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Varicose Vein Treatment

The Kimmel Instiute

Varicose Vein Treatment

Our Boca Raton Office Offers Clinically Proven Treatments for Varicose Veins

The medical staff at The Kimmel Institute use a color Doppler Vascular Ultrasound to fully evaluate and examine the veins in patients. Their experienced ultrasound technologists perform gentle and professional studies to help guide varicose vein treatment decisions. Treatment Options include:

Laser Ablation

Under local anesthesia and after identifying the abnormal vein with ultrasound, a tiny laser fiber is inserted (with ultrasound guidance) into the vein. The laser is activated and the fiber is slowly withdrawn, closing the incompetent vein as the laser fiber is pulled out. The entire non-surgical varicose vein procedure takes less than an hour, and patients return home afterwards virtually pain free.

Ambulatory Microphlebectomy

This procedure is performed in the office under local anesthesia. When a patient has large visible veins that need to be removed, the microphlebectomy procedure is done to achieve both excellent cosmetic results as well as improvement in patients’ symptoms. Multiple tiny (1-2mm) cuts are made over the course of the veins, which are then teased out with surgical hooks. There is minimal pain with this procedure and virtually no ‘down time’.

Ultrasound Guided Chemical Ablation

This is often used for deeper veins that cannot be treated with the laser due to their location or morphology. A concentrated (FDA approved) chemical is injected into the vein with ultrasound guidance and then a pressure bandage is applied to help seal the vein shut. The chemical causes the vein walls to stick to themselves to keep the vein closed, diverting the blood to the normal vein channels.

Foam Sclerotherapy

Foam Sclerotherapy is a technique where the solution that is used to close veins is mixed with a gas, usually room air or compressed CO2, to create a foam. This can then be injected into the veins to achieve closure. The indication for the use of foam is usually for larger surface veins or incompetent twisted veins that cannot be closed with a laser.

Foam often works better than straight solutions on the larger veins because the tiny micro bubbles that make up the foam are able to displace the blood in the vein when injected. This results in better surface contact with the vessel wall, leading to closing of the vein. In addition, a smaller volume of solution is needed for injection, potentially decreasing complications.

The vein experts at The Kimmel Institute will suggest the best treatment for your vein problems based on both a physical exam and ultrasound.

This photo shows a before and after (2 weeks later) patient who was treated with foam Sclerotherapy:

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