Definitive treatment for spider veins involves injections. Some will claim that superficial lasers or radiofrequency generators can do the job…but, in my opinion…based on experience…I would recommend starting with sclerotherapy first and use those other modalities as a last resort or to treat veins too small to enter with a needle. Sclerotherapy Centuries old, the concept of injecting solution into varicose veins in order to get them to scar down and shrink is still a mainstay in the armamentarium of phlebologists. Like thermal ablation, the goal is to achieve irreversible damage to the cells that line the walls of veins, causing local inflammation and ultimately scarring down and resorption of the vein itself. Too little, the body can ultimately heal the damage and allow blood to continue to flow through diseased veins. Too much can allow the sclerosing agent to flow into normal healthy veins and cause unwanted damage.
Wow… a three-parter. Makes me think of “3-Peat”, which makes me think of the glory days of Da Bulls. I’d like to think of myself as the Michael Jordan of vein docs here in my arena at Rosen Vein Care, conveniently located in Northbrook. About the closest I’ll ever come to making a slam-dunk is a metaphorical one relating to endovenous ablation of varicose veins…and I think I can be satisfied with that. True, I might not have a pair of Nike shoes designed especially for me (though the “swoosh” kinda looks like a tortuous vein). True, I may not have a cologne bearing my name on the counter at Macy’s […what on earth would it smell like? Ablated vein? Ew.] But…here in my office at Rosen Vein Care…I feel like a man in the prime of his career…standing at my equivalent of the 3 point line (next to the comfy table in my procedure room)…firing off one at the buzzer to score a victory against my arch nemesis: superficial venous insufficiency. Though you can’t see it under my surgical mask, my tongue is sticking out in true Jordan fashion. Maybe I should embroider a #23 on my scrub shirt?…. Ahem…let’s get back to our lecture, shall we? We left off with definitive treatment options for superficial venous insufficiency that were non-surgical, minimally-invasive and well-tolerated. Namely, we talked about endovenous laser ablation (EVLA) In comparison to surgical options of yesteryear, EVLA rocks and it rocks hard. Ironically the discomfort associated with the procedure relates to the use of local anesthetic; once the anesthetic is placed, patients feel no discomfort…only boredom. However, in the spirit of wanting to make the patient experience better and more comfortable, newer state-of-the-art procedures have arrived to deal with incompetent saphenous veins that DO NOT REQUIRE TUMESCENT LOCAL ANESTHESIA. Today’s veinblog post will introduce you to Mechanical Occlusion with Chemical Assist (MOCA…or, as it is known by its trade name, Clarivein®). This procedure has been around for about 5 years now and data is amassing about its efficacy. Similar to EVLA, Clarivein® is a minimally-invasive means […]