Author: Western Vascular Institute

Radio-Frequency Ablation for Varicose Veins.

 

Radiofrequency closure, also known as radiofrequency ablation, addresses the venous reflex disease that often causes varicose veins. It serves as an alternative to traditional vein stripping, which requires invasive surgical removal of the diseased veins. Instead, radiofrequency ablation uses heat energy to prompt the closure of diseased veins.

The surgeon starts by numbing the area with a topical and local anesthetic. Then, by way of a small incision, he or she passes a catheter or similar tool into the affected vein. The catheter serves as a channel through which the surgeon introduces an electrode.

When the surgeon pulls back on the catheter to expose the end of the fiber or electrode, energy passes into the vein as heat. This heat shrinks the collagen in the vein wall, which in turn causes the vein to shrink and close. The surgeon then removes the catheter and the patient’s body proceeds to heal the closure by rerouting blood to healthy veins.

 

https://www.westernvascular.com/vein-center/varicose-veins/

https://www.medtronic.com/us-en/healthcare-professionals/products/cardiovascular/superficial-vein/closurefast-rfa-system.html

Sclero-Therapy for Spider Veins.

 

Sclerotherapy is a minimally invasive procedure performed by injecting a saline solution into the varicose vein. This irritation to the vein causes the defective vein to collapse.

The body reroutes the blood supply to bypass the damaged vein, which is eventually reabsorbed into the body.

To begin a typical sclerotherapy procedure, a physician uses a fine needle to inject the salt solution into the vein itself.

Any discomfort felt is most often mild and resolves in less than two minutes, though the full procedure may take up to half an hour.

This may include injection into multiple veins, depending on the location and size of the affected vessel.

Most patients undergo the procedure in an outpatient setting and can drive themselves home afterward.

 

https://www.westernvascular.com/vein-center/spider-veins/

https://vascular.org/patient-resources/vascular-conditions/varicose-veins

The Joint Commission Gold Seal Of Approval / Certification

The Joint Commission?

What is it?

The Joint Commission is an independent non-profit organization that accredits and certifies healthcare organizations in the United States. A Joint Commission accreditation and Gold Seal of approval is a symbol of Quality and Excellence that reflects an organization’s commitment to meeting and exceeding performance and safety standards.

Why should you care?

Hospitals are required to be joint commission accredited in order to provide the safest and appropriate care for their patients. But Accreditation is not required for outpatient centers such as Western Vascular Institute. Western Vascular requests these audits and subjects themselves to intense scrutiny to show our patients our continued commitment to quality care & outcomes in vein and artery treatments.

Are All Vein and Vascular centers accredited?

No, in fact, Western Vascular Institute is the only Vein and Vascular group in Arizona providing in-office care, dedicated to peripheral vascular disease accredited by The Joint Commission.

We believe that quality is the result of excellent work without compromise.

 

Understanding Deep Vein Thrombosis (DVT)

Symptoms:

can occur without warning signs
Also felt as discomfort in the affected area including Swelling and pain the affected leg. Additionally, redness and warmth along the vein where the clot is found.

Causes


Coagulation of blood is an important process that helps to prevent excessive bleeding during injury. However, in the absence of Injury, when the blood is not flowing properly or if it pools in the veins the platelets in the blood that help with coagulation can stick together and cause it to clot.

a. Inactivity- During a long flight or drive
b. Damage to a vein
c. Cancer or other diseases that cause your blood to clot more easily
d. Medications
e. Hormones


Risk Factors

a. Age
b. Obesity
c. Pregnancy
d. Family History of DVT
e. Having a catheter placed in a vein
f. Deep vein injury
g. Smoking

Diagnosis


Your vascular surgeon will ask questions about your symptoms and medical history as well as performing a thorough physical examination.

a. Duplex ultrasound to check the flow of blood in the area of the perceived clot. A Venograph can also be done by injecting a contrast dye into the vein under x-ray to see where the dye is allowed to pass through. The X-ray will show a mapping of your veins and show the area where the contrast dye was unable to pass through. Although DVT’s can generally be diagnosed by duplex ultrasound, venography is another option Western Vascular Institute has available to confirm the diagnosis.

Treatments


Most often a Deep Vein Thrombosis or DVT can be treated by a medication known as blood thinners or anticoagulants. These medications help prevent the blood from clotting and over time reduce the size and consistency of the clot.

Staying Healthy


Maintain good overall health including a healthy diet and staying physically active will help reduce the risk of a DVT. It is likewise important to maintain a healthy weight and make sure to follow up with your vascular surgeon to discuss the possibility of long-term blood thinner medications.

https://www.westernvascular.com/vein-center/deep-vein-thrombosis/

https://vascular.org/patients/vascular-conditions/deep-vein-thrombosis

 

What is a Vascular Ultrasound?

Vascular Ultrasound or Duplex study

 

A Vascular Ultrasound or Duplex study is a non-invasive test performed to evaluate a patient’s blood flow through the arteries and veins. The test provides Vascular Surgeons with the information they need to provide a diagnosis and set a course of treatment for each patient. All the ultrasound technicians at Western Vascular Institute are trained specifically in Vascular sonography, and the IAC Intersocietal Accreditation Commission accredits our facilities for vascular sonography.

Patients can rely on accreditation to indicate that the facility that performs their examination has proven a commitment to providing quality testing for the diagnosis of vascular disease. Patients can rest assured that accredited facilities have been carefully critiqued on all aspects of their operations considered relevant by medical experts in the field of vascular technology.

Health care organizations are held to very high levels of accountability by peers and the general public. In numerous states, reimbursement directives that require accreditation of the facility have been instituted by Medicare carriers and private, third-party insurers. Similar draft payment policies are pending throughout the United States. Facilities attaining accreditation before it is required for reimbursement demonstrate a willingness to surpass current expectations.

The general public and the vascular testing community members will recognize an unmatched commitment to providing quality health care by facilities that achieve IAC Vascular Testing accreditation.

 

https://vascular.org/patient-resources/vascular-tests

Varicose Veins

Varicose Veins are veins that have become enlarged and twisted. They can occur anywhere on the body, but most often appear in the arms and legs. Some cases of varicose veins are solely cosmetic, but often they produce pain and discomfort or lead to other circulatory problems. Possible complications include ulcers near the ankles, bleeding, or blood clots.

In healthy leg veins, tiny valves keep blood from pooling in the lower body. When these veins become stretched with age, the valves fail and blood accumulates.

Our Board-certified vascular surgeons have extensive experience treating varicose veins.

Diabetes & Vascular Disease

Diabetes is one of the strongest risk factors for any form of vascular disease. Diabetes can cause many complications that worsen the vascular disease. Some of these complications include vein weakness, weight gain, venous ulcers, DVT’s, and Peripheral Vascular Disease. Many with diabetes worry they can’t be treated for varicose veins and other vascular complications. However, it is because of their diabetes that they should be treated by a vascular surgeon sooner rather than later.

Painful, tired legs? It could be Varicose or Spider Veins!

 

 Vascular surgeons are the only specialist focusing
 exclusively on Vein & Artery disorders. 

Do you suffer from:

  • Aching & uncomfortable legs
  • Itching/muscle cramps
  • Swelling in feet & ankles
  • Burning or throbbing
  • Leg heaviness/tiredness
  • Skin discoloration

Treatments

  • Compression stockings
  • Sclerotherapy
  • Radiofrequency ablation
  • Phlebectomy
 

 

What is Atherosclerosis?

Atherosclerosisis a disease process that leads to the hardening or clogging of arteries. The build-up over time of substances such as fat, cholesterol, & calcium, collectively called plaque, narrows the artery and restricts the amount of blood able to pass through the arteries, and provides oxygen-rich blood to the body. This stenosis or narrowing of the artery can lead to serious problems such as stroke, amputation, heart attack, and death.

 

What is Limb Salvage?

Introduced by Western Vascular Institute over 20 years ago, limb salvage of the leg, foot, & ankle is a term used to describe the type of procedure that our wound & Vascular board-certified surgeons are able to provide to save a patients leg from amputation due to peripheral artery disease, diabetes & many other conditions.

In this procedure, our surgeons, because of their unparalleled training & skill level, are able to open arteries through endovascular catheters all the way down to the toes. This allows for blood flow to reach all the way to the tips of the toes, which helps patients improve their mobility & ability to heal wounds as well as saving or “salvaging” their limbs from amputation.

 

 

 

 

 

 

 

 

 

 

 

 

 

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