Dr. Thomas Parisi, MD, DABVLM, is the leading vein treatment specialist in Las Vegas area.
Our Total Vein Care protocol is based on the most current, peer-reviewed, and widely accepted treatment plans available today. Furthermore, we believe vein care should also include preventive measures, allowing you to spend more time with your loved ones and less time at the doctor’s office.
First Vein Treatment Step:
Deep and Superficial Vein Ultrasound
The Lower Extremity Ultrasound (LEU) is a noninvasive evaluation of your lower extremities, serving as the first step in vein treatment. This ultrasound helps determine whether you have vein reflux disease (“Reflux”) that requires therapy.
Reflux occurs when the veins or their valves do not function properly. As a result, blood pools in the lower legs instead of returning efficiently to the heart. This can lead to symptoms such as swelling, restless legs, discoloration, and varicose veins. The LEU is essential for identifying which veins need treatment, ensuring both the provider and your insurance have the necessary information to proceed with therapy.
Note: Exams performed at Pueblo Imaging cannot be accepted, as that facility is not accredited for venous studies.
Second Step:
Vein Treatment (Endovascular Catheter Ablation)
What Does This Mean?
The vein is closed within your body using a catheter, without the need for surgical stripping, sutures, or scarring. The entire procedure is performed through a single intravenous (IV) site.
The basic premise of the procedure is that the catheter causes the vein to close in different ways, depending on the technology approved by your insurance. The technologies used may include LASER, Radiofrequency, VenaSeal, or MOCA. As the vein is treated, its lining changes and acts like glue, sealing the vein shut.
Depending on the procedure performed, compression may be applied to the leg afterward, and the patient walks out immediately after treatment. These technologies are safe for all patients unless a specific contraindication exists. This procedure can also be performed independently of any other treatment steps.
To watch a full video of this procedure on YouTube, click the link below:
https://youtu.be/DMBfIhZjKNw
Third Step:
Vein Removal - Microphlebectomy
Microphlebectomy is a procedure that involves the removal of medium-sized veins from the skin’s surface. This type of vein removal is performed through small incisions in the superficial layer of the skin, followed by the extraction of the vein using precise, specialized instruments. The visible vein is excised and removed during the procedure.
The incisions are not stitched, which means scarring is minimal or not visible at all. However, this is an older method that is rarely used by today’s phlebologists and is typically reserved for extreme cases only.
This procedure can be performed independently of any other treatment steps.
Fourth Step:
Sclerotherapy
Sclerotherapy is a treatment for small, visible veins in which a solution is injected into the vein, causing it to close and eventually disappear. The solution is painless when introduced into the vein.
The combination of sclerotherapy and YAG laser therapy has been shown to be an effective treatment for smaller surface veins. This procedure can be performed independently of any other treatment steps.
Fifth Step:
Nd:YAG (Neodymium-doped yttrium aluminum garnet)
Vein Removal Laser Treatment
Nd: YAG Laser Treatment (YLT) is a proven, noninvasive treatment for superficial veins. This procedure emits a laser pulse that causes the veins to disappear, similar to sclerotherapy. However, the key difference is that YLT can treat veins in a completely noninvasive manner and is especially effective for targeting much smaller veins that are difficult to access with sclerotherapy.
Once you have completed the above five options (if necessary), we hope you are satisfied with the results of your vein treatment and removal procedures. At Las Vegas Vein, it is our policy to ensure that every patient is completely satisfied with their care. Subsequent appointments will focus on evaluating the success of your treatment and ensuring your satisfaction.
This treatment can also be performed independently of any other steps.
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