Category: Venous Insufficency

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.

 

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.

 

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.

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.

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
 

 

Endovenous Radiofrequency Ablation or RFA procedure

Endovenous radiofrequency ablation is a minimally invasive procedure performed by a vascular surgeon that utilizes radiofrequency energy to heat a catheter element which, when inserted into the vein, shrinks the wall of the vessel. This shrinkage or ablation of the vein closes off the blood flow to the incompetent area of the vein allowing the vein to create new healthy pathways where it is needed.

Introducing Dr. David J. Paolini

Dr. David J. Paolini Vascular Surgeon with Western Vascular Institute. Board Certified Vascular Surgeon

Dr. David Paolini is a Vascular Surgeon with over 15 years of Vascular Surgery experience.  Dr. Paolini recently joined Western Vascular Institute as one of our acclaimed vascular surgeons from the Jobst vascular center in Toledo, Ohio. Dr. Paolini has had a passion for medicine and physics from a young age, feeling that Vascular Surgery is the perfect combination of the two scientific areas. Dr. Paolini completed his medical school training from Temple University (One of the best Medical Schools in the united states) in 1999 and after that moved to New Mexico to begin his residency at the University of New Mexico Health Sciences Center Department of Surgery. After completing a 5-year surgical residency Dr. Paolini then moved to Toledo, Ohio to complete a Vascular Surgery specific fellowship at the prestigious Jobst Vascular Center. Dr. Paolini quickly gained accolades as one of the most innovative and competent vascular surgeons in the area as well as being heavily invested in Vascular Surgery research and publications. Dr. Paolini’s care philosophy is “ to take care of patients like you would want your kids’ taken care of ”. As a father of two wonderful children and supported by his beautiful wife Dr. Paolini is poised to join the ranks of the great caring vascular surgeons here at Western Vascular Institute. Dr. Paolini’s previous patients have described dr. Paolini as being kind, compassionate, & honest. We are excited to have Dr. Paolini as part Western Vascular Institute. Dr. Paolini is now accepting new patients in the Mesa and Payson office locations. For an appointment with Dr. Paolini please contact one of our new patient coordinators at (480) 668-5000 ext. 332

 

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