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Las Vegas Vein Call our vein coordinator(702) 898-9191
Treatments

Total Vein Care, refined.

Every evaluation starts with a deep and superficial venous ultrasound in our accredited vascular lab. From there, Dr. Parisi recommends only the steps your veins need.

  • Medicare and most insurance
  • Nevada's only IAC-accredited vein center
  • 30,000+ procedures

The protocol, in order.

Based on the most current, peer-reviewed and widely accepted treatment plans. Not every procedure applies to every patient, and each can be performed on its own.

  1. Ultrasound

    Deep and superficial lower extremity ultrasound to confirm reflux.

  2. Catheter ablation

    Radiofrequency, laser, MOCA or VenaSeal closes the leaking vein.

  3. Microphlebectomy

    Removal of large surface veins, when needed.

  4. Sclerotherapy

    Closes small and medium veins that remain.

  5. Nd:YAG laser

    Finishes the finest surface veins with focused laser light.

Some insurers require venous studies from an accredited lab. Ultrasounds from non-accredited facilities may need to be repeated.

Radiofrequency ablation

Endovenous catheter ablation

A slim catheter gently heats the faulty vein from the inside so it seals closed. Blood reroutes to healthy veins.

Best forVenous reflux, varicose veins, aching and swollen legs
WhereIn office, one small IV site
TimeAbout 20 to 30 minutes

Through a single IV site, Dr. Parisi guides a thin catheter into the refluxing vein under ultrasound. Controlled radiofrequency energy warms the vein wall, which collapses and seals. Over the following months the body absorbs the closed vein, and blood travels through healthy veins instead.

There is no surgical stripping, no stitches and no scar. You walk out right after, and most people are back to normal daily activity quickly.

Laser ablation (EVLT)

Endovenous laser treatment

Laser energy delivered through a catheter closes the leaking vein from within, through one small entry point.

Best forVenous reflux, larger varicose veins
WhereIn office, one small IV site
TimeAbout 20 to 30 minutes

EVLT works on the same principle as radiofrequency, using laser light instead of radiofrequency energy to seal the vein. The choice between the two depends on your vein anatomy and on what your insurance approves.

Like every catheter procedure here, it is performed through a single IV site with local numbing, and you walk out the same day.

MOCA

Mechanochemical ablation

A rotating catheter tip and a medicated solution close the vein without heat, so fewer numbing injections are needed.

Best forVenous reflux, patients who prefer a heat-free option
WhereIn office, one small IV site
TimeAbout 20 to 30 minutes

Mechanochemical ablation pairs gentle mechanical action from a rotating wire with an FDA-approved sclerosant. Because no heat is used, the leg needs far less numbing along the vein.

It is one of several catheter options Dr. Parisi performs, which lets him match the technology to your vein rather than to whatever single device a clinic happens to own.

VenaSeal

Medical adhesive closure

A medical-grade adhesive seals the vein from the inside. Availability depends on what your plan approves.

Best forVenous reflux
WhereIn office, one small IV site
TimeAbout 20 to 30 minutes

VenaSeal closes the refluxing vein with a tiny amount of medical adhesive placed through a catheter. The vein lining bonds and closes, and blood reroutes to healthy veins.

Coverage for adhesive closure varies by insurer, and our vein coordinator will confirm what your plan approves before treatment.

Not sure which treatment you need?

You don't have to know. Your ultrasound decides, and our vein coordinator can book it today.

Sclerotherapy

Including ultrasound-guided foam

A fine injection of FDA-approved solution closes small and medium veins so they fade over the following weeks.

Best forSpider veins, small varicose veins, veins feeding a wound
WhereIn office
TimeShort office visit

A sclerosant is injected into the vein, which irritates the lining so the vein closes and is gradually absorbed. The solution is painless as it enters the vein. Ultrasound-guided foam sclerotherapy lets us reach veins below the skin surface.

Sclerotherapy can be done on its own or after catheter treatment to finish the result, and it pairs well with Nd:YAG laser for the finest veins.

Nd:YAG laser

Cutaneous skin surgery

Focused laser pulses through the skin close very fine surface veins so they fade over time.

Best forFine spider veins, veins too small to inject
WhereIn office, noninvasive
TimeShort office visit

The Nd:YAG (neodymium-doped yttrium aluminum garnet) laser emits a pulse that targets small surface veins so they close and fade, similar to sclerotherapy but completely noninvasive.

It is especially effective for very small surface veins, and is often combined with sclerotherapy for the cleanest finish.

Microphlebectomy

Reserved for select cases

Tiny openings in the skin let Dr. Parisi remove a bulging surface vein, with no stitches needed.

Best forLarge bulging surface veins
WhereIn office
TimeVaries by vein

Through very small skin openings, the visible vein is removed with fine instruments. Because the openings are not stitched, scarring is minimal or not visible.

Today it is used selectively, typically for large surface veins or when a surface vein is feeding a wound and slowing healing.

Watch

See a procedure, start to finish.

Many patients feel calmer after seeing exactly what happens. The full procedure video is on our YouTube channel.

Watch the procedure video

Is it covered?

When veins cause symptoms, treatment is medical care and is billed to your insurance as a covered benefit. CareCredit is available for anything your plan doesn't cover.

Insurance questions

Find out what's behind your leg symptoms.

One painless ultrasound gives you an answer. If treatment makes sense, it happens right here in our private procedure room, and you walk out the same day.

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