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Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health

Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health

Deep Vein Thrombosis, more commonly known as DVT, is a medical condition characterized by the formation of blood clots deep within the veins of the lower extremities. While these clots may remain concealed beneath the surface, the lurking danger they represent should never be underestimated. In this blog post, we embark on an in-depth exploration of DVT, unraveling its intricacies, recognizing the severity of this medical condition, elucidating the diagnostic process, and emphasizing the paramount importance of staying vigilant in its detection.

Deciphering Deep Vein Thrombosis (DVT)

Deep Vein Thrombosis, the ominous acronym of DVT, is a condition where blood clots form within the deep veins of the legs. The initial appearance of these clots might deceive, seemingly harmless; however, the true peril emerges when they venture into the bloodstream. If these clots journey to the lungs, they can give rise to a potentially life-threatening condition known as a pulmonary embolism.

The Pivotal Role of Duplex Ultrasound in Diagnosis

Diagnosing DVT stands as a pivotal stride towards averting its perilous consequences. This is where Duplex ultrasound, a priceless diagnostic instrument, assumes its critical role. Here is an insight into its functionality:

Experienced Vascular Sonographer: A proficient vascular sonographer serves as the linchpin in the diagnosis of DVT. Their expertise is the bedrock upon which accurate and reliable results are founded.

Duplex Ultrasound Examination: Duplex ultrasound amalgamates the prowess of traditional ultrasound, denoted as B-mode, with Doppler ultrasound. This fusion empowers healthcare providers to visualize the flow of blood and identify clots within the deep veins.

Indications for DVT Study: A DVT study is typically conducted when an individual presents with discernible signs and symptoms of lower extremity DVT. These symptoms often encompass leg pain and swelling, frequently accompanied by telltale signs like redness and warmth.

Routine Screening: In specific circumstances, such as post-vein procedures or other surgical interventions, routine DVT screening may be undertaken as a precautionary measure to identify clots before they manifest harm.

Preparation for the DVT Study

Fortunately, preparing for a DVT study is a straightforward endeavor, devoid of intricate steps. Here are the salient points to keep in mind:

No Special Preparation: In contrast to certain medical tests that mandate fasting or adherence to specific preparations, a DVT study typically necessitates no extraordinary measures.

Vigilance Beyond the Lower Limbs: The Upper Extremity Venous Study

Although DVT is conventionally associated with the lower extremities, it is imperative to recognize that blood clots can potentially take root elsewhere within the body. This includes the upper arms and neck. An Upper Extremity Venous Study is a diagnostic ultrasound procedure designed to investigate the upper arms and neck when a person exhibits symptoms such as pain and swelling in these regions.

Deep Vein Thrombosis epitomizes a grave medical condition, harboring the potential for consequences that may alter the course of a life. Timely diagnosis through Duplex ultrasound is the keystone of effective intervention and the prevention of complications, such as the ominous pulmonary embolism.

If you, or someone within your sphere of concern, experiences symptoms such as leg pain, swelling, or discomfort of obscure origin, it is imperative to promptly seek medical attention. Contemplating a DVT study can be the critical move that potentially saves a life. In the ever-present shadow of this concealed danger lurking within our veins, vigilance and early detection emerge as the unsung heroes.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

Deep Vein Thrombosis (DVT): Understanding the Silent Threat to Vascular Health2024-07-06T22:49:37-07:00

Vein Mapping: Navigating the Path to Improved Vascular Health

Vein Mapping: Navigating the Path to Improved Vascular Health

Vein Mapping Ultrasound | Vein Mapping in Vascular Health Vein Mapping Ultrasound | Vein Mapping in Vascular Health

Vein Mapping Ultrasound | Vein Mapping in Vascular Health

In the realm of diagnosing and addressing conditions related to veins, the importance of precise and comprehensive data cannot be overstated. Vein mapping ultrasound, often simply known as “vein mapping,” is an indispensable instrument within the domain of vascular medicine. In this blog post, we embark on an exploration of the pivotal role played by vein mapping ultrasound, its operational mechanisms, and the reasons it constitutes an indispensable preliminary step before embarking on any vein-related procedures.

The Significance of Vein Mapping

Vein mapping ultrasound fulfills a specific and vital role in the evaluation and management of issues linked to veins. Let’s delve deeper into its primary functions:

  • Unveiling Vein Anatomy: The moniker “vein mapping” is aptly chosen, as it serves as a detailed “roadmap” unveiling the intricate network of veins in the specified area. This visual map allows healthcare professionals to gain insight into the vein’s architecture, comprising critical factors such as size, location, and branching patterns.
  • Diameter Measurement: The diameters of veins are far from uniform and can exhibit variations at various points along a vein. Vein mapping ultrasound performs precise measurements at multiple sites. This information is pivotal for comprehending the scope of the condition and devising tailored treatment strategies.
  • Precise Evaluation: By synergizing the visual depiction of the veins with meticulous measurements, vein mapping ultrasound empowers healthcare providers to perform accurate evaluations of a wide spectrum of vein-related conditions. This includes conditions such as varicose veins, chronic venous insufficiency, and deep vein thrombosis.
The Imperativeness of Preparation

While the vein mapping ultrasound procedure itself is straightforward and devoid of discomfort, there are essential prerequisites to observe before undergoing the examination:

  • Steer Clear of Compression Stockings: It is imperative not to wear compression stockings on the same day as your examination. These garments can potentially hinder the ultrasound imaging process, adversely affecting the precision of the results.
  • Maintain Adequate Hydration: Adequate hydration is instrumental in securing optimal imaging results. Ensuring that you are adequately hydrated prior to the test contributes to obtaining crystal-clear images, thus facilitating healthcare providers in their accurate assessment of your veins.
The Procedure

During a vein mapping ultrasound, a proficient sonographer or vascular technician will oversee the procedure. Here’s an overview of what to expect:

Gel Application: The technician will gently apply a specialized ultrasound gel to the specific area under examination. This gel functions to transmit ultrasound waves effectively and ensures that there is no interference stemming from air between the transducer and your skin.

Transducer Utilization: The examination relies on the utilization of a handheld device known as a transducer. This transducer emits high-frequency sound waves that are directed towards the blood vessels. These waves bounce back as echoes, which are subsequently transformed into visual images disclosing the structure and measurements of the veins.

Vein Mapping: As the transducer is meticulously maneuvered across the surface of your skin, it generates a comprehensive visual “map” of the veins, detailing their dimensions and placements. This invaluable information is then recorded for further scrutiny and analysis.

Vein mapping ultrasound stands as an irreplaceable asset within the realm of vascular medicine. It empowers healthcare providers to craft an intricate blueprint of your veins, measure vein diameters, and perform precise evaluations of an array of vein-related conditions. This wealth of information serves as the cornerstone for crafting a personalized treatment plan tailored to your unique requirements.

If you are on the verge of a vein-related procedure or hold concerns regarding the health of your veins, comprehending the pivotal role of vein mapping ultrasound can serve as a beacon of assurance. It is an instrumental stride along the path towards healthier veins and an enhanced overall state of well-being.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

Vein Mapping: Navigating the Path to Improved Vascular Health2024-07-06T23:11:03-07:00

What are the 3 Key Benefits of Varithena?

Varithena emerged as a groundbreaking prescription medication designed to target the great saphenous vein system (GSV) and associated varicose veins, offering relief from symptoms of superficial venous incompetence and visible varicosities. Unlike traditional methods, Varithena® presents a non-thermal, non-tumescent, and nearly painless approach to vein treatment, revolutionizing the way we address vein disorders.

Understanding Varithena: What Is It?

varithena

Varithena consists of a unique “microfoam” formulation of polidocanol, a sclerosing agent, and CO2. This microfoam bears a striking resemblance to white, foamy shave cream, making it easy to administer. Ultrasound guidance is utilized to inject Varithena® microfoam into the targeted vein, where it efficiently displaces blood and destroys the endothelial lining, leading to vein closure.

Varithena® treatment is tailored to each patient’s specific vein location, size, anatomy, and tortuosity, ensuring optimal outcomes. Notably, Varithena is effective for treating veins of various sizes above and below the knee, making it a versatile solution for a wide range of patients.

Key Benefits of Varithena

Varithena® offers several advantages over traditional vein treatments:

  • Effectiveness in treating veins of different sizes without the need for incisions, sedation, or general anesthesia.
  • Elimination of the need for wire insertion along the length of the vein, reducing procedural complexity and discomfort.
  • Non-thermal nature of the treatment, minimizing the risk of thermal injury and enhancing patient safety.

Treatment Protocol and Expectations

The number and frequency of Varithena® treatments vary depending on factors such as the patient’s anatomy, vein responsiveness, and treatment goals. While some patients may achieve desired results after a single treatment, larger or resistant veins may require multiple sessions. However, most veins respond favorably to Varithena® after just one treatment.

On the day of treatment, patients can expect a streamlined and comfortable experience. After signing the consent form, patients change into provided shorts and undergo a skin cleansing process with alcohol. Ultrasound is then used to localize the veins, and the foam medication is injected into the veins using a fine needle. The foam fills and treats the desired section of the vein, leading to vein collapse and deactivation of the foam.

Following treatment, patients’ legs are elevated on a comfortable wedge pillow for approximately 15 minutes to optimize results. Compression stockings are then applied, and patients are encouraged to walk for 30 minutes before leaving the clinic, promoting circulation and enhancing treatment efficacy.

Experience Relief with Varithena®

Varithena® represents a significant advancement in the field of vein treatment, offering a safe, effective, and patient-friendly solution for varicose veins and associated symptoms. With its non-invasive nature and impressive results, Varithena® empowers individuals to reclaim comfort and confidence in their vein health. If you’re seeking relief from varicose veins, consult with us today to explore the benefits of Varithena® and embark on the journey towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 



What are the 3 Key Benefits of Varithena?2024-06-06T07:14:03-07:00

Unmasking the Hidden Culprits: Lesser-Known Vascular Conditions You Should Know About

Vascular diseases are often associated with well-known conditions such as peripheral arterial disease or varicose veins. However, many lesser-known vascular conditions can significantly impact your health and require specialized treatment. At La Jolla Vein & Vascular, our dedicated team of physicians is committed to diagnosing and treating a wide range of vascular conditions, especially those affecting the lower extremities and pelvis. Beyond the common issues, we focus on conditions like varicoceles, Pelvic Congestion Syndrome, May-Thurner Syndrome, geniculate artery embolization, and uterine fibroids, which demand expert care and attention.

In collaboration with trusted sources such as MedlinePlus, we aim to provide you with comprehensive information on these lesser-known vascular conditions, their causes, symptoms, and available treatments.

Understanding the Vascular System and Its Role

The vascular system plays a pivotal role in maintaining overall health. This intricate network of arteries, veins, and capillaries ensures the delivery of oxygen-rich blood to your tissues while aiding in the removal of waste products. When parts of this system become compromised, it can lead to a wide range of vascular diseases that may not only cause discomfort but also significantly affect your quality of life.

Some vascular conditions are more prevalent and well-known, such as aneurysms, atherosclerosis, and varicose veins. However, there are numerous other conditions that often fly under the radar, requiring specialized diagnosis and treatment to address their unique challenges.

Lesser-Known Vascular Conditions: An Overview

At La Jolla Vein & Vascular, we focus on diagnosing and treating a variety of lesser-known vascular conditions that often go unnoticed but can have a substantial impact on your health. These include:

Varicoceles: This condition involves enlarged veins within the scrotum and is typically associated with infertility. Early diagnosis and treatment can help alleviate symptoms and improve reproductive health.

Pelvic Congestion Syndrome: This condition is caused by varicose veins in the pelvis, leading to chronic pelvic pain. Often underdiagnosed, it can significantly affect the quality of life of women, especially those who have had multiple pregnancies.

May-Thurner Syndrome: A condition where compression of the iliac vein by the overlying artery can lead to blood clots and other complications in the legs. This condition requires careful imaging for accurate diagnosis.

Geniculate Artery Embolization: A minimally invasive treatment for chronic knee pain caused by osteoarthritis, this procedure targets the blood supply to the knee, reducing inflammation and pain.

Uterine Fibroids: Though primarily known as benign tumors in the uterus, uterine fibroids can have a vascular component, where their blood supply can be blocked to shrink them and alleviate symptoms such as heavy menstrual bleeding.

Unraveling the Causes and Risk Factors of Vascular Diseases

The causes of vascular diseases can vary widely, from genetics to lifestyle factors. Common contributors include:

  • Age: Vascular disease risk increases as we age, due to the natural wear and tear of the cardiovascular system.
  • Heart and Blood Vessel Conditions: Diseases like diabetes, high cholesterol, and high blood pressure can contribute to the onset of vascular conditions.
  • Genetics: A family history of vascular diseases can significantly increase your risk.
  • Infections and Injuries: In some cases, injuries or infections can damage veins, leading to vascular complications.
  • Lifestyle Factors: Obesity, smoking, and a sedentary lifestyle are significant risk factors.
  • Pregnancy and Hormonal Changes: Conditions such as Pelvic Congestion Syndrome are often linked to multiple pregnancies due to increased pressure on pelvic veins.

Symptoms, Diagnosis, and Treatment

The symptoms of vascular diseases can be subtle and vary greatly depending on the condition. Common symptoms include:

  • Swelling or heaviness in the legs
  • Chronic pain in specific areas, such as the pelvis or knees
  • Visible, swollen veins
  • Unexplained fatigue or discomfort after long periods of standing

Diagnosing these conditions involves a thorough evaluation of your medical history, physical examination, and the use of imaging tests such as ultrasounds or MRIs. Blood tests may also be used to assess clotting risks.

Treatment options are highly individualized and depend on the specific vascular condition. These may include:

  • Lifestyle Modifications: Incorporating a heart-healthy diet, regular exercise, and quitting smoking are critical steps.
  • Medications: Blood thinners, blood pressure medications, and cholesterol-lowering drugs are often prescribed.
  • Minimally Invasive Procedures: Treatments such as angioplasty, stenting, or vein ablation can be highly effective in treating vascular diseases without the need for major surgery.
  • Surgical Options: In more severe cases, surgery may be required to correct vascular abnormalities or remove damaged tissues.

Preventing Vascular Diseases: Proactive Steps

Preventing vascular diseases involves adopting healthy habits and being mindful of your overall well-being. Key prevention tips include:

  • Embrace a Healthy Lifestyle: A balanced diet rich in vegetables, fruits, and lean proteins combined with regular physical activity can significantly reduce the risk of vascular diseases.
  • Manage Chronic Conditions: If you have conditions like diabetes or high blood pressure, managing them effectively can prevent vascular complications.
  • Quit Smoking: Smoking damages blood vessels and significantly increases the risk of vascular diseases. Quitting smoking is one of the most impactful things you can do for your vascular health.
  • Stay Active: Avoid long periods of sitting or standing. If your work requires extended periods in one position, take breaks to move around and consider using compression stockings during travel.

Quick Reads:

  1. The 9 Best Ways to Treat Varicose Veins Without Procedures
  2. The Connection Between Cholesterol and Vascular Health
  3. What Vascular Diseases Do I Need to Look Out For?

Expert Vascular Care at La Jolla Vein & Vascular

At La Jolla Vein & Vascular, we are proud to be a leader in the diagnosis, treatment, and prevention of vascular diseases. Our team of specialists, including Dr. Nisha Bunke, Dr. Sarah Lucas, and Dr. Amanda Steinberger, brings together years of expertise to offer world-class care. Our facility is a nationally recognized teaching site, providing cutting-edge treatments to patients in a compassionate and caring environment.

If you’re experiencing symptoms of vascular diseases or want to learn more about your vascular health, please contact us for a consultation. We’re committed to helping you achieve optimal health through expert care and personalized treatment plans.

For more information, visit our website or check out our educational resources on our YouTube Channel, Instagram, and TikTok. Keep informed and take control of your vascular health today!

Unmasking the Hidden Culprits: Lesser-Known Vascular Conditions You Should Know About2024-10-07T18:34:27-07:00

Venous Insufficiency: When Your Veins Need a Helping Hand

Venous Insufficiency: When Your Veins Need a Helping Hand

Venous reflux disease, sometimes referred to as venous stasis, venous insufficiency, or venous incompetence, stands as a multifaceted condition that intricately affects the veins in the legs. In this article, we delve into the intricacies of venous reflux disease, elucidating its causes and symptoms, and shedding light on the progressive nature of this ailment. We’ll also delve into the indispensable role played by ultrasound technology in the diagnostic process and the formulation of tailor-made treatment plans.

Unraveling Venous Reflux

At the core of venous reflux disease lies the concept of ‘leaky valves’ within the leg veins. These valves, entrusted with the responsibility of maintaining the smooth flow of blood, may falter, permitting blood to flow backward (a condition known as reflux) rather than progressing toward the heart. Venous reflux has the potential to manifest in both deep and superficial leg veins, subsequently influencing the efficiency of blood circulation.

Demystifying the Anatomy of Reflux

Within the realm of leg veins, there exist two primary categories: deep and superficial. The deep veins, nestling within the muscular tissue, shoulder the responsibility of transporting the lion’s share of blood from the legs back to the heart. Conversely, superficial veins are situated just beneath the skin, external to the muscle. Among the pivotal players in the realm of superficial veins are the Great Saphenous Vein (GSV), meandering through the thigh and calf, and the small saphenous vein, traversing the back of the calf.

The Ramifications of Leaky Valves

Under normal circumstances, one-way valves present in leg veins facilitate the upward flow of blood against the force of gravity, aided by the rhythmic contractions of calf muscles. However, when these valves succumb to leakage, the flow of blood reverses, leading to the accumulation of blood in the lower legs. This condition is accompanied by a medley of distressing symptoms, including the sensation of heavy legs, pain, fatigue, ankle swelling, and even restlessness in the legs during the night. As time unfolds, venous reflux disease can advance, resulting in skin changes such as darkening, dryness, itching, and the potential emergence of venous leg ulcers.

The Role of Ultrasound in Diagnosis

The diagnosis of venous reflux disease necessitates specialized tools, with ultrasound technology taking center stage. Not all vein-related issues are discernible to the naked eye, as many originate from veins concealed beneath the skin’s surface. Ultrasound examinations grant healthcare professionals valuable insights into the direction of blood flow, the functionality of valves, and the presence of any obstructions or scars within the veins.

A Tailored Approach to Treatment

Effectively addressing venous reflux disease requires a strategic and customized approach, recognizing the unique characteristics of each patient’s condition. The treatment process generally encompasses three fundamental steps:

Step 1: Rectifying Underlying Reflux

The initial focal point revolves around tackling the root cause—venous reflux. This is achieved by targeting the saphenous veins, which often serve as the epicenter of the issue. Cutting-edge vein ablation procedures, including radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam, are deployed to restore the standard flow of blood.

Step 2: Combating Varicose Veins

Once the underlying reflux has been successfully addressed, the focus shifts to addressing varicose veins. Techniques like foam sclerotherapy, involving the injection of a foamed medication, or minimally invasive removal methods, are utilized to eliminate bulging veins.

Step 3: Managing Spider Veins

For those desiring cosmetic enhancements, the treatment of spider veins through sclerotherapy is available. Although primarily cosmetic, this step serves to conclude the all-encompassing treatment journey.

Venous reflux disease presents as a multifaceted condition that demands specialized care for effective management. Our comprehensive approach encompasses state-of-the-art diagnostics, cutting-edge treatments, and patient-tailored care to address the various facets of this ailment. Through our expertise and unwavering dedication, our aim is to deliver transformative outcomes, ultimately enhancing the health and quality of life of our patients. If you are prepared to embark on the path to healthier veins, do not hesitate to reach out to us to take the first stride toward comprehensive vein and vascular wellness.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

Venous Insufficiency: When Your Veins Need a Helping Hand2024-07-07T02:01:40-07:00

What should I know about VenaCure, an endovenous laser ablation (EVLA) procedure?

VenaCure, an endovenous laser ablation (EVLA) procedure, offers a cutting-edge solution for addressing backward flow, or “reflux,” in the saphenous veins. These veins, comprising the great and small saphenous veins, are pivotal superficial veins running along the inner and back of the leg, respectively. By targeting reflux in these veins, VenaCure provides effective symptom relief with minimal downtime, allowing patients to swiftly return to their usual level of activity on the same day.

Understanding VenaCure: How Does the Treatment Work?

VenaCure is a minimally invasive procedure designed to seal off refluxing veins using laser energy. The process begins by numbing the skin with lidocaine, followed by the insertion of a tiny wire and laser catheter into the affected vein. The catheter delivers laser energy to the vein wall, causing it to seal shut. Despite this closure, blood circulation remains unaffected as the remaining healthy veins continue to efficiently transport blood back to the heart.

What to Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with the option for patients to use a mild oral sedative for added comfort. Patients are provided with a gown and leave their underwear on during the procedure. Depending on the vein being treated, patients may lie on their back or belly, with special accommodations made for comfort, such as body positioning and the use of pillows.

To ensure comfort and relaxation, patients are offered amenities like watching a movie or listening to music during the procedure. Once settled, the skin around the affected vein(s) is prepped with a cleansing solution for a sterile procedure. After ultrasound mapping of the veins, a numbing agent (lidocaine) is injected into the skin.

A tiny puncture is then made to pass the laser catheter under ultrasound guidance. Additionally, a combination of cool saline and local anesthetic is injected around the vein to be treated, numbing it and insulating it from the surrounding tissue. Laser energy is then used to painlessly treat the vein.

Following the treatment, patients are assisted in wearing a compression stocking, which they will wear continuously for 72 hours post-procedure. Patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation.

Experience Relief with VenaCure

VenaCure offers a highly effective and minimally invasive solution for individuals experiencing saphenous vein reflux. By addressing the underlying cause of venous reflux, this procedure promotes improved circulation and enhances overall vein health, allowing individuals to regain comfort and confidence in their daily lives. If you’re experiencing symptoms of vein reflux, consult with us today to explore the benefits of VenaCure and take the first step towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

What should I know about VenaCure, an endovenous laser ablation (EVLA) procedure?2024-05-13T23:46:48-07:00

A patient’s guide to Radiofrequency perforator ablation procedure

Radiofrequency perforator ablation emerges as a crucial procedure for addressing perforator veins, the short connections between deep and superficial veins. These veins, vital for maintaining proper circulation, can suffer from valve damage and retrograde blood flow, leading to various vein disorders and potential skin complications. Understanding the function of perforator veins and the treatment process for their dysfunction is paramount for individuals seeking relief from associated symptoms.

What are Perforator Veins?

Patient’s Guide to Radiofrequency Perforator Ablation

Patient’s Guide to Radiofrequency Perforator Ablation

Perforator veins act as bridges between the superficial and deep venous systems in the extremities, facilitating the flow of blood from superficial veins to deep veins. Equipped with one-way valves, these veins prevent the backflow of blood and maintain efficient circulation. However, when these valves malfunction, reflux occurs, leading to an accumulation of blood and pressure, causing incompetence in both superficial veins and perforator veins. This dysfunction, particularly prevalent in the lower leg and ankle, can result in edema, skin discoloration, dermatitis, and even skin ulcers.

Indications for Treatment

Individuals experiencing venous leg ulcers, pre-ulcerative skin changes, persistent varicose veins, leg pain, or swelling may benefit from radiofrequency perforator ablation. By addressing the underlying cause of these symptoms, this outpatient procedure aims to restore proper venous function and alleviate discomfort.

How Does the Treatment Work?

Radiofrequency perforator ablation is a minimally invasive outpatient procedure performed in the doctor’s office. Using ultrasound guidance, a fine needle is inserted into the perforator vein, delivering radiofrequency energy to shrink and eliminate abnormal flow between deep and varicose veins. The procedure typically lasts around 10 minutes per perforator vein, with some patients requiring treatment for multiple veins on the same leg.

What to Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with optional mild oral sedation for patient comfort. Patients are positioned according to the vein being treated and offered amenities like watching a movie or listening to music. After sterile preparation and ultrasound mapping of the veins, a numbing agent is injected, followed by the insertion of the radiofrequency catheter. The vein is then painlessly treated with radiofrequency energy, and a compression stocking is applied for 72 hours post-treatment.

Aftercare and Possible Adverse Effects

Following treatment, patients are advised to walk for 30 minutes twice daily to alleviate discomfort and prevent blood pooling in the legs. Avoidance of strenuous activities, airline travel, saunas, and leg massages for specified periods minimizes the risk of complications. Common side effects include aching in the treated veins and bruising, which typically resolve within a few weeks.

Radiofrequency perforator ablation offers a promising solution for individuals suffering from vein disorders, providing effective symptom relief with minimal downtime. By addressing the underlying cause of venous reflux, this procedure promotes improved circulation and enhances overall vein health, allowing individuals to regain comfort and confidence in their daily lives. If you’re experiencing symptoms of vein disorders, consult with us today to explore the benefits of radiofrequency perforator ablation and take the first step towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 



A patient’s guide to Radiofrequency perforator ablation procedure2024-05-13T23:29:31-07:00

Cracking the Code of PAD: Understanding Peripheral Artery Disease

Cracking the Code of PAD: Understanding Peripheral Artery Disease

Peripheral Arterial Disease (PAD) can prove to be a formidable adversary, but with the right strategy for treatment, you can reclaim control over your life. The primary objectives of PAD treatment encompass the management of distressing symptoms, such as leg pain, and the thwarting of atherosclerosis progression, which in turn reduces the risk of grave health events like strokes and heart attacks. In this article, we will delve into a variety of treatment options for PAD, spanning from lifestyle adjustments to less invasive medical procedures.

Foundations of PAD Management: The Role of Lifestyle Modifications

Prior to delving into the specifics of various treatment choices, it is imperative to underscore the significance of lifestyle changes. Early intervention via lifestyle modifications can be remarkably effective in realizing the objectives of PAD treatment. Here are some pivotal steps:

  • Smoking Cessation: One of the most substantial measures you can take to arrest the advancement of PAD is to bid adieu to smoking. Smoking wreaks havoc on your blood vessels, exacerbating the condition.
  • Regular Physical Activity: Establishing a regimen of walking and supervised exercise training can remarkably ameliorate your PAD symptoms. Exercise fosters superior circulation and overall vascular well-being.

Less Invasive Procedures for Advanced PAD

Should your PAD reach a stage where lifestyle adjustments are no longer adequate, medical interventions may become imperative. Several less invasive procedures are at your disposal to address severe PAD:

Atherectomy

  • Atherectomy is a less invasive surgical procedure engineered to eliminate plaque from the arteries. Throughout the procedure, a catheter is introduced through a minor incision in the artery. The catheter possesses a chamber at its tip to collect the extracted plaque, ensuring thorough arterial cleansing. Typically performed under local anesthesia to minimize discomfort, the atherectomy may need to be repeated multiple times depending on the extent of plaque buildup to optimize blood flow.

Angioplasty (Percutaneous Transluminal Angioplasty – PTA)

  • Angioplasty is another minimally invasive procedure carried out using a catheter. This slender, flexible tube is directed by imaging to the narrowed segment of the artery. Upon reaching its destination, the catheter inflates a small balloon at its tip for a brief period. The inflation of the balloon applies pressure to the plaque, pushing it against the artery wall. This action widens the arteries, restoring normal blood flow.

Stenting

  • Stenting is frequently performed in conjunction with angioplasty and atherectomy. Over time, plaque buildup can inflict damage on artery walls, rendering them fragile and prone to collapsing even after plaque removal. Stenting entails the placement of a small mesh tube inside the artery to provide indispensable support. This tube acts as a scaffold, ensuring the artery remains unobstructed and permitting optimal blood flow.

The management of PAD involves a multi-pronged approach, commencing with lifestyle changes and escalating to minimally invasive procedures when necessary. Ceasing smoking and incorporating regular exercise serve as fundamental measures in the management of symptoms and the deceleration of atherosclerosis progression. If your condition has advanced, medical interventions like atherectomy, angioplasty, and stenting can provide relief and enhance your vascular health.

It is imperative to consult with your healthcare provider to discern the most appropriate treatment plan for your particular PAD condition. With the right strategy, you can efficaciously manage PAD, alleviate symptoms, and diminish the risk of grave cardiovascular incidents.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 



Cracking the Code of PAD: Understanding Peripheral Artery Disease2024-07-07T05:05:12-07:00

Patient guide for an endovenous radiofrequency ablation (RFA) procedure

ClosureFast™, an endovenous radiofrequency ablation (RFA) procedure, offers a revolutionary solution for combating the backward flow of blood, known as “Venous reflux,” in the saphenous veins. These veins, namely the great saphenous veins and small saphenous veins, are pivotal superficial veins located along the inner and back of the leg, respectively.

This minimally invasive procedure, often completed in less than an hour, is designed to restore proper blood flow and alleviate symptoms associated with venous reflux. Patients typically experience a swift recovery and can resume their usual level of activity on the same day.

How Does the Treatment Work?

radiofrequency ablation

The ClosureFast™ procedure begins by numbing the skin with lidocaine. A tiny wire and the ClosureFast® catheter are then inserted into the affected vein. The catheter delivers radio-frequency energy to the vein wall, effectively sealing it shut. Despite this closure, blood circulation remains unaffected as the remaining healthy veins continue to efficiently transport blood back to the heart.

What Should I Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with the option for patients to use a mild oral sedative, such as Valium, for added comfort. Patients are encouraged to wear a gown and leave their underwear on during the procedure. Depending on the vein to be treated, patients may lie on their back or belly, with special accommodations made for comfort, such as body positioning and the use of pillows.

To ensure comfort and relaxation, patients have the option to watch a movie on Netflix or listen to music during the procedure. Once settled, the skin around the affected vein(s) is prepped with a cleansing solution for a sterile procedure. The doctor then uses ultrasound to map the vein(s) to be treated before administering a numbing agent (lidocaine) into the skin.

A tiny puncture is made in the numb area of the skin to pass the radiofrequency catheter. Additionally, a combination of cool saline and local anesthetic is injected around the vein to be treated, numbing it and insulating it from the surrounding tissue. With the area adequately prepared, the vein is painlessly treated with radiofrequency energy.

Following the treatment, the leg is cleaned, and a compression stocking is applied, which the patient will wear continuously for 72 hours. Patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation.

ClosureFast™ Radiofrequency Ablation offers a highly effective and minimally invasive solution for addressing venous reflux and its associated symptoms. With its quick procedure time and rapid recovery, patients can reclaim comfort and confidence in their leg health with minimal disruption to their daily lives. If you’re ready to bid farewell to venous reflux, schedule a consultation with us today and take the first step towards healthier, happier legs.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 



Patient guide for an endovenous radiofrequency ablation (RFA) procedure2024-05-14T01:22:46-07:00

What will my legs look like after Spider Vein removal?

“Revitalizing Vitality: Unveiling the Essence of Spider Vein Transformations”

Spider veins, those delicate reddish veins adorning the skin’s surface, may hold more significance beyond a mere cosmetic concern. This article delves into the nature of spider veins, exploring their symptoms, uncovering root causes, and emphasizing the crucial aspect of effective treatment.

Understanding Spider Veins

Spider veins, also known as thread-like veins, are fine, reddish veins visible just beneath the skin’s surface. While often perceived as a cosmetic issue, their presence can hint at underlying problems requiring attention. These visible veins don’t necessarily signify healthy circulation.

Revealing Underlying Issues

Beneath the surface, feeder veins, termed ‘reticular veins’ or ‘blue veins,’ can be responsible for the emergence of spider veins. Although not visible to the naked eye, these feeder veins provide pathways for the appearance of spider veins. Notably, spider veins may also indicate venous insufficiency. For instance, their appearance around inner ankles or thighs might signal issues with the saphenous vein, warranting an ultrasound examination for accurate diagnosis and effective treatment.

Spotlight on Symptoms

Spider veins affect individuals differently. While some experience them as a painless aesthetic concern, others may encounter discomfort. Commonly reported symptoms include burning sensations, throbbing, localized pain, and sensations of heat or itchiness. In severe cases, spider veins might even bleed.

Exploring Causes

Spider veins on legs often stem from the same cause as varicose veins – faulty vein valves allowing blood to pool within the veins, leading to their enlargement. Conversely, factors like sun damage, hormonal fluctuations, or liver disease can trigger spider veins on other body parts like the face and chest. Hormonal changes during pregnancy or through birth control/hormone therapy can weaken vein walls, contributing to their emergence.

What Will My Legs Look Like After Spider Vein Removal?

Real Stories of Transformation: Patient Experiences

The journey to healthier veins showcases tangible transformations, as witnessed through our patients’ vein treatment experiences. Before-and-after images underscore the positive impact of effective treatment on those dealing with spider veins. From discomfort and aesthetic concerns to an improved quality of life, these stories validate the importance of seeking appropriate care.

Spider veins might appear minor, yet they often provide insights into underlying vascular issues. Understanding their causes, symptoms, and potential implications empowers individuals to seek suitable solutions for their vein health. Recognizing the significance of feeder veins, identifying signs of venous insufficiency, and acknowledging triggers behind spider veins are vital. By addressing spider veins early on, individuals pave the way towards healthier, more comfortable lives.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

What will my legs look like after Spider Vein removal?2024-07-06T17:31:05-07:00
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CONTACT INFORMATION

La Jolla/UTC

Vista

Patient Privacy Practices

Privacy Policy

Hippa Privacy Practices
HIPAAOneTM Certified Seal 2

Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments

© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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