Radiofrequency ablation
A slim catheter gently heats the faulty vein from the inside so it seals closed. Blood reroutes to healthy veins.
- Best for
- Venous reflux, varicose veins, aching and swollen legs
- Where
- In office, one small IV site
Aching, swollen legs and bulging veins usually have a fixable cause. Dr. Thomas Parisi finds it with one painless ultrasound and treats it in our private procedure room, and treatment is covered by most insurance.
Questions about your legs, insurance or scheduling, answered by phone.
Call now(702) 898-9191Our vein coordinator will call you shortly during office hours.
One physician. One small, consistent team. Since 2006, Las Vegas Vein has treated every patient like family, with Total Vein Care under one roof.
Inside your leg veins, small valves open as blood flows toward the heart and close behind it. Calf muscles pump with every step, and nothing pools.
When valves in the saphenous veins stop closing, blood slips backward and pools in the lower leg. Pressure stretches the veins, and once stretched they can't return to normal. Legs feel fine in the morning and heavy by evening.
Through a single IV site, Dr. Parisi seals the leaking vein from the inside. Blood immediately reroutes into the healthy deep veins, which is why many patients feel lighter legs quickly.
One call gets you answers. Our vein coordinator can schedule your painless ultrasound and check your insurance.
Standard-of-care techniques with FDA-approved devices and materials. Because Dr. Parisi performs them all, your plan is built around your veins, not around a single machine.
A slim catheter gently heats the faulty vein from the inside so it seals closed. Blood reroutes to healthy veins.
Laser energy delivered through a catheter closes the leaking vein from within, through one small entry point.
A rotating catheter tip and a medicated solution close the vein without heat, so fewer numbing injections are needed.
A medical-grade adhesive seals the vein from the inside. Availability depends on what your plan approves.
A fine injection of FDA-approved solution closes small and medium veins so they fade over the following weeks.
Focused laser pulses through the skin close very fine surface veins so they fade over time.
Tiny openings in the skin let Dr. Parisi remove a bulging surface vein, with no stitches needed.
Call or request a visit and our dedicated vein coordinator takes it from there: scheduling, insurance verification and any paperwork your plan requires.
Your evaluation is a full history, a physical exam and a lower extremity ultrasound in our accredited vascular lab. It is quick, comfortable and noninvasive.
If reflux is found, Dr. Parisi walks you through which veins are involved and which treatment fits. Not every patient needs every step.
Treatment happens in our private changing and procedure room, with lifting tables, entertainment, and comfort for your loved ones while they wait.
Most procedures take about 20 to 30 minutes through one small IV site. You walk out the same day, and follow-up visits continue until you're satisfied.
Most procedures take about 20 to 30 minutes, and you walk out the same day.

He believes healing begins at the first consultation and continues through treatment, follow-up and lifelong health.
Dr. Parisi is a Diplomate of the American Board of Venous & Lymphatic Medicine, a Fellow of the American College of Physicians and a Registered Phlebology Sonographer. He also leads inpatient wound care rounds at West Henderson Hospital.

Pamela is a board-certified Family Nurse Practitioner with extensive experience in internal medicine, chronic disease management, preventive care and wound care. A Las Vegas resident for over 40 years, she works alongside Dr. Parisi so every patient feels heard, respected and involved in their care.
Endovenous catheter ablation has been used to treat more than 10 million patients worldwide.
Of treated veins remained free of reflux at 12 and 24 months.
Patient satisfaction at the six-month assessment.
Days of typical recovery, with less pain than traditional vein stripping.
Figures reflect published clinical data for endovenous catheter ablation, as presented on lasvegasvein.com, not outcomes specific to this practice. Individual results vary.
From shorts after fifteen years to wounds that finally healed. Hover to pause.
“I wouldn't wear shorts for over 15 years because I was so embarrassed about the way they looked. Now I wear shorts all the time.”
“I went to another vein clinic and I did not get the results I was looking for. Dr. Parisi achieved those results in less than a month.”
“I appreciate how Dr. Parisi does the entire procedure himself. The other place I went to, the doctor was out in 5 min.”
“His clinic is not a factory. He gives one-on-one care and explains everything. I was impressed.”
“I have used body make-up on my legs for years. After Dr. Parisi did his magic, I am make-up free!”
“Dr. Parisi saved my life. My legs were killing me and with his help, they do not bother me anymore.”
“Those spider veins were an issue for me as I perform. Dr. Parisi took care of those veins with no issues and I was able to perform during therapy.”
“My whole leg was sore and no one could help. Dr. Parisi diagnosed it in 5 minutes and now I feel great.”
“Now I can travel on planes and not suffer from legs swelling and cramps anymore. Really helped with business trips.”
“My wound wasn't healing and I went everywhere. Dr. Parisi took his time and did the job right. Once it healed, it hasn't come back.”
“He was able to coordinate wound care with hyperbarics for my PAD. He saved my leg and he'll save yours too.”
“The lymphedema centers made me believe I didn't have options for my care. Dr. Parisi has helped me live the life I want to lead.”
“I can't believe my legs can feel this good. I can't remember when they felt this good.”
“I had a large vein in my leg that hurt when I worked out. After Dr. Parisi fixed it, I feel great.”
“I can go the movies now without my legs bothering me.”
“Those ugly veins in my legs are now gone. Thank you Dr. Thomas.”
“Once he completed his work and I healed up fully, I will never go anywhere else with the results I got.”
“Going to LA is breeze now. Those long commutes are no longer a problem.”
“I order my lymphedema wraps from Dr. Parisi. My cash price is cheaper than the co-pay through insurance!”
“His training exercises saved me. My balance is amazing now and I haven't fallen in over 6 months.”
“I couldn't achieve the strength goals put forward by Dr. Parisi but the muscle stimulator got me there. Now I don't use a cane.”
“His body sculpting machine helped increase my lower back strength. Now my back pain has reduced a lot.”
“My legs were so swollen and hurt so badly. Dr. Parisi's treatments have helped me in the meantime while I wait for insurance to approve treatment.”
“Dr. Parisi is very upbeat and personal. He takes his time and really does the job right. I won't go anywhere else.”
Testimonials reflect individual patient experiences. Individual results vary.
Talk with our team about your legs today. Medicare and most insurance accepted.
The standards behind the care, from national accreditation to awards voted on by patients.
Rated and awarded by patients.
Your guide to the best medicine in Las Vegas.
The only one in Nevada, meeting national standards for vascular testing and vein care, reviewed every three years.
Dr. Parisi is a Diplomate of the American Board of Venous & Lymphatic Medicine.
Part of the national PCMH program, held to the same standards as a hospital for patient-focused care.
Las Vegas Vein trains future physicians from local medical universities.
Many leg problems overlap. Dr. Parisi is also a certified wound care and hyperbaric medicine specialist, so you aren't sent across town.
An accredited outpatient wound center for venous, diabetic and pressure ulcers, with wound vac management and copays typically lower than hospital-based centers.
Wound careAn accurate diagnosis first, then a home plan with compression pumps, strap systems and wraps, renewed each year when covered.
LymphedemaGentle, low-level stimulation that rebuilds strength and balance for people who can't do traditional physical therapy.
Strength therapySymptomatic vein disease is a medical condition. Some clinics claim certain procedures aren't covered. We bill your insurance for every treatment that is a covered benefit of your plan.
For costs your plan doesn't cover, qualified patients can pay over 12 to 18 months with no interest. CareCredit can also be coordinated with your Health Savings Account.
Usually, yes, when your veins cause symptoms such as pain, swelling, cramping or skin changes. Insurers treat symptomatic vein disease as a medical condition, not a cosmetic one. Las Vegas Vein bills Medicare and most major plans for every treatment that is a covered benefit, and our vein coordinator handles the prior authorization your plan requires. Purely cosmetic spider vein treatment may not be covered.
You'll review your health history and symptoms, have a brief exam, and get a lower extremity ultrasound of your leg veins. The ultrasound is painless and noninvasive. If it shows venous reflux, Dr. Parisi explains your treatment options.
Endovenous catheter procedures typically take about 20 to 30 minutes and are done in our private procedure room through a single small IV site with local numbing. You walk out the same day. Published data for the procedure report recovery of about 3 to 7 days, and walking is encouraged.
Most patients describe it as mild. The leg is numbed before the catheter is placed, and sclerotherapy solution is not painful as it enters the vein. Some soreness or bruising for a few days is common.
Varicose veins are larger, bulging, rope-like veins, usually caused by leaking valves in deeper veins. Spider veins are small red, blue or purple veins near the skin surface. Spider veins can be treated with sclerotherapy or Nd:YAG laser, but they sometimes signal reflux underneath, which is why we check with ultrasound first.
All four close a leaking vein from the inside through one small IV site. The right choice depends on your vein anatomy, your health history and what your insurance approves. Dr. Parisi performs all of them, so the recommendation is based on what fits you.
The fastest way to get answers is a quick call with our vein coordinator. Prefer we call you? Leave your number.
Tap to call(702) 898-9191Our vein coordinator will reach out during office hours. Prefer to talk now?
Call (702) 898-9191