Category: Varicose Veins

Unveiling the Hidden Risks of Varicose Veins

The featured content from Western Vascular Institute, as seen on KTAR News, sheds light on the significant health implications of varicose veins beyond mere cosmetic concerns. Dr. Mitar Vranic, Vascular Surgeon and CEO of Western Vascular Institute, underscores the multifaceted problems associated with varicose veins, including pain, blood clots, and skin ulcers.

Understanding the physiological role of veins in facilitating blood flow, the content explains how weakened or damaged valves can lead to venous insufficiency, causing blood to pool in the veins and resulting in the characteristic bulging appearance of varicose veins.

Various risk factors predispose individuals to varicose veins, such as pregnancy, menopause, age over 50, sedentary lifestyle, obesity, and prolonged periods of sitting or standing. Recognizing symptoms like leg pain, itching, swelling, and skin discoloration is crucial, especially as symptoms worsen in hot weather.

The content emphasizes preventive measures, including weight loss, leg elevation, avoidance of prolonged sitting or standing, and wearing compression stockings. Additionally, it outlines treatment options, ranging from minimally invasive procedures like sclerotherapy and RF ablation to surgical interventions like phlebectomy, all aimed at alleviating symptoms and improving vascular health.

Western Vascular Institute, with its team of Vascular Specialists, offers comprehensive support from diagnosis to treatment selection, ensuring personalized care for individuals experiencing varicose vein symptoms or other vascular issues. Readers are encouraged to seek expert guidance and make appointments for further evaluation and treatment at Western Vascular Institute.

What is Deep Vein Thrombosis?

DVT occurs when a blood clot forms in the deep veins, obstructing blood flow. If left untreated, the clot can break loose and travel to the lungs, causing a pulmonary embolism, a life-threatening complication. This potentially life-threatening condition occurs when a blood clot forms in one of the deep veins, typically in the legs. It is crucial to raise awareness about DVT and its potential risks, symptoms, and prevention strategies.

Understanding DVT:

Deep Vein Thrombosis (DVT) is a condition that often goes unnoticed until it becomes a serious health concernDeep Vein Thrombosis.. Anyone can develop DVT, but certain factors increase the risk, such as prolonged immobility, surgery, pregnancy, obesity, smoking, and a family history of blood clots.

Recognizing the Symptoms:

DVT may present with various symptoms, including leg pain, swelling, warmth, and redness. However, it’s important to note that some individuals may not experience any noticeable signs. If you notice any unusual leg symptoms or suspect DVT, it’s crucial to seek medical attention promptly.

How To Prevent DVT

Fortunately, there are several preventive measures that can significantly reduce the risk of developing DVT. Regular exercise, especially leg movement during long periods of sitting or standing, can improve blood circulation. Maintaining a healthy weight, quitting smoking, and avoiding excessive alcohol consumption also contribute to reducing the risk.

For individuals at higher risk, such as those undergoing surgery or prolonged immobility, preventive measures like wearing compression stockings or taking blood thinners may be recommended. It is important to discuss these options with your healthcare provider.

How DVT Is Diagnosed

If DVT is suspected, diagnostic tests such as ultrasound imaging can confirm the presence of a blood clot. Early diagnosis is crucial for timely treatment and to prevent complications.

How DVT Is Treated

Treatment often involves the use of blood thinners to prevent the clot from growing and to reduce the risk of pulmonary embolism. In some cases, procedures like thrombolysis or placement of a filter in the vein may be necessary to manage the clot effectively.

Raising Awareness and Sharing Knowledge:

By increasing awareness about DVT, we can empower individuals to recognize the symptoms, seek early medical attention, and adopt preventive measures. Remember, DVT can affect anyone, so it is essential to spread the word and educate others about this silent threat.

If you have concerns about DVT or if you fall into a high-risk category, consult with your Western Vascular Institute. Together, we can work towards preventing DVT and promoting healthier lives.


Why are vascular ultrasounds necessary?

Why are vascular ultrasounds necessary?


Detailed Vascular Assessment:

A vascular ultrasound study is necessary because it provides a non-invasive and painless way to evaluate your blood vessels. It helps identify blockages, narrowing, or abnormalities in the arteries and veins throughout your body. This detailed assessment aids in diagnosing various vascular conditions.

Early Detection of Problems:

By undergoing a vascular ultrasound study, potential issues can be detected at an early stage. Early detection allows for prompt intervention and treatment, helping prevent further complications and ensuring better outcomes.

Monitoring Vascular Health:

For individuals with existing vascular conditions, regular ultrasound studies are essential for monitoring disease progression and treatment effectiveness. This consistent monitoring enables vascular surgeons to make informed decisions and adjust treatment plans as needed.

Avoiding Invasive Procedures:

In many cases, a vascular ultrasound study can provide valuable information without the need for invasive procedures. It reduces the need for exploratory surgeries, minimizing risks, discomfort, and recovery time.

Customized Treatment Plans:

The results of a vascular ultrasound study help vascular surgeons develop personalized treatment plans tailored to your specific needs. This individualized approach ensures that you receive the most appropriate interventions, medications, or lifestyle modifications for optimal vascular health.

Preventing Serious Complications:

Conditions like deep vein thrombosis, arterial stenosis, aneurysms, and peripheral artery disease can have severe consequences if left untreated. A vascular ultrasound study aids in early identification, allowing for timely interventions to prevent potentially life-threatening complications.

Empowering Patient Education:

Undergoing a vascular ultrasound study gives you a clearer understanding of your vascular health. By seeing the images and discussing the findings with your vascular surgeon, you can actively participate in your care, make informed decisions, and take proactive steps toward better vascular wellness.

Schedule Your Vascular Ultrasound Study:

If you have risk factors such as diabetes, high blood pressure, smoking, or a family history of vascular disease, or if you’re experiencing symptoms like leg pain or swelling, it’s crucial to discuss the possibility of a vascular ultrasound study with your vascular surgeon. Don’t delay—early detection and prevention are key!


Why do I need a vascular surgeon?

Why do I need a vascular surgeon?


Vascular Disease:

If you have been diagnosed with vascular diseases such as peripheral artery disease (PAD), deep vein thrombosis (DVT), varicose veins, aneurysms, or carotid artery disease, a vascular surgeon specializes in the treatment of these conditions.

Circulation Problems:

If you experience symptoms related to poor blood circulation, such as leg pain or cramping during walking or at rest, non-healing wounds or ulcers, or coldness in your extremities, a vascular surgeon can evaluate and provide appropriate treatment options.

Vascular Trauma:

In cases of traumatic injuries that involve blood vessels, such as a severe laceration or damage to arteries or veins, a vascular surgeon can perform surgical procedures to repair and restore blood flow.

Aortic Aneurysm:

If you have an abdominal or thoracic aortic aneurysm, which is a weakened and bulging area in the aorta, the main blood vessel in your body, a vascular surgeon may perform surgery to repair or replace the affected segment to prevent the risk of rupture.

Endovascular Procedures:

Vascular surgeons are trained in minimally invasive endovascular techniques, such as angioplasty, stenting, and embolization, to treat various vascular conditions. These procedures involve using catheters and imaging guidance to access and treat the affected blood vessels from within.

Vascular Access:

If you require long-term dialysis, a vascular surgeon can create and manage vascular access points, such as arteriovenous fistulas or grafts, to allow repeated access to your blood vessels.

With many years of extensive vascular experience, Western Vascular Institute’s providers are able to provide unparalleled diagnosis & management for all venous & vascular diseases as well as exceptional patient care.


What is Vascular Surgery?

What is Vascular Surgery?

Vascular surgery is a surgical specialty that deals with diseases of the blood vessels. It is a relatively new specialty, having been founded in the early 1970s. The first residency program was started at the University of Minnesota in 1973.

The specialty of vascular surgery is divided into two main branches: open surgery and endovascular surgery.

Open surgery is the traditional form of surgery, where the surgeon makes a large incision in the patient’s body in order to access the blood vessels. Endovascular surgery is a newer form of surgery that uses tiny instruments and a camera to access the blood vessels through small incisions.

Vascular surgery is a highly specialized field, and there are only a few hundred surgeons in the United States who specialize in it. The majority of vascular surgeons are based in large metropolitan areas, and there are few rural areas that have vascular surgeons.

 Treating a variety of diseases and conditions, including:

Vascular surgery is a life-saving procedure in many cases. For example, an aortic aneurysm is a life-threatening condition that can lead to a ruptured aorta. If the aneurysm is detected early, it can be treated with surgery. It is a highly specialized field, and patients should seek out a vascular surgeon who is experienced in treating the specific condition that they have.

Horse Chestnut extract for veins

Horse Chestnut extract for veins

Horse chestnut extract, derived from the seeds of the Aesculus hippocastanum tree, has been used for centuries in traditional medicine for various health conditions, including venous disorders. It contains a compound called aescin, which is believed to have beneficial effects on veins and blood vessels. Let’s explore the potential benefits of horse chestnut extract for veins.

Improving Venous Circulation:

Horse chestnut extract is commonly used to support healthy venous circulation. It is believed to strengthen the walls of blood vessels and reduce their permeability, potentially improving blood flow and reducing symptoms associated with venous insufficiency.

Relieving Symptoms of Varicose Veins:

Varicose veins occur when veins become enlarged, twisted, and often painful. Horse chestnut extract has been traditionally used to alleviate symptoms associated with varicose veins, such as pain, swelling, and heaviness in the legs. It is thought to reduce inflammation and improve blood circulation, which may help relieve discomfort.

Managing Chronic Venous Insufficiency:

Chronic venous insufficiency (CVI) is a condition in which the veins have difficulty returning blood from the legs to the heart. Horse chestnut extract has been studied for its potential benefits in managing CVI. It may help reduce leg swelling, pain, and itching associated with the condition, improving overall quality of life.

Anti-Inflammatory Effects:

Horse chestnut extract possesses anti-inflammatory properties, which can help reduce inflammation in the veins and surrounding tissues. This anti-inflammatory action may contribute to its potential benefits in alleviating symptoms of venous disorders.

Antioxidant Activity:

Horse chestnut extract contains antioxidants that can help protect blood vessels from oxidative damage caused by free radicals. By neutralizing these harmful molecules, horse chestnut extract may help maintain the health and integrity of veins.

While horse chestnut extract has shown promising potential for vein health, it is important to note that scientific research on its efficacy and safety is ongoing. It is recommended to consult with a healthcare professional before starting any new supplementation, especially if you have underlying medical conditions or are taking other medications.

In summary, horse chestnut extract has been traditionally used to support vein health and alleviate symptoms associated with venous disorders. However, more research is needed to fully understand its mechanisms of action and determine its effectiveness. If you are considering using horse chestnut extract for vein-related concerns, consult with a healthcare professional to ensure it is safe and appropriate for your specific situation.


What are compression stockings?

What are compression stockings?

Compression stockings, also known as compression socks or support stockings, are specialized garments designed to apply pressure to the legs and improve blood circulation. They are commonly used in the treatment and management of various conditions, including:

Peripheral Artery Disease (PAD):

Compression stockings can help improve blood flow and reduce symptoms such as leg pain, cramping, and fatigue in individuals with PAD.

Deep Vein Thrombosis (DVT):

Compression stockings are often recommended to prevent and manage DVT, a condition characterized by blood clot formation in deep veins. They help promote blood circulation, prevent blood pooling, and reduce the risk of clotting.

Varicose Veins:

Compression stockings can alleviate symptoms associated with varicose veins, such as swelling, discomfort, and heaviness in the legs. They help compress the veins, improving circulation and reducing swelling.


Compression garments, including stockings, are used to manage lymphedema, a condition characterized by swelling due to the accumulation of lymphatic fluid. The gentle pressure exerted by the stockings helps reduce swelling and maintain proper lymphatic flow.

Post-Surgical Recovery:

After certain surgical procedures, such as vein stripping or vein ablation, compression stockings may be prescribed to aid in the healing process, reduce swelling, and prevent blood clots.


The benefits of compression stockings include:


Improved Blood Circulation:

Compression stockings apply graduated pressure, meaning the pressure is highest at the ankle and gradually decreases up the leg. This compression helps enhance blood flow by aiding the muscles and veins in pumping blood back to the heart.

Reduced Swelling and Discomfort:

By promoting better circulation, compression stockings can alleviate swelling, heaviness, and achiness in the legs.

Prevention of Complications:

Compression stockings can help prevent the formation of blood clots, particularly during long periods of immobility, such as during air travel or bed rest.

Support during Physical Activity:

Athletes and individuals engaged in physical activity may wear compression stockings to improve performance, reduce muscle fatigue, and enhance post-exercise recovery.

When considering compression stockings, it is essential to choose the correct size and compression level based on the specific condition and the advice of a vascular surgeon. They are available in different strengths, lengths, and styles, including knee-high, thigh-high, and full-length stockings. It’s important to follow the instructions for proper usage, including wearing them consistently and correctly to achieve maximum benefit.

If you have any vascular conditions or concerns, consult with a vascular surgeon to determine if compression stockings are suitable for your situation and to receive guidance on the appropriate type and compression level needed to support your vascular health.


Radio-Frequency Ablation for Varicose Veins.

Radio-Frequency Ablation for Varicose Veins.



Radiofrequency ablation (RFA) for varicose veins addresses the venous reflex disease that often causes varicose veins. RFA serves as an alternative to traditional vein stripping, which requires invasive surgical removal of the diseased veins. RFA Instead, 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. Radiofrequency ablation (RFA) for varicose veins is the standard treatment for varicose veins and has been shown to be the most effective and long-lasting treatment modality to date.

Radio-Frequency Ablation
Radio-Frequency Ablation
Radio-Frequency Ablation
Radio-Frequency Ablation


Sclero-Therapy for Spider Veins

Sclero-Therapy for Spider Veins.

Sclerotherapy is a medical procedure used to treat varicose veins and spider veins. It involves injecting a solution, known as a sclerosant, directly into the affected veins. The sclerosant irritates the vein walls, causing them to swell, stick together, and eventually close off. This leads to the reabsorption of the treated veins by the body, resulting in improved blood flow and the fading or disappearance of visible veins.

Sclerotherapy is typically performed as an outpatient procedure and does not require anesthesia.

The process involves the following steps:

The patient will lie down, and the targeted veins will be cleaned and sterilized.


A fine needle is used to inject the sclerosant solution into the vein. The number of injections depends on the extent and location of the veins being treated.


After the injection, the treated area is compressed using compression stockings or bandages to apply pressure and help the vein walls seal together.

Post-treatment care:

Patients are usually advised to walk and engage in light physical activity to promote blood circulation. They may also be instructed to wear compression stockings for a certain period of time to assist with healing and prevent blood clots.

Sclerotherapy is considered a safe and effective treatment for varicose veins and spider veins. However, it may require multiple sessions to achieve desired results, and some patients may experience temporary side effects such as bruising, swelling, or skin discoloration at the injection site. Rarely, more serious complications such as blood clots or allergic reactions can occur.

It’s important to consult with a vascular surgeon to determine if sclerotherapy is an appropriate treatment option for your specific condition. They can assess your veins, discuss potential risks and benefits, and provide personalized recommendations for your situation.




The Joint Commission

The Joint Commission Certification

The Joint Commission, also known as TJC, is an independent, non-profit organization in the United States that accredits and certifies healthcare organizations and programs. It was founded in 1951 and is recognized as a leader in setting quality and safety standards for healthcare.

The goal of The Joint Commission:

The primary goal of The Joint Commission is to improve the quality and safety of patient care. They achieve this by establishing rigorous standards and conducting thorough evaluations of healthcare organizations to ensure compliance. Accreditation by The Joint Commission is voluntary but highly valued and widely recognized as a mark of quality in the healthcare industry.

The accreditation process:

The accreditation process involves an in-depth review of various aspects of an organization’s operations, including patient care, infection control, medication management, leadership, and performance improvement. Surveyors from The Joint Commission visit healthcare facilities to assess compliance with the standards. If an organization meets the standards, they are awarded accreditation, which is typically valid for a specific period.

The Joint Commission certification:

In addition to accreditation, The Joint Commission offers various certification programs for specific areas of healthcare, such as disease-specific care, primary stroke centers, and advanced certification in healthcare quality.

The Joint Commission & Patient Saftey:

The Joint Commission plays a crucial role in promoting patient safety and quality improvement in healthcare organizations. Their standards and accreditation process help organizations identify areas for improvement, implement evidence-based practices, and continuously enhance the quality of care provided to patients.

It’s important to note that while The Joint Commission sets standards and evaluates healthcare organizations, they do not have regulatory authority. Their focus is on voluntary accreditation and continuous improvement rather than enforcing compliance through legal means.

Western Vascular Institute is a Joint Commission Accredited vascular-surgery-center garnering the gold seal of approval. These certifications demonstrate a higher level of expertise and specialization in particular areas of care.