequency ablation are thermal skin burns and transient numbness.

RFA is reimbursed by Medicare and most private insurers, once proof of medical necessity has been documented and the patient has failed conservative therapy. Approved for use in the United States by the Food and Drug Administration in 1999, RFA is performed in a physician’s office utilizing local anesthesia. Patients are encouraged to walk immediately following the procedure, and are usually able to resume their normal activities within twenty-four hours. Compression stockings are generally prescribed for one to two weeks following the procedure.

RFA offers a variety of benefits including:



• Relief of symptoms
• Minimally invasive, nonsurgical procedure
• Same day, outpatient procedure
• Minimal downtime
• Minimal or no scarring

All medical treatments are covered by insurance including Medicare.

Contact us today to schedule your FREE consultation!

Sclerotherapy for Spider Veins

Sclerotherapy is typically the treatment of choice for smaller varicose or spider veins.
Sclerotherapy is often used to treat visible spider veins and small varicose veins near the surface of the skin. A painless sclerosant is injected into the veins, causing them to shrink, occlude and eventually disappear. Although two to five treatments are often needed, the results are long-lasting.

Advantages of Sclerotherapy



• No downtime
• Less likely to stain skin
• Long-lasting results
• Fewer allergic reactions
• No scarring
  

Contact us today to schedule your FREE consultation!

Ultrasound-Guided Sclerotherapy

Here we use ultrasound technology to create a detailed map of the treatment area.

Foam or Liquid Sclerotherapy

Ultrasound-Guided Sclerotherapy UGS or (Echo-Sclerotherapy) is an in-office treatment alternative to surgical stripping. Based on the clinical judgment of the physician, sclerotherapy is performed utilizing either a liquid or “foamed” sclerosant, while the vein is monitored via ultrasound. This enables the treatment of veins that are not visible because they are below the surface of the skin, and would otherwise require surgical removal. Ultrasound is utilized to guide a needle into the abnormal vein, which delivers medication that obliterates the lining of the blood vessel, thus causing it to collapse and seal shut.

Ultrasound-guided sclerotherapy is primarily used to treat large veins beneath the surface of the skin.

All medical treatments are covered by insurance including Medicare.

Contact us today to schedule your FREE consultation!

Varithena®

Varithena® does not require the use of general anesthesia, sedation, or incisions to treat varicose veins.

Learn more about how Varithena®’s advanced microfoam technology collapses veins in a non-surgical manner.

Varithena® is a minimally-invasive, non-surgical solution for treating a wide range of varicose veins that uses injectable microfoam technology. Designed to collapse unhealthy veins in a non-surgical setting, Varithena® does not require the use of general anesthesia, sedation, or incisions.

How Varithena® Works

Varithena® ‘s microfoam interacts with the vein walls to collapse them safely and effectively. As the foam is pushed out of the collapsing vein, it is then distributed throughout nearby veins — collapsing connected veins that are malfunctioning similarly, and dissolving safely into the bloodstream of healthier veins.

This way, blood flow is rerouted through healthier veins, providing you enhanced circulatory functions and immediate relief from physical pain and discomfort.

Types of Veins Treated With Varithena®

Varithena® can treat a variety of varicose veins, both above and below the knee, including:

• Veins of all sizes (including small, medium, and large diameters
• Veins previously treated by other medical methods
• Twisted veins (also called tortuous veins)
  

What To Expect From Your Procedure

Your physician will begin by performing an ultrasound to assess the diseased veins in your leg and map out where, specifically, they will administer the Varithena®.

Using either a catheter or direct injection, your physician will then administer Varithena®, placing mild pressure on the leg to help distribute the microfoam particles and collapse the diseased vein(s). Ultrasound technology will be used to monitor the position of the catheter throughout the procedure.

Once complete, the catheter will be removed. The site will be covered with a bandage and you will be provided with a medical compression stocking for your leg.

VenaSeal™

VenaSeal™ takes a breakthrough approach of applying a medical adhesive to close the vein.

On October 27th 2016, Dr. Megan Deacon-Casey, Interventional Radiologist at Ponte Vedra Vein Institute, performed the first VenaSeal ™ procedure in Northeast Florida to treat varicose veins.

The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein. This unique approach eliminates the risk of nerve injury when treating the small saphenous vein, which is a risk sometimes associated with certain thermal-based procedures.1,2 Clinical studies have demonstrated that the procedure is safe and effective.1-4 The procedure is administered without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks.

All medical treatments are covered by insurance including Medicare.

What to Expect

Before the VenaSeal™ Closure Procedure:

You will have an ultrasound imaging exam of the leg that is to be treated. This exam is important for assessing the diseased superficial vein and planning the procedure.

During the Procedure:

• You may feel some minor pain or stinging with a needle stick to numb the site where the doctor will access your vein.
• Once the area is numb, the doctor will insert the catheter (i.e., a small hollow tube) into your leg. You may feel some pressure from the placement of the catheter.
• The catheter will be placed in specific areas along the diseased vein to deliver small amounts of the medical adhesive. You may feel some mild sensation of pulling or tugging. Ultrasound will be used during the procedure to guide and position the catheter.
• After treatment, the catheter is removed and a bandage placed over the puncture site. Compression stockings are placed on the treated leg.
  

After the Procedure:

The medical staff will review post-treatment instructions with you.