Call 858-550-0330 to find out about Summer's Hottest Cosmetic Special!

24, 6, 2024

Chemical Ablation: A Breakthrough Procedure for Vascular Health

2024-07-07T08:44:56-07:00

Chemical Ablation: A Breakthrough Procedure for Vascular Health

Revolutionizing Vein Health with Varithena®: The Injectable Foam Chemical Ablation Treatment. In the contemporary realm of vein treatments, Varithena®, a remarkable ablation procedure, emerges as a transformative solution for dealing with varicose veins within the great saphenous vein system (GSV). This prescription medication presents a non-thermal, non-tumescent, and virtually painless approach to vein treatment. In this article, we embark on an in-depth exploration of Varithena®, its effectiveness, and what awaits you on the day of treatment.

Cracking the Varithena® Code: Your Gateway to Vein Health

Varithena® employs a specialized “microfoam” formulation consisting of polidocanol (a sclerosing agent) and CO2 to target superficial venous incompetence and visible varicosities associated with the great saphenous vein system. The microfoam is skillfully injected into the vein under the guidance of ultrasound, displacing blood and efficiently obliterating the endothelial lining through chemical ablation.

The Perks of Varithena®:

Tailored Treatment: Varithena® recommendations are individualized, accounting for factors such as vein location, size, anatomy, and tortuosity. It effectively addresses veins of various sizes, both above and below the knee.

Minimally Invasive: This treatment is incision-free, sparing you the need for sedation or general anesthesia, thereby enhancing patient comfort.

Non-Invasive Approach: Unlike some other techniques, Varithena® does not necessitate the insertion of a wire along the length of the vein, eliminating associated discomfort.

Heat-Free Method: Varithena® refrains from utilizing heat, eliminating any risk of thermal injury during treatment.

Frequency of Treatment and Response: A Deeper Insight

The number and frequency of Varithena® chemical treatments are tailored to individual anatomical factors, the rate of vein response, and the desired treatment outcomes. While larger or more resistant veins might necessitate two treatments for a comprehensive response, many veins exhibit favorable results following a single session. The treatment process is carefully managed to mitigate potential side effects.

On the Day of Varithena® Treatment: What to Anticipate

Preparing for your Varithena®  chemical ablation treatment day is a straightforward process:

  • Consent and Attire: You will complete a consent form and change into the provided shorts for your comfort.
  • Skin Preparation: Your skin will be meticulously cleaned with alcohol, and ultrasound will be used to precisely locate the veins that require targeted treatment.
  • Injection Process: The foam medication will be gently injected into your veins using a fine needle. This innovative foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.
  • Recovery Period: You will elevate your legs on a comfortable wedge pillow for approximately 15 minutes post-treatment.
  • Compression Stockings and Walking: After the procedure, compression stockings will be expertly applied, and you will engage in a 30-minute walk before you head home.

Varithena® paves the way for a new era in vein health, offering a swift and effective method for addressing varicose veins. At La Jolla Vein & Vascular, our proficient medical professionals are devoted to providing personalized care throughout your vein health journey. By embracing cutting-edge solutions like Varithena®, you are taking confident strides toward healthier, pain-free legs and enhanced overall 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! 

Chemical Ablation: A Breakthrough Procedure for Vascular Health2024-07-07T08:44:56-07:00

How do I manage Lymphedema?

2024-07-05T04:59:42-07:00

Soothing Swelling: A Comprehensive Guide to Understanding and Managing Lymphedema

Leg swelling, medically known as edema, can raise concerns due to its underlying implications. In this article, we will delve into the causes and symptoms of swelling, specifically focusing on the distinct condition known as lymphedema. Additionally, we’ll emphasize the significance of seeking medical attention and how La Jolla Vein & Vascular can aid in diagnosing and managing leg swelling related to vascular issues.

Unveiling the Causes of Leg Swelling

Edema in the legs arises from fluid accumulation in soft tissues, triggered by malfunctioning valves within the veins. When these valves weaken or fail, it disrupts proper blood circulation from the legs. Consequently, fluid and blood become trapped, leading to leg swelling. This accumulation of bodily fluid resulting in swelling is medically termed edema.

Understanding Lymphedema

Lymphedema stands out as a chronic form of edema resulting from inadequate functioning of the lymphatic system. Unlike edema linked to vein-related issues, lymphedema directly ties to inefficiencies in the lymphatic system. However, vein disease can evolve into a combined venous and lymphatic disorder over time. Seeking early intervention from healthcare professionals holds significance, as timely attention can make a substantial difference.

Risk Factors for Lymphedema or Swelling

Any individual experiencing lower leg swelling should consider it abnormal and promptly consult a physician. Diagnosing and initiating treatment for the underlying cause is crucial. Additionally, while leg swelling may signify venous issues, it could also signal non-venous conditions like heart disease, heart failure, obesity, high blood pressure, liver disease, or kidney disease. Seeking immediate medical assessment is vital to identify the root cause.

Spotting Symptoms of Lymphedema or Swelling

Several symptoms may indicate the presence of lymphedema or swelling:

  • Swelling in part or all of the arm or leg, including fingers or toes
  • Feelings of heaviness or tightness
  • Limited range of motion
  • Aching or discomfort
  • Recurring infections
  • Skin changes like hardening and thickening (fibrosis)
  • Leg cramps

Professional Support at La Jolla Vein & Vascular

La Jolla Vein & Vascular specializes in diagnosing vascular-related leg swelling using advanced techniques like duplex ultrasound. This non-invasive method aids in identifying blood clots or venous reflux, pivotal in determining the underlying issue. In cases where obstructions higher than the groin are suspected, a venogram may be recommended. While lymphedema primarily involves clinical diagnosis, lymphoscintigraphy can be ordered through an external imaging center to further evaluate the condition.

Leg swelling could signal various underlying issues, ranging from venous concerns to lymphatic disorders. Timely detection and intervention play a pivotal role in preventing further complications. If you’re experiencing swelling or suspect lymphedema, seeking the expertise of medical professionals, such as those at La Jolla Vein & Vascular, can offer essential diagnostic tools and treatment guidance. Remember, addressing these concerns promptly can significantly impact your overall health and 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 for more fun videos and educational information. 

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



How do I manage Lymphedema?2024-07-05T04:59:42-07:00

What vascular diseases do I need to look out for?

2024-07-05T03:27:34-07:00

Exploring the Unseen: Shedding Light on Lesser-Known Vascular Conditions & Their Effects

In our practice, our skilled physicians possess specialized expertise in diagnosing and treating an array of vascular diseases. With a primary focus on conditions impacting the legs, feet, and pelvis, our adept specialists handle a wide spectrum of issues, from peripheral arterial disease to venous insufficiency and varicose veins. Beyond these commonly recognized culprits, our experts are proficient in addressing conditions requiring unique skills, such as varicoceles, Pelvic Congestion Syndrome, May-Thurner Syndrome, geniculate artery embolization, and uterine fibroids.

Partnering with authoritative sources like MedlinePlus.com, we bring you comprehensive insights into vascular diseases and their effective management.

Grasping Vascular Diseases

The vascular system, composed of arteries, veins, and capillaries, orchestrates the transport of oxygen-rich blood to tissues and organs while facilitating waste removal. Vascular diseases encompass a diverse array of conditions that disrupt this intricate system. Our focus spans various types, including:

  • Aneurysm: Irregular bulging in an artery’s wall
  • Atherosclerosis: Accumulation of plaque within arteries involving substances like fat, cholesterol, and calcium
  • Blood clots, including deep vein thrombosis
  • Varicose veins: Swollen, twisted veins visible beneath the skin

Unveiling Causes and Risk Factors

The origins of vascular diseases are multifaceted, influenced by factors like genetics, heart diseases, infection, injury, and specific medications. Diverse risk factors contribute to their development, including:

  • Age, often correlated with increased susceptibility to certain diseases
  • Conditions affecting the heart and blood vessels, such as diabetes or high cholesterol
  • Family history of vascular or heart diseases
  • Infection or injury causing damage to veins
  • Lack of physical activity
  • Obesity
  • Pregnancy
  • Prolonged sitting or standing
  • Smoking
Symptoms, Diagnosis, and Treatment

Symptoms of vascular diseases vary based on the specific condition. Diagnosis involves a comprehensive assessment comprising physical examinations, inquiries into medical history, imaging tests, and blood examinations. Our physicians tailor treatments to the severity and type of vascular disease, which may include:

  • Lifestyle modifications like adopting a heart-healthy diet and regular exercise
  • Medications targeting blood pressure regulation, blood thinning, cholesterol reduction, and clot dissolution
  • Non-surgical interventions such as angioplasty, stenting, and vein ablation
  • Surgical procedures
Preventing Vascular Diseases

Proactive steps can significantly contribute to preventing vascular diseases:

  • Embrace a healthy lifestyle through balanced nutrition and regular exercise
  • Quit smoking or seek professional assistance to quit
  • Maintain optimal blood pressure and cholesterol levels
  • Manage blood sugar levels if you have diabetes
  • Avoid prolonged sitting or standing; take breaks and consider compression stockings during extended trips

While vascular diseases can impact your health in various ways, expert care and proactive measures can effectively manage these conditions and reduce associated risks. Our specialized team is committed to diagnosing, treating, and preventing vascular diseases, ensuring you receive personalized, high-quality care. Through collaborations with reputable sources like MedlinePlus.com, we aim to offer accurate information and effective solutions to improve your vascular health.

“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 vascular diseases do I need to look out for?2024-07-05T03:27:34-07:00

What do I need to know about removing Spider Veins?

2024-07-06T11:06:29-07:00

Unveiling Crucial Insights on Spider Veins

Spider veins, those delicate reddish veins visible just beneath the skin’s surface, often pose a bothersome cosmetic concern for many individuals. Though commonly seen as a minor issue, spider veins may hint at underlying problems extending beyond mere aesthetics. This article delves into the realm of spider veins, exploring their causes, symptoms, and the most effective spider vein treatment options available. Let’s uncover the true nature of these tiny veins and discover how to manage them effectively.

Understanding Spider Veins

Spider veins, also termed telangiectasias, are fine thread-like veins that create a web-like pattern on the skin’s surface. Presenting in hues of red, blue, or purple, these veins might hold more significance for your vein health than their innocent appearance suggests.

Exploring the Link to Feeder Veins and Venous Insufficiency

While spider veins themselves may not raise significant health concerns, they could be linked to underlying feeder or reticular veins not immediately visible. These feeder veins are often associated with larger veins, potentially indicating venous insufficiency—a condition where veins struggle to efficiently transport blood back to the heart. Specific placements of spider veins, such as those near inner ankles or thighs, might signal an issue with the saphenous vein. Medical experts may recommend ultrasound examinations to precisely identify and address the origin of these veins.

Recognizing Symptoms

Spider veins can impact individuals differently. While some experience them solely as a cosmetic concern, others might endure symptoms like burning, throbbing, localized pain, itchiness, and occasional bleeding. Awareness of these symptoms is crucial in determining suitable steps for managing and treating spider veins.

Unveiling the Causes

These leg veins often share causative factors with varicose veins: malfunctioning vein valves. When these valves fail to prevent blood pooling within veins, it leads to their enlargement and stretching. Spider veins on other body parts, like the face and chest, may arise due to factors such as sun damage, hormonal changes, or liver disease. Hormonal fluctuations stemming from pregnancy, birth control, or hormone therapy can weaken vein walls, making them prone to spider vein formation.

Identifying Risk Factors

Several factors contribute to an individual’s susceptibility to developing spider veins, including genetics, pregnancy, female gender, aging, obesity, hormonal imbalances, and prolonged sitting or standing. Understanding these risk factors aids in both prevention and early intervention.

Effective Treatment Options

For relief, various treatment options are available. Sclerotherapy is the primary approach for treating spider veins on legs, involving injections of a liquid sclerosant medication into affected veins to close and fade them. Multiple sessions are often recommended for optimal results. While lasers can address fine spider veins, sclerotherapy remains the gold standard due to its effectiveness.

Despite appearing minor, spider veins can offer crucial insights into vein health. Whether for cosmetic concerns or discomfort, understanding their potential underlying causes and seeking appropriate treatment is essential. Early intervention and effective treatments like sclerotherapy not only enhance appearance but also promote better overall vein health. Remember, caring for your veins is an investment in your well-being, paying dividends in comfort and confidence. Looking for the best spider vein treatment in San Diego? La Jolla Vein & Vascular is here to assist.

“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 do I need to know about removing Spider Veins?2024-07-06T11:06:29-07:00

Why do Varicose Veins occur?

2024-07-06T16:37:07-07:00

Unveiling Key Insights: Your Comprehensive Guide to Understanding Varicose Veins

Varicose veins, those twisted and bulging veins beneath the skin’s surface, affect numerous individuals, often causing discomfort and aesthetic worries. This informative blog post aims to explore the intricacies of varicose veins and the underlying venous reflux disease. From comprehending the causes to investigating symptoms and potential treatments, let’s embark on a journey toward vein health and relief.

Understanding Varicose Veins

Easily visible on the skin’s surface, particularly in the legs, varicose veins are swollen and twisted veins. Despite their commonality, these veins can induce pain and aesthetic concerns, underscoring the importance of proper understanding and treatment.

Identifying the Culprits: Causes of Varicose Veins

The primary cause of varicose veins resides in malfunctioning vein valves, leading to blood accumulation within the veins. This pooling causes the veins to stretch and expand, resulting in their distinctive appearance. Venous reflux disease, known as venous stasis, venous insufficiency, or venous incompetence, is a prevalent underlying condition contributing to varicose veins. This condition involves the backward flow of blood in deep and/or superficial leg veins.

Insights from Research

Dr. Nisha Bunke, spearheading our study published in the Journal of Vascular Ultrasound in 2018, scrutinized over 1,000 legs with varicose veins. The study underscored that a significant majority—over 90%—of varicose vein sources were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses through the middle of the thigh and calf, while the small saphenous vein (SSV) travels along the back of the calf.

Unraveling Symptoms

Varicose veins and venous reflux disease present an array of symptoms, including aching, tenderness, heaviness, fatigue, restlessness in the legs, burning and throbbing pain, itching, leg cramps (especially at night), ankle swelling, skin discoloration, and even skin ulcers above the ankle. Left untreated, complications such as painful vein inflammation (superficial phlebitis), blood clots within varicose veins (superficial thrombophlebitis), and skin issues like discoloration, eczema, or ulcers may arise.

The Importance of Ultrasound Diagnosis

Duplex ultrasound technology is crucial for effective diagnosis, evaluating veins beneath the skin’s surface. This technology detects leaky valves, determines blood flow direction, and identifies blockages or scars within veins, providing essential information for tailored treatment plans.

Customized Treatment Approach

Comprehensive treatment of varicose veins involves multiple steps:

Step 1: Addressing the Root Issue

Effective treatment begins with targeting venous reflux, often focusing on the saphenous veins, the common source of the problem. Innovative vein ablation procedures like radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Managing Varicose Veins

Post successful treatment of underlying reflux, attention shifts to managing varicose veins. Methods like foam sclerotherapy, injecting foamed medication to cause scarring and eventual vein dissolution, and phlebectomy involving tiny incisions to remove veins, are commonly employed.

Varicose veins and venous reflux disease impact numerous lives, causing discomfort and concern. By comprehending their causes, identifying symptoms, and exploring innovative varicose vein treatments, individuals can take control of their vein health. At La Jolla Vein & Vascular, we’re committed to providing personalized care and effective solutions to alleviate symptoms and enhance the quality of life. If you’re ready to embark on the journey toward healthier veins, contact us today and take the initial step toward lasting relief and 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 for more fun videos and educational information. 

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

Why do Varicose Veins occur?2024-07-06T16:37:07-07:00

23, 5, 2024

Is ClariVein a minimally invasive vein procedure?

2024-06-03T10:38:26-07:00

ClariVein emerges as a revolutionary procedure designed to address the issue of backward flow, or “reflux,” in the saphenous vein system, comprising the great and small saphenous veins. As key superficial veins of the leg, these vessels play a crucial role in blood circulation. However, when reflux occurs, it can lead to varicose veins and associated symptoms. With ClariVein, patients now have access to a minimally invasive treatment option that offers effective vein closure with minimal discomfort and downtime.

Understanding ClariVein: How Does It Work?

The ClariVein procedure involves the use of a specialized catheter to close the unhealthy vein, addressing reflux and restoring proper blood flow. This catheter delivers two treatments:

  1. Mechanical Treatment: A tiny rotating wire within the catheter mechanically disrupts the vein wall, facilitating closure.
  2. Chemical Treatment: Polidocanol, a detergent-type sclerosant medication, is then delivered through the catheter to further induce vein closure.

Despite its effectiveness, ClariVein requires only one skin puncture, similar to the placement of an IV, minimizing procedural discomfort and recovery time.

Treatment Protocol and Expectations

On the day of treatment, patients undergo a streamlined process that begins with local anesthesia to numb the skin. While some patients may opt for a mild oral sedative for added comfort, the procedure itself is typically well-tolerated with minimal pain.

Patients are provided with a gown to change into, leaving underwear on for the procedure. Depending on the vein to be treated, patients may lie on their back or belly, with accommodations made for comfort using pillows and body positioning. To further enhance the patient experience, amenities like watching a movie or listening to music are offered during the procedure.

Once comfortable, the skin around the targeted vein(s) is prepped with a cleansing solution for sterility. Using ultrasound guidance, the doctor maps the veins to be treated before injecting a numbing agent (lidocaine) into the skin. A tiny puncture is then made to pass the ClariVein® catheter, and the treatment commences.

During the procedure, patients may experience a tickling or vibrating sensation as the rotating wire treats the vein. However, overall discomfort is minimal to none. Following vein treatment, patients are assisted in wearing compression stockings, which they will wear continuously for 72 hours to optimize results. Additionally, patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation and enhance treatment efficacy.

Experience Comfort and Convenience with ClariVein

ClariVein offers patients a minimally invasive and highly effective solution for varicose veins, allowing them to return to their usual level of activity on the same day as the procedure. With its combination of mechanical and chemical treatments, ClariVein® provides lasting relief from vein-related symptoms, empowering 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 ClariVein® 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! 



Is ClariVein a minimally invasive vein procedure?2024-06-03T10:38:26-07:00

A patient’s guide to Radiofrequency perforator ablation procedure

2024-05-13T23:29:31-07:00

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

Patient guide for an endovenous radiofrequency ablation (RFA) procedure

2024-05-14T01:22:46-07:00

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

27, 4, 2024

Charting Your Course to Vascular Wellness: A Comprehensive Guide to Ultrasound-Guided Foam Sclerotherapy

2024-07-07T08:31:18-07:00

Charting Your Course to Vascular Wellness: A Comprehensive Guide to Ultrasound-Guided Foam Sclerotherapy

Enhancing Vein Health with Ultrasound-Guided Foam Sclerotherapy

In the battle against visible surface varicose veins and their concealed counterparts, the power of ultrasound-guided foam sclerotherapy takes center stage. This advanced procedure seamlessly marries precision administration with ultrasound visualization, offering a safe and effective solution for a range of vein conditions. In this article, we embark on a deep dive into the world of ultrasound-guided foam sclerotherapy, shedding light on the role of polidocanol (marketed as Asclera®), treatment frequency, and what you can expect during your treatment sessions.

Revealing the Wonders of Ultrasound-Guided Foam Sclerotherapy: A Cutting-Edge Resolution

Ultrasound-guided foam sclerotherapy harnesses the synergy of technology and medical expertise to target varicose veins that may not be readily apparent to the naked eye. The foam medication, skillfully guided by ultrasound, is precisely directed toward varicose veins, even those hidden beneath the surface. This technique is not limited to superficial veins but is adept at navigating complex venous pathways with twists and turns.

Polidocanol (Asclera®): The Preferred Sclerosant

Among the plethora of sclerosant medications, polidocanol, known by the brand name Asclera®, shines as the preferred choice. Its patient-friendly attributes and minimal risk of side effects make it a prime contender for vein treatment. As a detergent-type medication, polidocanol gently disrupts the inner lining of veins, effectively halting blood flow, ultimately leading to complete vein closure. Approved by the FDA for varicose vein treatment since 2010, polidocanol boasts a substantial track record of success in Europe spanning decades. Its transformation into foam for treating larger veins, though an off-label application, has proven remarkably effective and well-tolerated by patients. Rest assured, our seasoned experts at La Jolla Vein Care bring extensive experience to the realm of foam sclerotherapy, ensuring your vein health receives adept and capable care.

Treatment Frequency: A Personalized Approach

The number and frequency of treatment sessions are as unique as your anatomy and individual vein response to treatment. On average, substantial improvement, approximately 80%, can be achieved with 2 to 5 treatment sessions. For some larger or more recalcitrant veins, two or more sessions may be required to achieve a complete response.

Your Treatment Days: An Expertly Guided Sojourn to Vein Wellness

Preparing for your ultrasound-guided foam sclerotherapy treatment day is a streamlined process:

Consent and Attire: You’ll complete a consent form and change into the provided shorts to ensure your comfort.

Skin Preparation: Your skin will be meticulously cleansed with alcohol, and ultrasound will be utilized to pinpoint the veins requiring treatment.

Injection Process: The foam medication will be gently injected into your veins using a fine needle, under the watchful guidance of ultrasound.

Recovery Period: Post-treatment, you’ll elevate your legs using a comfortable wedge pillow for approximately 15 minutes.

Compression Stockings and Walking: After treatment, compression stockings will be thoughtfully applied, and you’ll engage in a 30-minute walk before departing. It’s common to experience some achiness and tenderness following treatment.

Ultrasound-guided foam sclerotherapy ushers in a new era of enhanced vein health, offering precision and efficacy. At La Jolla Vein & Vascular, our dedicated medical team is unwavering in their commitment to delivering personalized care throughout your vein health journey. By embracing cutting-edge techniques such as ultrasound-guided foam sclerotherapy, you embark on a path to healthier, pain-free legs and an elevated sense 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 vein 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! 



Charting Your Course to Vascular Wellness: A Comprehensive Guide to Ultrasound-Guided Foam Sclerotherapy2024-07-07T08:31:18-07:00

29, 3, 2024

Venaseal: Sealing the Deal on Venous Disease Treatment

2024-07-07T07:01:22-07:00

Venaseal: Sealing the Deal on Venous Disease Treatment

When it comes to addressing varicose veins, the VenaSeal™ closure system, with its approval from the U.S. Food and Drug Administration (FDA), offers a fresh and effective approach. Unlike conventional methods, this minimally invasive procedure employs a unique medical adhesive to permanently seal problematic superficial veins. In this blog post, we will delve into the intricacies of the VenaSeal™ system, its noteworthy advantages, and why it stands out as a secure and user-friendly option for treating varicose veins.

Understanding the Mechanics of the VenaSeal Sapheon Closure System

The VenaSeal™ Sapheon Closure System represents a groundbreaking approach to managing varicose veins, also known as venous reflux disease. Here’s a closer look at how it operates:

Minimally Invasive Technique: The procedure commences with a medical professional using ultrasound guidance to navigate a small catheter through a minor access point in the skin and into the affected vein.

Application of Medical Adhesive: The VenaSeal dispenser then administers a minute quantity of medical adhesive to seal the vein. This adhesive effectively closes the troublesome vein, preventing further reflux.

Immediate Blood Rechanneling: Once the problematic vein is sealed, the body promptly reroutes blood flow through other healthy veins in the leg.

The Distinct Advantages of VenaSeal™

VenaSeal presents several distinct benefits when compared to traditional varicose vein treatments:

No Anesthesia or Needle Sticks: Unlike certain alternative treatments that necessitate tumescent anesthesia, involving multiple needle sticks, VenaSeal™ is virtually painless and does not involve injecting anesthesia into the leg.

No Pre-Procedural Drugs: Patients can resume their regular activities immediately after the procedure, as there are no pre-procedure drugs involved.

No Risk of Burns or Nerve Damage: Unlike procedures that rely on heat, VenaSeal eliminates the risk of skin burns or nerve damage, ensuring a safer experience.

Minimal Post-Treatment Discomfort: In most cases, patients do not require post-treatment pain medication or uncomfortable compression stockings, making the recovery process considerably more comfortable.

A Unique and Secure Approach

The VenaSeal™ closure system is the sole non-tumescent, non-thermal, non-sclerosant procedure that utilizes a proprietary medical adhesive administered endovenously to seal the vein. This distinctive approach offers several significant advantages:

Reduction of Nerve Injury Risk: Unlike procedures that rely on thermal methods, VenaSeal™ significantly reduces the risk of nerve injury, particularly when treating the small saphenous vein.

Proven Clinical Safety and Efficacy: Clinical studies have consistently shown that the VenaSeal™ procedure is both safe and effective for treating varicose veins.

For those in search of a safe and minimally invasive solution for varicose veins, the VenaSeal™ closure system presents a promising option. With its unique medical adhesive approach, absence of anesthesia, and minimal post-treatment discomfort, VenaSeal™ distinguishes itself as a convenient and effective choice for permanently addressing varicose veins. Bid farewell to the discomfort of venous reflux disease and welcome a future characterized by health and freedom from pain with VenaSeal™.

“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. Seeking Varicose and Spider Vein Treatment in San Diego? Reach out to La Jolla Vein & Vascular, the best vein clinic renowned for exceptional care in San Diego.

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! 

Venaseal: Sealing the Deal on Venous Disease Treatment2024-07-07T07:01:22-07:00
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© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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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