Vascular Surgery | Vein Treatment | Manhattan | New York City | Englewood Vascular Surgery | Vein Treatment | Manhattan | New York City | Englewood
Norman Chideckel
Vascular Surgery | Vein Treatment | Manhattan | New York City | Englewood Vascular Surgery | Vein Treatment | Manhattan | New York City | Englewood
Vascular Surgery | Vein Treatment | Manhattan | New York City | Englewood

Treatments

Sclerotherapy

This is used to treat spider veins or reticular veins. It is accomplished by injecting a liquid chemical into the vein, irritating the wall of the vein and causing a fibrosis. Sclerosis is a Greek word, loosely interpreted means to glue, so we are gluing the vein walls together so that the vein will no longer be noticeable. Two chemical agents are FDA approved in the United States, Polidocanol (Asclera- Merz Aesthetics), and Sotradecol (Angiodynamics). A tiny 30g needle is used to make a small puncture into the vein. Special lighting with magnification is used to most accurately enter the vein. Veins below the skin surface (reticular veins or feeder veins) are visualized by using Veinlite (infrared light) to pinpoint the injection sites.

Foam sclerotherapy, liquid chemical mixed with air, allows for the treatment of larger sized veins. The air displaces the blood in the vein, "emptying" the vein so that the liquid can irritate the vein wall. Similar lighting, as mentioned above, is used.

Ultrasound guided sclerotherapy, liquid or foam, may be suitable for treatment of some superficial varicosities.

  Sclerotherapy | Venous Ultrasound Manhattan | New York City (NYC)

Post treatment compression stockings, 20-30mmHg, are worn for 48 hours to aid in the healing process. Airplane travel is discouraged for about a week. It is best not to do this procedure when you are freshly suntanned, or for at least 2 weeks after, to avoid permanent hyperpigmentation. Occasionally hyperpigmentation may occur, but will usually resolve with time.

There is a healing process, and the results are usually visible within 3 to 6 weeks. Very often the areas will appear to be worse before they look better.

The most common reason that patients develop spider veins is hormonal, and thus sclerotherapy will treat the current veins, but will not prevent new vein development.

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Venous Ultrasound

Also known as lower extremity duplex scan, it is a combination of sonography and Doppler. It is a noninvasive sensitive and specific test that allows for the detection of venous thrombosis (blood clots in the veins of the leg), or faulty valves in the superficial veins that are causing varicose veins.

The ultrasound is performed by using a transducer probe which is placed over the lower extremity. A clear warm gel is applied to the targeted body part and the transducer is moved across the area to visualize the internal images. It is usually done with the patient in the supine position, but may be done with the patient standing to allow for the most precise evaluation of a faulty valve in the vein. You will see the images on the screen in real time, so that you and the physician can review them together.

It is essential to mapping out the abnormal vein that will be treated, and it allows for the placement of the needle and or laser fiber into that vein to ensure its accurate treatment.

» Contact us for more information on a Venous Ultrasound


VeinGogh Ohmic Thermolysis System

The VeinGogh Ohmic Thermolysis System provides a superior solution for the treatment of fine telangiectasia, spider veins and small angiomas, especially recalcitrant vessels that have shown a resistance to sclerotherapy, laser or IPL treatment. VeinGogh is considered the fast, easy way to reliably treat these and other aesthetically unacceptable conditions, often with less discomfort compared to older versions of therapy.

While other light-based solutions are expensive, skin-type dependent and have an inherent risk of injury, VeinGogh uses a thread-thin, insulated probe to thermocoagulate and instantly eliminate vessels dependably, repeatably, on any skin-type and on any part of the body.

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 VeinGogh Manhattan | New York City (NYC)

The VeinGogh procedure eliminates unsightly facial veins in minutes.

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