Advice for Finding the Best Varicose Vein Doctor - Princeton Vascular Center

Princeton Vascular Center


Advice for Finding the Best Varicose Vein Doctor


Who can be a vein doctor?

Vein doctors or phlebologists come from different backgrounds and that’s okay.  However, the key is to make certain that your vein specialist has formal training in endovascular procedures.  While vein treatments have become modernized and do not require surgery in most cases, the idea that proper training in residency or fellowship is not necessary is dangerous.  Spider vein and varicose vein removal is still a vascular procedure and physicians without prior supervised experience are not likely to be as proficient in managing and treating vein disease.  The only formal training experiences providing endovascular exposure during residency or fellowship are: vascular surgery, invasive cardiology, and interventional radiology.

What is a vein evaluation?

Varicose veins and spider veins originate from feeder veins.  While there can be multiple layers to these feeder veins, the most likely sources our commonly referred to as the truncal veins.  Truncal veins include the great saphenous and small saphenous veins and account for nearly 90% of symptomatic vein disease.

Symptomatic vein disease develops when one or more truncal veins become dysfunctional.  Many factors contribute including, our genetics, lifestyle, weight, exercise routine, age and gender.  The common denominator is that the valves within these veins become injured with the constant pressure of standing on our legs.  As you might imagine, this is uniquely human issue as we are mostly upright in our daily routines. Truncal veins are located beneath the surface of the skin and are not supported by any significant musculature. As a result, they can dilate with the constant pressure and ultimately the valves fail. This leads to decreased return circulation from the superficial veins back and blood pools in the leg veins.  Over time, the stress on these veins leads to the development of spider and varicose veins.

The dysfunction of the truncal veins with symptoms of vein disease are referred to as venous insufficiency.  With chronicity, the symptoms can include leg pain, restless legs, leg swelling, skin discoloration, skin ulceration, and even bleeding varicose veins. In the most significant cases, varicose veins have been associated with the development of deep vein thrombosis.

What is the best way to treat varicose veins?

As we said before, surgery is no longer the preferred method for varicose vein treatment.  These procedures associated with increased levels of complications, prolonged recovery times, and surprisingly, less effective results.  Instead, modern vein treatments are superior, minimally-invasive and ideal for all vein conditions.

These minimally invasive treatments for varicose veins include:

  • VenaSeal: Like most other vein treatments today, VenaSeal is also catheter-based technology. However,  unlike ablation, the catheter is used to inject a medical adhesive that fuses the diseased vein closed. Over time, the vein is resorbed by the body.
  • Radiofrequency ablation: Catheter-based technology that delivers radiofrequency generated heat to the blood vessel walls.  The procedure is done with only small amounts of local anesthetic and can be completed in less than 30 minutes.
  • Sclerotherapy: A medicated solution is injected in either liquid or aerated form (foam sclerotherapy). This medication acts as a sclerosant and disrupts the walls of diseased veins causing them to collapse and eventually be absorbed.
  • Varithena: Similar to foam sclerotherapy, however,  it is formulated with special air mixtures resulting in much more uniform medication.  The injection is performed on both medium and large-sized veins.
  • Ambulatory Phlebectomy: This requires the most skill and patience, but still is minimally invasive.  Tiny incisions are made over large, protuberant veins so that they can be directly removed.  Unlike stripping, these procedures are done within the office and patients do not require any downtime.  The best part, any large visible varicose veins are immediately removed leading to dramatic skin improvements.
  • Clarivein: Another catheter-based technique with some special uses in certain varicose vein anatomy.  In this case, mechanical force and sclerosant are used to eliminate diseased veins.

Why Princeton Vascular Center?

The Princeton Vascular Center offers modern varicose vein and spider vein treatment only in the hands of the best vein specialists in the country.  We source doctors who have completed formalized residency and fellowship training programs and have years of prior experience in treating vein disease.  Most importantly, our doctors have board-certifications in vascular surgery and cardiovascular disease.

With our multiple locations, you can rest assured that you can find the best vein doctor for your care anywhere in New Jersey.  For more information, please schedule your spider vein and varicose vein consultation today.

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