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We founded the Vein Center of North Texas to emphasize our commitment to the treatment of patients with venous disorders. American medical schools and residency training programs place very little emphasis on the diagnosis and treatment of venous insufficiency and related conditions. More “important” conditions such as heart disease and arterial insufficiency are emphasized to the virtual exclusion of patients suffering from the consequences of untreated venous disease. We treat patients who suffer from the medical conditions of chronic venous insufficiency and symptomatic varicose veins as well as those with cosmetic concerns about spider veins and reticular veins. Our goal is to “get you back on your feet” with as little pain and inconvenience as possible.
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The Vein Center of North Texas utilizes many state-of-the-art modalities to treat veins of all sizes. Dr. Hayes will carefully evaluate each patient and confer with the patient to formulate an individualized treatment plan. The goal of medical treatment is to eliminate venous insufficiency and restore proper venous circulation by eliminating any refluxing veins, varicose veins, and spider veins. The choice of medical treatment depends upon the type, size, location, and depth of the diseased veins. CONSERVATIVE TREATMENT Conservative treatment refers to non-invasive options such as lifestyle changes (eating less, exercising more, losing weight, etc.) and wearing compression stockings. The objective of the conservative approach is to support the venous circulation of the legs in order to minimize symptoms and slow the development of new diseased veins. This treatment plan is not corrective and will not “heal” or “repair” any veins that have already become diseased. CONSERVATIVE TREATMENT The newest technology available for the treatment of venous insufficiency or varicose veins is endovenous laser ablation. Endovenous laser ablation is minimally-invasive and performed under local anesthesia in the Vein Center (thus avoiding hospital and anesthesiology charges.) The procedure takes about an hour. Most of our patients report negligible intraoperative and postoperative pain, and do not even require the prescribed hydrocodone. Patients are up walking in 5-10 minutes and back to work or normal activities in 2-3 days. Endovenous laser ablation is performed under ultrasound guidance. Patients are sedated (but remain awake) and given lidocaine tumescent anesthesia. A thin laser fiber is threaded into the diseased saphenous vein through a tiny (2mm) needle incision. The fiber is directed to the uppermost portion of the vein, the laser is activated, and the fiber is withdrawn. The laser gently heats the lining of the vein and safely seals it shut. The moment the diseased vein is sealed, the blood that had been refluxing within it is redirected to the healthy deep veins and thus returned to the heart. After the laser ablation, the treated vein slowly dissolves and is absorbed by your body. The varicose veins that were created by the diseased saphenous vein are then easily and permanently treated. ACE wraps are applied when the treatment is complete. They are worn for the next 2-3 days to assist in resolution of the treated saphenous and varicose veins. A postoperative ultrasound is performed on day 2 or 3 to confirm successful ablation of the treated veins. The ACE wraps are replaced by compression stockings, which are worn daily for the next two weeks. VNUS CLOSURE VNUS Closure® is a revolutionary new technique that has virtually replaced the traditional “ligation and stripping” operations practiced in years past. This highly-effective FDA-approved procedure has been used on thousands of patients over the last several years in the U.S. and around the world with excellent results. VNUS Closure® is an outpatient procedure performed under ultrasound guidance by placing the VNUS RadioFrequency (RF) catheter into the diseased vein and advancing it to the uppermost segment of the vein. The RF generator is then activated and the catheter is pulled back, slowly heating the vein from inside. The radiofrequency energy destroys the vein lining and causes the vein to shrink and seal shut. After the procedure, the narrowed vein gradually becomes fibrous and eventually dissolves. Flow is naturally redirected to the healthy remaining veins, restoring normal circulation. Unlike stripping operations, this outpatient treatment requires no sutures. It is quick, relatively painless, and offers superior results. The procedure is performed in the Vein Center or in the hospital under local anesthetic with or without sedation. When the treatment is completed, ACE wraps are applied and worn for three days to assist in the resolution of the veins. A follow-up ultrasound is performed within a few days. We then replace the ACE wraps with light compression stockings for approximately two weeks. Patients generally return to normal activity within two or three days. SCLEROTHERAPY This procedure is performed in the Vein Center and usually causes only minimal discomfort. No anesthesia is used. The sensation is similar to a pinprick or mosquito bite. Bruising and pigmentation sometimes occurs after sclerotherapy. Bruising usually disappears in one to two weeks. Although pigmentation almost always fades completely, it can last for several months. Scarring and other complications have been reported, but are quite rare. After the treatment is completed, light compression stockings are applied. These are worn from one to three days to assist in the resolution of the veins. Normal activities can be resumed upon leaving the Vein Center.
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