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You should certainly reach out to a Vascular Surgeon. You can contact us at 480-668-5000

That makes us so happy to hear! Thank you for your comment!

Are you awake while the procedure is done?

That's awesome! We support the LGBTQIA+ community

Thank you for your comment!!

Thank you for your comment. We will certainly make one for you next week!

Thank you for your comment. Our website is www.westernvascular.com and you can also call us at 480-668-5000

Thank you so much for your kind comment. I totally agree with you, the human body is so amazing!

Pulmonary thrombolysis, also known as pulmonary embolism (PE), is a serious medical condition where a blood clot lodges in the pulmonary arteries, blocking blood flow to the lungs. This can be life-threatening and requires immediate medical attention. The treatment of pulmonary embolism can vary depending on the severity of the condition, the patient's overall health, and the presence of any other medical issues. Some common treatments and procedures that vascular surgeons and other specialists may employ include: 1. Anticoagulant Therapy: Anticoagulant medications such as heparin and warfarin are often prescribed to prevent further blood clot formation and to help dissolve existing clots. 2. Thrombolytic Therapy: In cases of severe or life-threatening pulmonary embolism, thrombolytic therapy may be used. Thrombolytic drugs, such as tissue plasminogen activator (tPA), are administered intravenously to help dissolve blood clots quickly. 3. Inferior Vena Cava (IVC) Filter Placement: In some cases where there is a high risk of recurrent pulmonary embolism or when anticoagulant therapy is contraindicated, a vascular surgeon may insert an IVC filter. This filter is placed in the inferior vena cava, a large vein in the abdomen, to trap blood clots before they reach the lungs. 4. Surgical Embolectomy: In rare cases where thrombolytic therapy is ineffective or contraindicated, surgical embolectomy may be performed. This procedure involves the surgical removal of the blood clot from the pulmonary arteries. 5. Catheter-Directed Thrombolysis: This minimally invasive procedure involves inserting a catheter into the blood vessels, usually through the groin, and delivering thrombolytic medication directly to the site of the blood clot. 6. Supportive Care: Patients with pulmonary embolism may also require supportive care, including oxygen therapy, pain management, and monitoring for complications such as respiratory failure or heart failure. The choice of treatment depends on various factors, including the patient's overall health, the size and location of the blood clot, and the presence of any underlying medical conditions.

If a patient has chronic femoral vein (CFV) reflux along with superficial femoral vein (SFV) reflux, and the SFV reflux is segmental, the decision to treat the superficial saphenofemoral junction (SFJ) reflux depends on several factors, including the patient's symptoms, the severity of venous insufficiency, and the risk of complications. Here are some considerations: 1. **Symptoms**: If the patient is symptomatic and experiences discomfort, swelling, skin changes, or ulceration related to venous insufficiency, treating the SFJ reflux may help alleviate symptoms and improve quality of life. 2. **Clinical Evaluation**: A thorough clinical evaluation by a vascular surgeon or venous specialist is essential to assess the severity and impact of CFV reflux and SFV reflux on venous circulation. They will consider the extent of reflux, presence of varicose veins, skin changes, and other signs of venous insufficiency. 3. **Risk of Complications**: Left untreated, chronic venous insufficiency can lead to complications such as venous ulcers, skin changes, and even deep vein thrombosis (DVT). Treating the superficial SFJ reflux may help reduce the risk of progression to these complications. 4. **Treatment Options**: Treatment options for SFJ reflux include endovenous thermal ablation techniques such as endovenous laser ablation (EVLA) or radiofrequency ablation (RFA), as well as sclerotherapy or surgical ligation and stripping. These procedures aim to close off the diseased vein and redirect blood flow to healthier veins. 5. **Balancing Risks and Benefits**: The decision to treat SFJ reflux should be individualized based on the patient's overall health, preferences, and the potential risks and benefits of intervention. In some cases, if the SFJ reflux is minimal and not contributing significantly to symptoms or complications, conservative management with compression therapy and lifestyle modifications may be sufficient. Ultimately, the decision to treat superficial SFJ reflux in the context of CFV reflux and SFV reflux should be made collaboratively between the patient and their healthcare provider, considering the patient's specific circumstances and treatment goals.

Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) are minimally invasive procedures used to treat varicose veins and venous insufficiency by closing off diseased veins. The success of these procedures depends on various factors, including the diameter of the target vein, the extent of reflux, and the patient's overall health. While there isn't a strict maximum diameter beyond which EVLA or RFA cannot be used, larger veins may present challenges and may not respond as effectively to these treatments. However, the decision to perform EVLA or RFA on a particular vein depends on the individual patient's condition and the judgment of the treating physician. In general, veins with diameters exceeding 12 mm may be less ideal candidates for EVLA or RFA due to technical limitations and increased risk of complications. Larger veins may require additional interventions or alternative treatment approaches such as surgical ligation and stripping, phlebectomy, or foam sclerotherapy. It's important for patients to undergo a thorough evaluation by a vascular surgeon or venous specialist to determine the most appropriate treatment option based on their specific anatomy, symptoms, and medical history. The treating physician will consider factors such as vein diameter, reflux severity, presence of varicosities, and overall patient health to develop a personalized treatment plan.

​@@westernvascularinstitute6168I have swollen feet due to chronic venous insufficiency, what are the chances that it would be heal after the RFA?

Thank you so much for your comment!

Please contact a vascular surgeon. You can call us at 480-668-5000 or submit a form at www.westernvascular.com

Hi which vein prodecure is recommended. I was told evlt and phelebectomy. But I'm highly concerned about it. I work on my feet 12 hrs a day Im afraid after a procedure

@@toma.6942I underwent an Endovenous Duplex Vein Mapping Scan, then weeks later Endovenous Laser Ablation Therapy together with Transluminal Occlusion of Perforators, followed after a necessary eight week gap by Ultrasound Foam Guided Sclerotherapy. These procedures must be carried out by a highly experienced vein specialist (Phlebologist) working together with an Interventional Radiologist at a specialist vein clinic. I had Thrombotic Syndrome, caused by a long misdiagnosed DVT in my left leg at the age of 36 and suffered a venous ulcer on the inside of my ankle for seven years. Our UK NHS were completely useless, which is why I eventually had to pay. Best money I ever spent. There are now more up to date procedures available since I had mine but I will say I would go through it all again. Secret is you must source the appropriate specialists.

Did they talk about what happens when the vein opens up again?

@charbrooks Are you awake while the procedure is done ?

You better have lots of $$$$ 🤑

Many Vascular Surgeons are oblivious to appropriate vein treatments and haven’t a clue what they’re about.

Nothing will help permanently.This is a lifetime problem...

No Natural remedy in the world will cure venous insufficiency.

This is not for a dermatologist!!! This is vascular

What about bruises

Nope, a Dermatologist absolutely cannot treat varicose vein or venous insufficiency symptoms. Only a Vascular Scientist (Phlebologist) can do that.

I also take supplements with niacin and now that you say that, I wonder. My leg issues started a year or 2 ago but it's so bad my legs are discolored, ulcer scars n painful throbbing from my veins, but before I started this a cpl years ago I had no issues. My father however does have varicose veins but he didn't develop them until like 60 n I'm 38. And even at 60 his legs aren't as bad as mine are. They're hideous and so painful, I get constant Charley horses. I've tried everything n nothing helps. I wish he would've responded to your question

@@TT-zu5pr - My legs have gotten almost completely better now. I stopped taking Niacin in July, almost 4 months ago, and I'm 61 years old! I really think the Niacin, as a vasodialator, was causing my veins in my legs to not pump blood as well. I no longer wear compression socks as well, pretty much no more throbbing or restless legs either. I think there needs to be a study concerning this connection. Good luck, I hope this info helps.

long hours of standing with no rest or sitting in between can cause them but exercise can treat them. If you work out a lot then the exercise isn't the problem, it's that you don't have a balance or a lot of rest period in between.

I developed these in my teens.. always thought it was my skin was thinning lol

the veins usually come from long periods of immobility like long hours of sitting where the legs are bent or long periods of standing where the legs are stretched and held taut. Your brother walks a lot so his body and legs get a lot of movement which prevents blood from accumulating in specific areas in his body.

@@Lina32121 I've been a floor associate in retail the last 4 and half years, always walking, bending climbing ladders, even squatting several times a day, 40 to 45 hours a week, and mine are at the bulging stage, and are swelling numbness and restless and painful all ar the same time 😔 It runs in my family but even my grandmother's and my mother's are as bad as mine....and I'm only 30 with 0 children😔 I'm actually frightened of any procedure but I will be seeing specialist soon... This is the worst it's ever been for me...I can actually feel mine pop....😓 It's got out of work because I can't stand to long...

Diet has nothing whatsoever with the developmental of varicose veins. If you’re going to get them, you’re going to get them whatever you do. Unfortunately, there is such a thing as hidden varicose veins, so your brothers will definitely be there and in all probability rear their ugly head as he gets older, unless he gets the appropriate treatment carried out by the right experts.

Same here! My nurse did NOT pick up on my Varicose vein problem at the early stage......

Me too… they gave an advice to ask me to stop working… I asked doc if he would support me then. He laughed

They don't care

@@bellabookitty9014 There is no cure anyway...You have this-It's your problem...

You should see a vascular surgeon where you live. This could definitely be a vascular issue where you are not getting the proper amount of blood to your foot/ankle via the arteries or the valves in your vein may not be properly functioning and returning blood to your heart. Either way, best to see a vascular surgeon and get the proper diagnosis and care. Wishing you the best!

You don’t get it do you. Varicose veins are no longer removed, there are now fantastic procedures available. I have been through the lot as was a C6 in my left leg due to a long misdiagnosed blood clot only in my 30s, which came out if the blue for no reason. I am now cured, but I had to choose my specialist very carefully as not all of them are experienced in working on perforator veins if you have any that are damaged. Incidentally p, Sclerotherapy alone is ineffective on venous insufficiency as will not be permanent.

​@@eveoakley6270I think you should let qualified professionals answer such questions. In response to a previous post, the doctors provided a detailed explanation of why varicose veins are removed. Every treatment protocol isn't applicable in every case, and stripping is still an option.

Don't know

EVLAT, TRLOP, but only if you have perforator vein damage, followed after 8 weeks by ultrasound foam guided sclerotherapy. All must be carried out by a Vascular Scientist who is also a Phlebologist. Most Vascular docs cannot work on small veins.

I am also