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5, 10, 2023

Clarivein: innovative vascular care explored-benefits, procedure & more

2024-10-28T09:55:11-07:00

Clarivein: innovative vascular care explored-benefits, procedure & more

If you’re suffering from backward flow, or “reflux,” in your saphenous vein(s), the ClariVein® procedure could be the minimally invasive solution you’ve been looking for. In this blog post, we’ll explore how this innovative treatment works and what you can expect on the day of the procedure. Discover how ClariVein® can help you regain your leg health and quality of life.

How Does the Treatment Work?

ClariVein Treatment: Minimally Invasive Solution for Leg Vein Health

The ClariVein® procedure is designed to effectively treat saphenous vein reflux. This minimally invasive approach can be completed in less than an hour, allowing patients to return to their daily activities on the same day. But how exactly does this treatment work?

The process begins with numbing the skin using lidocaine. Once the skin is sufficiently anesthetized, a ClariVein® catheter is carefully inserted into the unhealthy vein. This catheter performs two essential treatments:

  • Mechanical Treatment with a Tiny Rotating Wire: The ClariVein® catheter features a small rotating wire that gently closes the problematic vein. This mechanical treatment is painless and highly effective.
  • Chemical Treatment with Polidocanol: In addition to mechanical treatment, the catheter delivers polidocanol, a detergent-type sclerosant medication commonly used in varicose vein treatments. This chemical treatment further aids in closing the vein.

Remarkably, this technique requires only one skin puncture, similar to the placement of an IV. It’s a minimally invasive approach with minimal discomfort for patients.

What Should I Expect on the Day of Treatment?

Now that you have a better understanding of how the ClariVein® procedure works, let’s delve into what you can expect on the day of your treatment.

  • Local Anesthesia and Mild Oral Sedative: The procedure is performed under local anesthesia. However, many patients opt to take a mild oral sedative, such as Valium, to further relax during the treatment. This is typically taken after checking in and completing paperwork.
  • Comfortable Setup: You’ll change into a gown, leaving your underwear on. Depending on the specific vein to be treated, you may lie on your back or belly. Special accommodations are made if needed, ensuring your comfort during the procedure.
  • Entertainment Options: To help you relax, you’ll have the option to watch a movie on Netflix or listen to music during the procedure.
  • Ultrasound Mapping: Before the treatment begins, the doctor will use an ultrasound to map the vein(s) that require treatment.
  • Numbing and Puncture: In the numb area of the skin, a tiny puncture is made to pass the ClariVein® catheter. Lidocaine is injected to ensure you don’t feel any pain during this process.
  • Treatment Process: Once the catheter and rotating wire are in place, the doctor initiates the treatment. During this phase, you may experience a tickling or vibrating sensation, but pain should be minimal to nonexistent.
  • Compression Stocking: After the procedure, you’ll be assisted in wearing a compression stocking, which you should keep on continuously for 72 hours.
  • Post-Procedure Walk: Before leaving, you’ll be encouraged to walk for 30 minutes to promote circulation. This helps enhance the effectiveness of the treatment.

Conclusion

The ClariVein® procedure offers a quick, minimally invasive solution for saphenous vein reflux. By understanding how this treatment works and what to expect on the day of your procedure, you can approach it with confidence. Say goodbye to the discomfort of saphenous vein reflux and hello to a healthier, pain-free future with ClariVein®.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together to provide 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! 

Clarivein: innovative vascular care explored-benefits, procedure & more2024-10-28T09:55:11-07:00

Patient transforming testimonials

2024-10-31T19:13:51-07:00

Patient Transforming Testimonials

At La Jolla Vein & Vascular, we pride ourselves on providing comprehensive care for individuals dealing with various vein and vascular conditions. Our commitment to excellence and innovation has led to remarkable transformations in the lives of our patients. In this blog post, we will take you on a journey through the stories of some of our most common patient transformations, highlighting the impactful changes they experienced through our advanced vein and vascular treatments.

Understanding Venous Disease

Venous disease encompasses a range of conditions, from spider veins and varicose veins to deep vein thrombosis and chronic venous insufficiency. These conditions can cause discomfort, pain, and affect an individual’s overall quality of life. Recognizing the importance of early intervention and tailored treatment plans, we’ve assembled a team of skilled professionals dedicated to addressing these issues.

Common Patient transformations we see: stories of renewal

Patient 1: Journey to Confidence

Patient 1: A vibrant young woman, had been struggling with the appearance of spider veins on her legs. Feeling self-conscious about wearing her favorite dresses and shorts, she turned to our clinic for help. Through personalized sclerotherapy sessions, we targeted her spider veins, effectively diminishing their appearance. With her renewed confidence, she felt empowered to embrace her style without reservation.

Patient 2: Triumph Over Varicose Veins

Patient 2: An active middle-aged man, had been living with throbbing varicose veins that disrupted his daily activities. Seeking relief, he consulted our experts. After a comprehensive evaluation, we recommended minimally invasive procedures like radiofrequency ablation. The treatment not only alleviated his discomfort but also brought back the joy of participating in outdoor sports and spending quality time with his family.

Patient 3:  Journey to Comfort

Patient 3: A retiree, had been experiencing the effects of chronic venous insufficiency for years. The swelling and discomfort in her legs had taken a toll on her active lifestyle. Our team devised a comprehensive treatment plan, including ultrasound-guided foam sclerotherapy. The results were beyond her expectations. With reduced swelling and improved circulation, she found herself rediscovering the joy of long walks and gardening.

Our Approach to Transformation

At La Jolla Vein & Vascular, our patient-centric approach involves personalized consultations, state-of-the-art diagnostics, and tailored treatment plans. We believe in empowering our patients with knowledge about their conditions and involving them in the decision-making process. Our commitment to staying at the forefront of medical advancements ensures that our patients receive the most effective and innovative treatments available.

Join Us on the Journey to Wellness

If you or a loved one are grappling with vein and vascular conditions, we invite you to embark on a journey toward renewed wellness with us. Our dedicated team is here to provide not only effective treatments but also compassionate support every step of the way. We understand that each patient’s story is unique, and we’re excited to be part of your journey to improved vein health.

Patient Transforming Testimonials - La Jolla Vein & Vascular Patient Transforming Testimonials - La Jolla Vein & Vascular Patient Transforming Testimonials - La Jolla Vein & Vascular

These stories and many others highlight the profound impact that comprehensive vein and vascular treatments can have on individuals’ lives. Through innovative procedures and a patient-centered approach, we’re committed to bringing about positive transformations that extend far beyond the physical. 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together to provide 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!

Patient transforming testimonials2024-10-31T19:13:51-07:00

Patient varicose veins transformations

2024-10-31T21:20:52-07:00

Patient Varicose Veins Transformations

Varicose veins, those twisted and bulging veins just beneath the surface of the skin, can be a common concern for many individuals. While they most frequently appear in the legs, they can also emerge in other areas of the body. In this blog post, we’ll delve into the world of varicose veins, exploring what they are, what causes them, and shedding light on potential treatment options.

What are Varicose Veins?

Varicose veins are swollen, twisted veins that are visible just below the skin’s surface. Their appearance can be alarming, but they are actually a common condition that affects many people. These veins can often cause discomfort, pain, or a heavy feeling in the legs.

Causes of Varicose Veins

The main culprit behind varicose veins is faulty vein valves. These valves are responsible for ensuring proper blood flow by allowing blood to travel towards the heart and preventing it from pooling in the veins. When these valves become leaky, blood starts to accumulate in the veins, causing them to stretch and enlarge. This condition is often a result of venous reflux disease, also known as venous stasis, venous insufficiency, or venous incompetence.

Understanding Venous Reflux

Venous reflux occurs when blood flows backward, against gravity, due to malfunctioning valves. Normally, the calf muscles aid in pumping blood upwards, but with leaky valves, blood tends to pool in the lower legs, causing the veins to bulge at the surface. This condition is frequently observed in the great and small saphenous veins, which are responsible for carrying blood from the legs back to the heart. Over 90% of the time, varicose veins in the legs are linked to these veins.

Our Research Findings

In a notable study led by Dr. Nisha Bunke and published in the Journal of Vascular Ultrasound in 2018, more than 1,000 legs with varicose veins were examined. The research revealed that the great and small saphenous veins were the primary sources of varicose veins in a majority of cases. The Great Saphenous Vein (GSV), coursing up the middle of the thigh and calf, and the Small Saphenous Vein (SSV), located along the back of the calf, were particularly implicated.

Treatment Options

Fortunately, varicose veins are not a condition without solutions. With advancements in medical technology and knowledge, treatment options are available to alleviate discomfort and improve the appearance of affected veins. Various minimally invasive procedures, including laser ablation, radiofrequency ablation, and sclerotherapy, have proven effective in treating varicose veins.

Visual Proof: Patient Transformations

Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular Patient Varicose Veins Transformations - La Jolla Vein & Vascular

Witnessing the outcomes of varicose vein treatment can be truly remarkable. Many individuals experience significant improvements in both the appearance and symptoms of their varicose veins. These before-and-after images serve as a testament to the positive impact that proper treatment can have on one’s vascular health and overall well-being.

Varicose veins might be a common condition, but understanding their causes and treatment options empowers individuals to take control of their vascular health. With modern medical techniques, those suffering from varicose veins can seek relief and experience a significant enhancement in their quality of life. Whether it’s understanding the role of faulty vein valves, exploring the intricacies of venous reflux, or considering various treatment approaches, the journey to healthier veins starts with education and awareness.

“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! 

Patient varicose veins transformations2024-10-31T21:20:52-07:00

26, 9, 2023

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness

2023-08-31T18:32:31-07:00

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness

In the realm of advanced vascular treatments, Radiofrequency Perforator Ablation is revolutionizing the way we address vein issues. In this article, we delve into the intricacies of this procedure, exploring its benefits, the process it involves, and what you can anticipate on the day of treatment. Join us on a journey to understand how Radiofrequency Perforator Ablation can enhance your vascular well-being.

Understanding Radiofrequency Perforator Ablation: A Breakdown

Radiofrequency Perforator Ablation focuses on perforator veins, the short connections bridging deep and superficial veins. These veins, like others, can experience valve damage and venous reflux, contributing to discomfort and potential health risks. This innovative procedure aims to rectify these issues, offering relief and improved vascular health.

Why Perforator Veins Matter

Perforator veins are pivotal in linking the superficial and deep venous systems within the 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 can occur. This may lead to blood buildup, increased pressure, and complications such as edema, skin discoloration, dermatitis, and skin ulcers.

The Treatment Process: Unveiling the Steps

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

  • Preparation and Anesthesia: The procedure commences with the application of local anesthesia. Some patients opt for mild oral sedatives like Valium for enhanced relaxation.
  • Patient Comfort: You’ll be provided with a gown or shorts and positioned for comfort, with special accommodations made based on your needs.
  • Guidance and Insertion: Using ultrasound guidance, a fine needle is inserted into the perforating vein through the skin.
  • Radiofrequency Energy: The magic happens with the delivery of radiofrequency energy, which shrinks the perforator vein and eliminates abnormal flow.
  • Treatment Duration: Approximately 10 minutes are allotted for each perforating vein. Patients may have one or multiple veins treated in the same leg, requiring about an hour in the office due to preparation and setup.

A Day of Treatment: What to Expect

perforatorperforator

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

  • Anesthesia and Sedation: Local anesthesia is applied. Some opt for mild sedation to enhance relaxation.
  • Positioning: Special accommodations are made based on your comfort level, and you’re given the choice to watch Netflix or listen to music.
  • Ultrasound Mapping: Your veins are mapped, and numbing agents are injected.
  • Radiofrequency Catheter: A tiny puncture is made to insert the radiofrequency catheter.
  • Local Anesthetic: Additional local anesthetic is administered, numbing the vein and ensuring comfort.
  • Radiofrequency Treatment: The vein is painlessly treated with radiofrequency energy.
  • Post-Treatment Care: A compression stocking is applied, and walking is encouraged for the next 72 hours.

Post-Treatment Care: Guiding Your Recovery

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

Radiofrequency Perforator Ablation is a modern marvel in vascular care, offering relief from discomfort and enhancing overall well-being. At La Jolla Vein & Vascular, our expert medical professionals are dedicated to providing personalized care for your vascular health. By embracing innovative treatments like Radiofrequency Perforator Ablation, you can take confident strides towards 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! 

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness2023-08-31T18:32:31-07:00

Easing leg pain: your comprehensive guide to understanding and relief

2025-02-28T21:23:41-08:00

Easing leg pain: your comprehensive guide to understanding and relief

Leg pain can arise from a variety of sources, and it’s essential to determine the underlying cause to find the right treatment. In this article, we’ll explore the various factors that can contribute to leg pain, from vascular issues like poor circulation, varicose veins, and blood clots to non-vascular causes such as injuries, arthritis, and low back pain. Learn more about the different types of leg pain and how seeking professional evaluation can lead to effective relief.

Identifying the Causes of Leg Pain

  • Vascular Causes:
    • Blood Clots: Blood clots, whether deep vein thrombosis (DVT) or superficial vein thrombosis, can result in leg pain. DVT can lead to sudden swelling, pain, redness, and warmth in one leg. Superficial vein thrombosis often affects varicose veins, causing pain, hardness, and a rope-like sensation under the skin.
    • Venous Reflux Disease: This condition is characterized by leg pain, heaviness, and fatigue that worsens with standing and throughout the day. Hormonal influences can exacerbate symptoms in women. Nighttime leg cramping and restlessness are common signs. Visible signs may include varicose veins, ankle swelling, and skin changes like darkening or ulceration.
  • Non-Vascular Causes:
    • Injuries: Joint, bone, muscle, or ligament injuries can lead to localized leg pain.
    • Arthritis: Arthritic conditions can cause persistent leg pain.
    • Low Back Pain: Pain originating from the lower back can radiate down to the legs.

Understanding Peripheral Arterial Disease (PAD)

PAD progression blood vessels

Peripheral arterial disease refers to poor arterial circulation in the legs. This condition causes leg pain, often during walking, and is characterized by cramping, especially in the calf muscles. Resting typically alleviates the discomfort. Additional signs of PAD include pale toes and absent pulses in the feet.

Diagnosing and Treating Leg Pain

Diagnosing the source of pain involves a comprehensive approach:

  • Medical History: Healthcare providers gather information about your medical background, symptoms, and any risk factors.
  • Physical Examination: A thorough exam can reveal signs of vascular or non-vascular issues.
  • Non-Invasive Ultrasound Imaging: This imaging technique helps visualize blood flow and identify potential vascular problems.
  • ABI Test: An Ankle-Brachial Index (ABI) test can screen for peripheral arterial disease.

leg pain

Treatment Options and Relief

The good news is that all these conditions are treatable, often through improving blood flow. Once diagnosed, appropriate treatment plans can be established. Potential treatments include lifestyle changes, medications, minimally invasive procedures, and more. Seeking professional advice is crucial for tailoring the right treatment approach for your specific condition.

Seek Relief 

If you’re experiencing leg pain, don’t hesitate to reach out for professional evaluation. Understanding the root cause of your discomfort is the first step toward finding effective relief. Whether your pain is vascular or nonvascular in origin, remember that there are treatment options available. By consulting healthcare providers who specialize in these conditions, you can regain your comfort and mobility. Give us a call at 858-550-0330 to set up a diagnostic imaging session and consultation with our dedicated healthcare providers. Your journey towards pain-free legs starts with a simple call.

“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! 

Easing leg pain: your comprehensive guide to understanding and relief2025-02-28T21:23:41-08:00

Understanding what vein disease is and is not

2023-08-29T18:44:36-07:00

Understanding what vein disease is and is not

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.

vein disease

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.

vein disease

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.

vein disease

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 what vein disease is and is not2023-08-29T18:44:36-07:00

30, 8, 2023

Chemical Ablation: Varithena

2023-05-24T17:13:43-07:00

Varithena (polidocanol injectable foam)

is a prescription medication used to treat the great saphenous vein system (GSV) and associated varicose veins of the GSV system. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities. It is a non-thermal, non-tumescent, nearly painless method of vein treatment.

WHAT IS VARITHENA?

Varithena

Foam Sclerotherapy

Varithena is a “microfoam” formulation of polidocanol (sclerosing agent) and CO2.

The result is a microfoam that has an appearance and consistency similar to white, foamy shave cream.

Ultrasound guidance is used to inject Varithena® microfoam into the vein. The microfoam fills the lumen for circumferential

contact where it’s designed to displace blood and destroy the endothelial lining efficiently.

Varithena® may be recommended based on your vein location, size, anatomy and vein tortuosity.

Varithena® is:

  • Effective to treat veins of different sizes above and below the knee
  • Requires no incisions, sedation or general anesthesia
  • Does not require a wire to be inserted along the length of your vein
  • Does not use heat, eliminating the risk of thermal injury

How many treatments will I need?

The number and frequency of treatments depends on a patient’s anatomy, how quickly the veins respond, and the patient’s treatment goals.  There is a limit on the amount of medication we can give you each day to avoid causing side effects.  Some larger or resistant veins may require two treatments to respond completely but most veins respond to Varithena® after one treatment.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT?

You will sign your consent form then change into shorts provided by the office.  We will clean your skin with alcohol, then use ultrasound to localize the veins.  The foam medication will then be injected into your veins with a fine needle.  The foam fills and treats the desired section of the vein.  The diseased vein collapses and the foam is deactivated.  Your legs will be elevated on a comfortable wedge pillow for approximately 15 minutes. After your treatment, we will help you into your compression stockings, then you will walk for 30 minutes prior to getting in your car.

“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! 

 

Chemical Ablation: Varithena2023-05-24T17:13:43-07:00

Endovenous Laser Ablation

2023-05-24T17:05:49-07:00

VenaCure is an endovenous laser ablation (EVLA) procedure for backwards flow (or “reflux”) in your saphenous vein(s).

Laser is also referred to as endovenous laser ablation therapy (EVLT). The great and small saphenous veins are the two main superficial veins of the leg. They run along the inner leg and the back of the leg, respectively.

This minimally invasive procedure can be performed in the office in less than an hour and patients return to their usual level of activity the same day.

How does the endovenous treatment work for reflux?

The skin is numbed with lidocaine, then a tiny wire and the laser catheter are inserted into the vein. The catheter delivers laser energy to the vein wall, causing it to seal shut. The remaining healthy veins continue to bring blood back to the heart.

WHAT SHOULD I EXPECT ON THE DAY OF TREATMENT FOR REFLUX?

The procedure is performed with local anesthesia, but many patients elect to use a mild oral sedative (Valium), which is taken after checking in and completing all paperwork.

You will change into a gown and leave underwear on. Depending on the vein to be treated, you will lay on your back or on your belly.  We do our best to make special accommodations (for example, if you cannot lie flat or cannot bend a knee very well) with body positioning and using pillows.  We will do our best to make you comfortable. Then, we will give you the option of watching a movie on Netflix or listening to music. Once you are comfortable, your leg (s) will be prepped with a cleansing solution for the sterile procedure. The doctor will perform an ultrasound to map the vein (s) to be treated.

Then, a numbing agent (lidocaine) will be injected into the skin. In the numb area of the skin, a tiny puncture is made to pass the laser catheter under ultrasound guidance.  Your doctor will then use a needle to administer a combination of cool saline and local anesthetic around the vein.  This solution numbs the vein and insulates it from the surrounding tissue.  Laser energy will then be used to painlessly treat the vein.

Once your vein has been treated, we will help you into your compression stocking, which you will wear for 72 hours continuously. You will walk for 30 minutes prior to getting in your car.

“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! 

Endovenous Laser Ablation2023-05-24T17:05:49-07:00

RFA for perforator vein reflux

2023-05-24T16:56:04-07:00

Radiofrequency perforator ablation (RFA) is performed on perforator veins, short connections between your deep and superficial veins. Perforator veins can suffer the same sort of valve damage and retrograde blood flow (venous reflux) as other veins. Most patients with vein disease who experience skin changes, (that also may result in leg ulcers if left untreated) have reflux in perforator veins near their ulcers, as well as in the superficial or deep veins.

RFA

What are Perforator Veins?

Perforator veins serve as connections between the two networks of veins in the extremities, the superficial venous system and the deep venous system. Perforators connect the two parallel systems, and normally drain blood from the superficial veins to the deep veins as part of the process of returning oxygen-depleted blood to the heart.

Perforator veins have one-way valves designed to prevent backflow of blood down towards the superficial veins. When those valves no longer function properly and reflux occurs, the buildup of blood and pressure can cause not only the superficial veins but the perforators themselves to become incompetent. Perforator veins in the lower leg and ankle are particularly vulnerable to distention and incompetence, and the resultant circulatory problems create an increased likelihood of edema, skin discoloration, dermatitis and skin ulcers in the immediate area.

Your doctor may have recommended RFA treatment of your perforator vein(s) because it is contributing to:

  • Venous leg ulcers
  • Pre-ulcerative skin changes
  • Persistent or recurrent varicose veins
  • Leg pain
  • Leg swelling

“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! 

 

RFA for perforator vein reflux2023-05-24T16:56:04-07:00

7, 7, 2023

Patient Reviews and Testimonials: La Jolla Vein & Vascular

2023-05-24T13:03:01-07:00

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



Patient Reviews and Testimonials: La Jolla Vein & Vascular2023-05-24T13:03:01-07:00
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© Copyright 2010-2025, 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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