21, 11, 2023

Eradicating Perforator Vein Troubles: The Power of Radiofrequency Ablation

2023-10-10T15:09:46-07:00

Eradicating Perforator Vein Troubles: The Power of Radiofrequency Ablation

Reshaping the Landscape of Vascular Health with Radiofrequency Perforator Ablation (RFA)

In the domain of cutting-edge vascular treatments, Radiofrequency Perforator Ablation (RFA) is a game-changer, ushering in a new era of addressing vein issues. In this article, we embark on a journey to unravel the intricacies of this procedure, shedding light on its advantages, the process it entails, and what you can expect on the day of treatment. Join us as we delve into the world of Radiofrequency Perforator Ablation and how it can elevate your vascular well-being.

Decoding Radiofrequency Perforator Ablation: A Thorough Examination

Radiofrequency Perforator Ablation is tailored to address perforator veins, the short connectors bridging deep and superficial veins. These veins, like their counterparts, are susceptible to valve damage and venous reflux, which can lead to discomfort and potential health complications. This innovative procedure aims to rectify these issues, offering relief and improved vascular health.

The Significance of Perforator Veins

Perforator veins play a pivotal role in connecting the superficial and deep venous systems within our extremities. They facilitate the flow of blood from superficial veins to deep veins, aiding in the process of returning oxygen-depleted blood to the heart. However, when the valves in these veins malfunction, venous reflux becomes a concern. This may result in blood accumulation, heightened pressure, and complications such as edema, skin discoloration, dermatitis, and skin ulcers.

The Treatment Journey: Unraveling the Stages

Radiofrequency Perforator Ablation is a meticulously structured outpatient procedure designed to promptly address these issues. Here’s a closer look at the treatment process:

  • Preparing and Anesthetizing: The procedure begins with the application of local anesthesia. Some patients may opt for mild oral sedatives like Valium to enhance relaxation.
  • Ensuring Patient Comfort: You will be provided with a gown or shorts and positioned for maximum comfort. Special accommodations are made to cater to your specific needs.
  • Guided Insertion: Using the guidance of ultrasound, a fine needle is gently inserted into the perforating vein through the skin.
  • Radiofrequency Energy Application: The magic unfolds with the delivery of radiofrequency energy, which contracts the perforator vein and eliminates abnormal blood flow.
  • Treatment Duration: Each perforating vein takes around 10 minutes to treat. Patients may require the treatment of one or multiple veins in the same leg, which typically takes about an hour in the office due to preparation and setup.

A Day of Treatment: What to Anticipate

On the day of your procedure, a few key steps ensure your comfort and well-being:

  • Anesthesia and Sedation: Local anesthesia is applied, and patients have the option to choose mild sedation to enhance relaxation.
  • Patient Positioning: Special arrangements are made to ensure your comfort, including the choice to watch your favorite shows or listen to music.
  • Ultrasound Mapping: Your veins are carefully mapped, and numbing agents are administered.
  • Radiofrequency Catheter Insertion: A tiny puncture is made to insert the radiofrequency catheter.
  • Local Anesthetic Application: Additional local anesthesia is administered to numb the vein and ensure a comfortable experience.
  • Radiofrequency Treatment: The vein is treated with radiofrequency energy in a virtually painless procedure.

Post-Treatment Care: Navigating Your Recovery

After your treatment, walking for 30 minutes twice daily is recommended to alleviate discomfort and prevent blood pooling in the legs. To support proper healing, it’s advisable to refrain from strenuous exercise, heavy lifting, saunas, hot tubs, and leg massages for two weeks.

Radiofrequency Perforator Ablation represents a modern marvel in vascular care, offering relief from discomfort and enhancing overall well-being. At La Jolla Vein & Vascular, our team of expert medical professionals is unwavering in their commitment to providing tailored care for your vascular health. By embracing pioneering treatments like Radiofrequency Perforator Ablation, you can stride confidently toward a healthier, more vibrant life.

“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

Eradicating Perforator Vein Troubles: The Power of Radiofrequency Ablation2023-10-10T15:09:46-07:00

Diving Deeper into Deep Vein Thrombosis

2023-10-09T19:45:50-07:00

Diving Deeper into Deep Vein Thrombosis

Deep Vein Thrombosis (DVT) is a medical condition that arises when blood clots develop within the deep veins of the legs, thighs, or pelvis. To navigate the complexities of DVT, it’s vital to comprehend its causes, symptoms, and the potential dangers it poses. In this enlightening blog post, we embark on a journey to unravel the mechanics behind blood clot formation, explore the risks associated with DVT, and delve into the spectrum of treatment options available for managing this condition.

Demystifying the Genesis of Blood Clots

Blood clots within the veins, such as those characteristic of DVT, come to fruition due to the malfunctioning of valves residing within the venous system. These valves bear the pivotal responsibility of ensuring the smooth flow of blood back to the heart. However, when these valves weaken or falter, the harmonious circulation of blood becomes compromised, ushering in the formation of clots. While DVT predominantly occurs within the deep veins of the lower extremities, it can also manifest in other regions of the body, encompassing the upper limbs.

The Intricacies of the Circulatory System and Blood Clot Formation

The human circulatory system comprises two essential components: arteries and veins. Arteries dutifully ferry oxygen-rich blood away from the heart, and their robust, muscular walls can withstand the forceful pumping action of the heart. In contrast, veins, lacking such muscular linings, rely on the rhythmic contractions of nearby muscles to propel blood towards the heart.

Unraveling the Mechanisms of Blood Clot Development

The venous system within the legs is a dynamic network encompassing two principal types of veins: superficial and deep. The journey of blood from superficial veins to deep veins is facilitated by perforator veins, aided by a system of one-way valves. When the pace of blood flow slows down or blood pools within the veins, platelets can aggregate, setting the stage for the formation of a blood clot, scientifically referred to as a thrombus. While a blood clot within the deep venous system is not inherently perilous, it can take a life-threatening turn if it becomes dislodged and embarks on a journey to the pulmonary vein, resulting in a pulmonary embolism.

Spotlight on Symptoms and Risks Associated with DVT

Timely identification of the symptoms of DVT holds the key to prompt intervention:

  • Leg Pain During Walking: Experiencing muscle cramps or sharp pain while walking.
  • Sharp Calf Pain in the Affected Limb: Sudden and intense discomfort in the calf.
  • Red or Discolored Skin on the Affected Limb: Changes in skin color.
  • Swelling in the Affected Area: Notable enlargement of the limb.
  • Sudden Onset Leg Swelling: Abrupt and significant leg swelling.
  • Enlarged Veins: Prominent veins becoming apparent.
  • Increased Warmth in the Swollen Area: Heightened temperature in the affected region.

If a blood clot detaches and embarks on a journey to the lungs, it can culminate in a pulmonary embolism, characterized by:

  • Sudden Breathlessness or Shallow Breathing: Difficulty in breathing.
  • Rapid Breathing: Accelerated respiratory rate.
  • Elevated Heart Rate: Increased pulse rate.
  • Chest Pain Exacerbated by Deep Breathing: Discomfort in the chest intensified by deep breaths.

Treatment Avenues for DVT

A multitude of treatment options are at the disposal of healthcare professionals for effectively managing DVT:

  • Blood Thinners: These anticoagulant medications thwart the enlargement and detachment of clots. Common examples encompass injectable medications such as enoxaparin (Lovenox) and oral medications like Eliquis, Xarelto, and Pradaxa.
  • Clot Busters: Thrombolytic drugs come into play for severe DVT or Pulmonary Embolism (PE) cases where other treatments prove ineffective. These drugs can dissolve blood clots but may carry a risk of bleeding.
  • Filters: In scenarios where blood thinners are contraindicated, a vena cava filter can be inserted to prevent dislodged clots from reaching the lungs.
  • Compression Stockings: These specialized knee-high socks play a pivotal role in mitigating blood pooling and the formation of clots in the legs.

Deep Vein Thrombosis is a sobering medical condition that demands prompt attention and treatment. By unraveling the mechanisms underlying blood clot formation and recognizing the telltale symptoms, individuals can proactively seek medical assistance when needed, potentially thwarting life-threatening complications. An array of treatment avenues exists to manage DVT effectively, and consultation with a healthcare professional stands as an imperative step for receiving personalized care and guidance.

Diving Deeper into Deep Vein Thrombosis2023-10-09T19:45:50-07:00

19, 10, 2023

Navigating Vascular Health: Exploring the significance and process of vein mapping

2023-09-29T20:57:33-07:00

Navigating Vascular Health: Exploring the significance and process of vein mapping

When it comes to diagnosing and treating vein-related conditions, accurate and detailed information is key. Vein mapping ultrasound, often referred to simply as “vein mapping,” is a crucial tool in the realm of vascular medicine. In this blog post, we’ll explore the significance of vein mapping ultrasound, how it works, and why it is an essential step before undergoing vein procedures.

The Role of Vein Mapping

Vein mapping ultrasound serves a specific and vital purpose in the assessment and treatment of vein-related issues. Here’s a closer look at its primary roles:

  1. Mapping Vein Anatomy: Vein mapping is aptly named because it creates a detailed “road map” of the veins in the area of interest. This map allows healthcare providers to visualize the anatomy of the veins, including their size, location, and branching patterns.
  2. Measuring Vein Diameters: Vein diameters are not uniform and can vary at different points along a vein. Vein mapping ultrasound measures these diameters at multiple locations. This information is crucial for understanding the extent of the condition and planning appropriate treatment.
  3. Accurate Assessment: By combining the visual representation of the veins and precise measurements, vein mapping ultrasound enables healthcare providers to make accurate assessments of various vein-related conditions. This includes conditions like varicose veins, chronic venous insufficiency, and deep vein thrombosis.

The Importance of Preparation

While the vein mapping ultrasound procedure itself is straightforward and painless, there are some essential steps to take before the test:

  1. Avoid Compression Stockings: On the same day as your examination, it’s crucial not to wear compression stockings. These garments can interfere with the ultrasound imaging and affect the accuracy of the results.
  2. Stay Hydrated: Hydration is essential for optimal imaging results. Ensuring that you are well-hydrated before the test helps provide clear images, making it easier for healthcare providers to assess your veins accurately.

The Procedure

During a vein mapping ultrasound, a trained sonographer or vascular technician will perform the procedure. Here’s what you can expect:

  • Gel Application: The technician will apply a special ultrasound gel to the area of interest. This gel helps transmit ultrasound waves and ensures that there is no air interference between the transducer and your skin.
  • Transducer Use: A handheld device called a transducer is used to perform the ultrasound. The transducer emits high-frequency sound waves that bounce off the blood vessels and return as echoes. These echoes are transformed into images that reveal the veins’ structure and measurements.
  • Mapping the Veins: As the transducer is moved over the skin’s surface, it creates a visual “map” of the veins, including their size and location. This information is recorded for further analysis.

Vein mapping ultrasound is an indispensable tool in the world of vascular medicine. It allows healthcare providers to create a detailed map of your veins, measure vein diameters, and accurately assess various vein-related conditions. This information is crucial for formulating the best treatment plan to address your specific needs.

If you’re scheduled for a vein procedure or have concerns about your vein health, understanding the role of vein mapping ultrasound can help ease any uncertainties. It’s a valuable step on the journey to healthier veins and improved 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

Navigating Vascular Health: Exploring the significance and process of vein mapping2023-09-29T20:57:33-07:00

Understanding venous reflux: unveiling the causes and impact of venous insufficiency

2023-09-29T20:25:40-07:00

Understanding venous reflux: unveiling the causes and impact of venous insufficiency

Venous reflux disease, alternatively referred to as venous stasis, venous insufficiency, or venous incompetence, is a complex condition affecting the veins of the legs. In this article, we will delve into the details of venous reflux disease, from its causes and symptoms to the progressive nature of the condition. We’ll also explore the crucial role of ultrasound technology in diagnosing and formulating personalized treatment plans.

Understanding Venous Reflux

At the heart of venous reflux disease lies the concept of ‘leaky valves’ within the leg veins. These valves, responsible for maintaining proper blood flow, may fail, causing blood to flow backward (reflux) instead of towards the heart. Venous reflux can occur in both deep and superficial leg veins, affecting the efficiency of blood circulation.

The Anatomy of Reflux

In the leg veins, there are two main types: deep and superficial. The deep veins, residing within the muscle, carry the majority of blood from the legs back to the heart. On the other hand, superficial veins are situated outside the muscle, just beneath the skin. Key players in the realm of superficial veins are the Great Saphenous Vein (GSV), coursing through the thigh and calf, and the small saphenous vein, running along the back of the calf.

Impact of Leaky Valves

Ordinarily, one-way valves in leg veins facilitate blood flow against gravity, aided by the contraction of calf muscles. When these valves become leaky, blood flows backward, leading to blood pooling in the lower legs. This condition manifests in symptoms such as leg heaviness, pain, fatigue, ankle swelling, and even restless legs at night. Over time, venous reflux disease can progress, giving rise to skin changes, including darkening, dryness, itching, and the potential development of venous leg ulcers.

Diagnosis through Ultrasound

Diagnosing venous reflux disease requires specialized tools, with ultrasound technology leading the way. Not all vein issues are visible to the naked eye, as many arise from veins beneath the skin’s surface. Ultrasound examinations provide insights into the direction of blood flow, valve functionality, and the presence of blockages or scars in the veins.

Personalized Treatment Steps

Addressing venous reflux disease involves a strategic approach tailored to each patient’s unique condition. The treatment process typically consists of three key steps:

Step 1: Treating Underlying Reflux
The initial focus is on addressing the root cause—venous reflux. This is achieved by targeting the saphenous veins, which are often the origin of the issue. Innovative vein ablation procedures like radiofrequency ablation, laser ablation, mechanico-chemical ablation (MOCA), and Varithena Foam are employed to restore proper blood flow.

Step 2: Tackling Varicose Veins
Once underlying reflux is resolved, attention shifts to varicose veins. Foam sclerotherapy, involving injections of a foamed medication, or minimally invasive removal methods, can be employed to eliminate bulging veins.

Step 3: Managing Spider Veins
For those seeking cosmetic enhancement, spider vein treatment through sclerotherapy is available. Although cosmetic in nature, this step completes the comprehensive treatment journey.

Venous reflux disease is a multifaceted condition that requires specialized care for effective management. Our approach encompasses state-of-the-art diagnostics, cutting-edge treatments, and personalized care to address the various aspects of this condition. Through our expertise and commitment, we aim to provide transformative outcomes, enhancing both the health and quality of life of our patients. If you’re ready to embark on the journey to healthier veins, contact us to take the first step towards 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

Understanding venous reflux: unveiling the causes and impact of venous insufficiency2023-09-29T20:25:40-07:00

28, 9, 2023

Chemical solutions for vascular wellness: Exploring the Ablation procedure

2023-08-31T18:57:46-07:00

Chemical solutions for vascular wellness: Exploring the Ablation procedure

ablation

Unveiling Varithena: Advancing Vein Health with Injectable Foam Treatment

In the realm of modern vein treatments, Varithena (ablation procedure) emerges as a groundbreaking solution for addressing varicose veins within the great saphenous vein system (GSV). This prescription medication presents a non-thermal, non-tumescent, and nearly painless approach to vein treatment. In this article, we delve into the intricacies of Varithena®, its effectiveness, and what to expect on the day of treatment.

Decoding Varithena®: Your Path to Vein Health

Varithena® utilizes a “microfoam” formulation of polidocanol (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 with ultrasound guidance, displacing blood and efficiently destroying the endothelial lining into ablation.

The Advantages of Varithena®:

  • Tailored Treatment: Varithena® recommendations are based on vein location, size, anatomy, and tortuosity. It effectively treats veins above and below the knee of different sizes.
  • Minimally Invasive: This treatment requires no incisions, sedation, or general anesthesia, enhancing patient comfort.
  • Non-Invasive Technique: Unlike other methods, Varithena® doesn’t require inserting a wire along the length of the vein, eliminating associated discomfort.
  • Heat-Free Process: Varithena® avoids the use of heat, ensuring there’s no risk of thermal injury during treatment.

Treatment Frequency and Response: A Closer Look

The number and frequency of Varithena® treatments depend on individual anatomy, the rate of vein response, and treatment goals. While larger or resistant veins might require two treatments for a complete response, many veins typically respond well after a single session. The treatment process is carefully managed to avoid potential side effects.

On the Day of Varithena® Treatment: What to Expect

Preparing for your Varithena® ablation treatment day is straightforward:

  • Consent and Attire: You’ll sign a consent form and change into provided shorts.
  • Skin Preparation: Your skin will be cleaned with alcohol, and ultrasound will be used to locate the veins for targeted treatment.
  • Injection Process: The foam medication will be injected into your veins using a fine needle. The foam effectively fills and treats the designated vein section, leading to vein collapse and deactivation.
  • Recovery Period: You’ll elevate your legs on a comfortable wedge pillow for around 15 minutes post-treatment.
  • Compression Stockings and Walking: Following treatment, compression stockings will be applied, and you’ll walk for 30 minutes before departing.

Varithena® paves the way for a new era in vein health, offering a swift and effective method for tackling varicose veins. At La Jolla Vein & Vascular, our skilled medical professionals are dedicated to delivering personalized care for your vein health journey. By embracing advanced solutions like Varithena®, you’re taking confident steps towards healthier, pain-free legs and enhanced 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 solutions for vascular wellness: Exploring the Ablation procedure2023-08-31T18:57:46-07:00

Heat powered healing: A guide to Radiofrequency Ablation for vascular conditions

2023-08-31T18:19:17-07:00

Heat powered healing: A guide to Radiofrequency Ablation for vascular conditions

ClosureFast: Advancing Vein Health with Endovenous Radiofrequency Ablation (RFA)

When it comes to addressing venous reflux or the backward flow of blood in your saphenous vein(s), innovative solutions like ClosureFast are transforming the landscape of minimally invasive procedures. In this article, we delve into the details of ClosureFast, an endovenous radiofrequency ablation (RFA) procedure that targets venous reflux in the great saphenous veins and small saphenous veins of the leg. Join us as we explore how this procedure works, what to expect on the day of treatment, and the benefits it offers for your vascular health.

Understanding the ClosureFast Procedure

closure fast

ClosureFast™ is a state-of-the-art treatment designed to combat venous reflux, a condition that disrupts the proper blood flow in the saphenous veins of the leg. Venous reflux can lead to discomfort, pain, and other vascular issues. The procedure involves inserting a ClosureFast® catheter into the affected vein, delivering radiofrequency energy to the vein wall. This energy causes the vein to seal shut, allowing healthier veins to continue efficiently transporting blood back to the heart.

The Treatment Process: A Closer Look

On the day of the ClosureFast procedure, you can expect a comfortable and efficient experience. Here’s a step-by-step breakdown:

  • Anesthesia and Sedation: The treatment begins with numbing the skin using lidocaine. Some patients may choose to take a mild oral sedative like Valium to enhance relaxation during the procedure.
  • Patient Comfort: You will be provided with a gown and positioned in a way that maximizes comfort. Special accommodations are made based on your individual needs.
  • Preparation and Mapping: Your skin will be cleansed, and the doctor will perform an ultrasound to map the veins targeted for treatment.
  • Numbing and Catheter Insertion: A numbing agent (lidocaine) is injected into the skin, followed by the insertion of a tiny puncture to pass the radiofrequency catheter.
  • Local Anesthetic Application: A combination of cool saline and local anesthetic is administered around the vein to be treated. This numbs the vein and insulates it from surrounding tissue.
  • Radiofrequency Energy Treatment: With the numbing solution in place, the vein is painlessly treated with radiofrequency energy, sealing it shut.
  • Compression Stocking and Walking: After treatment, a compression stocking is applied, to be worn for 72 hours continuously. You’ll also be encouraged to walk for 30 minutes before leaving.

The Advantages of ClosureFast™:

closurefast

  • Minimally Invasive: ClosureFast is a minimally invasive procedure, performed in-office in under an hour.
  • Swift Recovery: Patients typically return to their regular activities on the same day as the procedure.
  • Effective Results: By sealing the affected veins, ClosureFast™ addresses venous reflux and related symptoms effectively.

At La Jolla Vein & Vascular, we’re dedicated to providing innovative solutions like ClosureFast to enhance your vascular health. If you’re considering addressing venous reflux or non-healing ulcers, our board-certified vascular surgeons and specialists are here to guide you through a personalized treatment journey. Embrace the benefits of modern vascular care and regain your comfort and vitality.

“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

Heat powered healing: A guide to Radiofrequency Ablation for vascular conditions2023-08-31T18:19:17-07:00

22, 8, 2023

Patient Transformation: Varicose Veins

2023-05-24T14:01:21-07:00

Varicose Vein Treatment: Patient Transformations 

What are varicose veins?

They are the twisted, bulging veins just beneath the surface of the skin. These veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition.

What causes them?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. These veins can be an isolated finding, but the majority of the time, they are caused by underlying venous reflux disease. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Reflux may occur in the deep and/or superficial leg veins.

In our study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, we studied over 1,000 legs with varicose veins. Over 90% of the time, the source of the varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses up the middle of the thigh and calf and the small saphenous vein (SSV), which courses along the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. 

As you can see below, these patient transformations after varicose vein treatment are remarkable! 

varicose vein treatment varicose vein treatment varicose vein treatment

 

“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 Elliot DeYoung, 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

 

Patient Transformation: Varicose Veins2023-05-24T14:01:21-07:00

Patient Reviews and Testimonials: La Jolla Vein & Vascular

2023-05-24T13:08:36-07:00

La Jolla Vein & Vascular is a state-of-the-art medical center dedicated exclusively to the diagnosis and treatment of vein and arterial conditions, below are some incredible patient reviews and testimonials. 

 

The patients who have given reviews have been treated for one or multiple of our vein or vascular conditions. Vein conditions include varicose veins, spider veins, and venous leg ulcers, chronic venous insufficiency, edema, lymphedema, and deep vein thrombosis.  Arterial conditions and treatments such as peripheral arterial disease (PAD), atherectomy, angioplasty, stenting.  We also offer prostate artery embolization (PAE) to treat BPH, varicocele embolization for men and uterine fibroid embolization (UFE), pelvic venous congestion (PVCS), pelvic and labial varicose veins for women.  Osteoarthritis treatment includes genicular artery embolization (GAE) to alleviate knee pain due to arthritis.

 

Below are some patient reviews and testimonials.

 

reviews reviews reviews

“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 Elliot DeYoung, 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. 

 

 

Patient Reviews and Testimonials: La Jolla Vein & Vascular2023-05-24T13:08:36-07:00

13, 7, 2023

How is venous reflux disease treated?

2023-05-25T16:20:56-07:00

Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Venous reflux disease refers to ‘leaky valves’ in the veins of the legs. Reflux may occur in the deep and/or superficial leg veins. The deep veins are those within the muscle; they bring at least 80-90% of the blood from the legs back to the heart. The superficial veins are outside of the muscle and under the skin.

The main superficial veins are the Great Saphenous Vein that courses up the middle of the thigh and calf and the small saphenous vein, which courses up the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity.

The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. Symptoms include leg heaviness, leg fatigue, leg pain, ankle swelling, phlebitis (inflamed and painful veins) , restless legs at night, and night cramps.

Venous reflux disease is progressive and worsens over time. Skin changes may also develop, including darkening of the skin around the ankles. The darkening of the skin is sometimes referred to as venous stasis skin changes. The skin can become dry and itchy (venous eczema). Eventually, the skin can break down causing a wound, called a venous leg ulcer.

Step 1: The Underlying Problem

The first step is to treat the underlying problem, the venous reflux. The specific pattern of venous reflux was detected by ultrasound. Venous reflux usually starts in the saphenous veins. The saphenous veins are most effectively treated with vein ablation procedures. This involves placing a small catheter within the vein and using heat or a solution to produce injury and eventual closure of the vein. The most commonly used treatments for the saphenous veins are radiofrequency ablation (RFA), laser ablation, mechanico-chemical ablation (MOCA or Clarivein), and in some cases Varithena Foam. The treatment Step recommendation is customized, based on where reflux is present and other clinical factors.

Step 2: Varicose Veins

After the underlying saphenous vein reflux is corrected, the bulging veins (varicose veins) can be treated by injecting a foamed medication that will cause them to scar and eventually dissolve (foam sclerotherapy), or to remove them using tiny incisions. The most common method is foam sclerotherapy. This is also known as ultrasound-guided foam sclerotherapy (UGFS).

Step 3: Spider Veins

Spider vein treatment is always considered a cosmetic procedure. If improved cosmesis is a goal of treatment, make sure to discuss this with your doctor and plan on having cosmetic treatment as the last step. Spider vein treatment is accomplished by sclerotherapy, which is an injection of a liquid medication into the spider veins. Ask your provider for an estimate about how many treatment sessions/ vials are necessary to get the results you want.

“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 Elliot DeYoung, 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



How is venous reflux disease treated?2023-05-25T16:20:56-07:00

Varicose vein and venous disease development

2023-05-25T15:49:32-07:00

Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Venous reflux disease refers to ‘leaky valves’ in the veins of the legs. Reflux may occur in the deep and/or superficial leg veins. The deep veins are those within the muscle; they bring at least 80-90% of the blood from the legs back to the heart. The superficial veins are outside of the muscle and under the skin.

The main superficial veins are the Great Saphenous Vein that courses up the middle of the thigh and calf and the small saphenous vein, which courses up the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity.

The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface. Symptoms include leg heaviness, leg fatigue, leg pain, ankle swelling, phlebitis (inflamed and painful veins), restless legs at night, and night cramps.

Venous reflux disease is progressive and worsens over time. Skin changes may also develop, including darkening of the skin around the ankles. The darkening of the skin is sometimes referred to as venous stasis skin changes. The skin can become dry and itchy (venous eczema). Eventually, the skin can break down causing a wound, called a venous leg ulcer.

Varicose Veins and Venous Reflux Disease

venous

Varicose veins are the twisted, bulging veins just beneath the surface of the skin. Varicose veins are swollen, twisted veins that you can see just under the surface of the skin. These veins usually occur in the legs, but they also can form in other parts of the body. Varicose veins are a common condition.

What causes varicose veins?

Varicose veins are caused by leaky vein valves, which allow blood to pool within the veins causing them to stretch and become enlarged. Varicose veins can be an isolated finding, but the majority of the time, they are caused by underlying venous reflux disease. Venous reflux disease is also known as venous stasis, venous insufficiency or venous incompetence. Reflux may occur in the deep and/or superficial leg veins.

In our study, led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, we studied over 1,000 legs with varicose veins. Over 90% of the time, the source of the varicose veins were the great and small saphenous veins. The Great Saphenous Vein (GSV) courses up the middle of the thigh and calf and the small saphenous vein (SSV), which courses along the back of the calf. Normally, there are one-way valves within the leg veins, which help blood flow in one direction: toward the heart. This means blood is traveling against gravity. The calf muscle also helps move blood toward the heart. When vein valves are leaky, blood flows backward (reflux) towards the feet. Blood pools in the lower legs, causing bulging veins at the surface.

 

“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 Elliot DeYoung, 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

 

Varicose vein and venous disease development2023-05-25T15:49:32-07:00
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