Cardiovascular Services Vein Services & Treatments - Varicose Veins

    Vein Services & Treatments
    citrus county varicose vein spider vein treatment Leg vein problems can range from non-healing leg ulcers to knots of ropey varicose veins. Vein problem symptoms include tired legs, pain, sensations of throbbing, aching, burning, cramping, itching and more.

    At Cardiovascular Consultants, LLC of Citrus County, Florida, our experienced, highly skilled providers and staff are equipped with the latest technology to provide the latest advanced, minimally invasive treatment methods. Patients can expect excellent results with minimal discomfort and recovery time.

    The venous system in your legs are a pipeline with many internal valves that open and close to keep blood flowing steadily toward your heart. When the valves fail to work properly, blood flow becomes sluggish, and pressure builds against the walls of your veins, causing them to bulge.

    Because varicose veins near the skin can stem from abnormalities in the leg veins that are not readily visible to the eye, we use ultrasound imaging. If appropriate, we treat both problem areas. We erase the unattractive and sometimes painful surface veins. We also seal off the portions of the "feeder veins" where the valves have weakened or stopped working altogether to reduce the likelihood of reoccurrence.

    Following an initial consultation and thorough examination, your provider will design a comprehensive treatment plan to fit your specific health needs. Safe, effective treatment addresses current vein damage and helps avoid recurring problems in the future.
    Click Here to download/view/print our Vein Treatment Consent Form (pdf format).
    Click Here to download/view/print our Vein Questionnaire/Procedure Form (pdf format).


    citrus county vein treatment varicoseSclerotherapy – The elimination of abnormal veins through a series of injections with or without the use of ultrasound guidance. Sclerotherapy is a procedure used to treat blood vessels or blood vessel malformations (vascular malformations) and also those of the lymphatic system. A medicine is injected into the vessels, which makes them shrink. It is used for children and young adults with vascular or lymphatic malformations. In adults, sclerotherapy is often used to treat varicose veins.

    Injecting the unwanted veins with a sclerosing solution causes the target vein to immediately shrink, and then dissolve over a period of weeks as the body naturally absorbs the treated vein. Sclerotherapy is the "gold standard" and is preferred over laser for eliminating varicose leg veins. Unlike a laser, the sclerosing solution additionally closes the "feeder veins" under the skin that are causing the spider veins to form, thereby making a recurrence of the spider veins in the treated area less likely. Multiple injections of dilute sclerosant are injected into the abnormal surface veins of the involved leg. It is common practice for the patient to require at least two treatment sessions separated by several weeks to significantly improve the appearance of their leg veins.

    Ultrasound Guided Sclerotherapy (USGS) can also be performed using microfoam sclerosants under ultrasound guidance to treat larger varicose veins, including the great and small saphenous veins. After a map of the patient's varicose veins is created using ultrasound, these veins are injected while real-time monitoring of the injections is undertaken, also using ultrasound. The sclerosant can be observed entering the vein, and further injections performed so that all the abnormal veins are treated. Follow-up ultrasound scans are used to confirm closure of the treated veins, and any residual varicose veins can be identified and treated.

    Click Here to request more information about vein problem treatments on our Contact Page.

    VenaSeal™ – 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. Clinical studies have demonstrated that the procedure is safe and effective. The procedure is administered without the use of tumescent anesthesia, avoiding patient discomfort associated with multiple needle sticks.

    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 - Your doctor can discuss the procedure with you. A brief summary of what to expect is below:

    - 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, your 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.

    After the Procedure - You will be taken to the recovery area to rest. Your doctor will discuss with you what observations will be performed following treatment.

    Click Here to request more information about VenaSeal™ treatments on our Contact Page.

    citrus county varicose vein spider vein treatmentEndovenous Laser Ablation – Endovenous laser ablation is a minimally invasive procedure performed in a physician’s office or clinic, for the treatment of varicose veins. The treatment that involves using laser energy to seal unhealthy leg veins. Endovenous Laser Ablation (EVLA) is a treatment alternative to surgical stripping of the greater saphenous vein. A laser fiber is inserted through the skin and directly into the vein that is causing the bulgy, unattractive, and often painful varicose veins. The laser heats the lining within the vein, damaging it and causing it to collapse, shrink, and eventually disappear. This technique typically is used to treat the large varicose veins in the legs and takes less than 30 minutes to perform. Only local anesthesia is required for this in-office vein treatment procedure.

    The benefits of using endovenous laser ablation include;
    * A reduced chance of developing stasis ulcers,
    * Significant relief from discomfort such as aches, heaviness, and pain,
    * More efficient blood circulation,
    * An improved body image and confidence in one’s appearance,
    * Minimally invasive, quick and easy treatment option.

    Click Here to request more information about vein problem treatments on our Contact Page.

    citrus county varicose vein spider vein treatmentPhlebectomy - Ambulatory phlebectomy is a method of removing varicose veins on the surface of the legs. It is done in the office under local anesthesia. This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Veins are very collapsible such that even large veins may be removed through the tiny incisions used in this technique.

    Ambulatory Phlebectomy micro-extraction
    is a procedure which allows for the removal of large surface varicosities through very small incisions that need no stitches. It is usually performed in conjunction with endovenous laser ablation or another anti-reflux procedure. The patient is able to walk following the procedure. After treatment, a compression bandage and/or compression stocking are worn. Your physician will advice you how long to wear any bandages or hose.

    Many physicians recommend that you walk or bike after treatment. This reduces pressure in the veins, increases the flow in the veins and reduces the risk of forming a blood clot. Long-term results after phlebectomy are excellent when the procedure is performed for the appropriate indications. Patients usually return to normal light activity immediately after the procedure. This procedure is often used as an adjunct to endovenous laser treatment or other endovenous ablations of the greater saphenous vein.

    Click Here to request more information about vein problem treatments on our Contact Page.

    Click Here to download/view/print our Vein Treatment Procedure Guide (pdf format).