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The Vein Center at North Shore-LIJ

Endovenous Laser Therapy (EVLT)
Varicose veins are defined as a defect in the valve of a vein, which limits blood flow, causing the vein to bulge. This defect can often be repaired through a minimally invasive technique called Endovenous Laser Therapy (EVLT). EVLT delivers laser energy through a catheter under continuous ultrasound guidance. The laser therapy closes the defect in the valve of the vein and allows the blood to flow more freely. This approach is a minimally invasive outpatient procedure with minimal recovery and immediate results.

To learn more about our new non-surgical procedures for varicose veins, visit VenaCure.

Sclerotherapy
Sclerotherapy, or “injection therapy”, can successfully treat 90% of all varicose veins and nearly 100% of spider veins safely, effectively, and painlessly – with excellent cosmetic results.

The procedure is simple. A mild chemical solution is injected into the affected vein, causing the walls of the vein to become irritated and collapse. The vein is then absorbed in the body’s natural healing process. The blood from the closed vein is re-routed to a healthy vein, restoring proper circulation.

At the Vein Center, we identify leaky vein valves and systemically inject incompetent veins at the source of their dysfunction. Think of a river and its tributaries. If a dam is built at the head of the river, all of the water downstream will dry up. The same principle is applied to varicose vein treatment.

Following the injections, the leg is wrapped with an elastic bandage for several hours. Compressing the vein helps to ensure that it stays closed. Over the next two to three weeks the treated veins begin to heal and disappear. Different solutions, concentrations, and techniques can be used for optimum results, depending upon the size of the damaged vein, the color of the patient’s skin, and the patient’s healing time.

Laser Therapy
Laser Therapy is used primarily in the treatment of the smallest of spider veins or broken capillaries on the face. Lasers are occasionally used to complement sclerotherapy for the treatment of spider veins on the legs.

Modern lasers emit a very specific wavelength of high-energy pulsed light delivered in variable intervals. After the laser energy passes harmlessly through the skin, the laser light is absorbed by the red blood cells in the capillary. The laser energy is then converted into heat energy, which causes the blood vessel to coagulate, disappearing from sight within a few weeks. A cooling device can be used to maximize patient comfort.

Ambulatory Surgery
Ambulatory Surgery is reserved for incompetence of the long saphenous vein and its main valve at the groin. Only 5-10% of large varicose vein cases require surgery. To determine if surgery is necessary, several in-office diagnostic tests are performed to provide a picture of the problem and indicate the pressure of blood flow in the deep veins.

When surgery is required, a modern form of the classic Ligation and Stripping procedure is performed at North Shore University Hospital or Long Island Jewish Medical Center utilizing a general, spinal, or regional anesthesia. The surgery takes less than an hour and the patient can return home in two to three hours, resuming normal activities the following day.

The Vein Center uses an advanced surgical technique to remove the main vein. This procedure requires only two small hidden incisions – one in the public area and the other on the inside of the knee, or occasionally below the ankle. During surgery, damaged branches of the main vein can also be removed.

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