Vascular Treatments

Targeted Endovenous Therapy

An alternative treatment option to traditional vein stripping surgery, which brings state-of-the-art technology to an age-old disease.

The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radio-frequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your doctor may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time.

Patients who undergo the Closure procedure typically resume normal activities within a day. A good cosmetic outcome can be expected with minimal to no scarring, bruising or swelling.

According to scientific studies, patients who had undergone the Closure procedure reported superior quality of life compared to vein stripping patients.

To find out if this procedure is right for you, register for a FREE varicose vein screening.

Ultrasound Guided Sclerotherapy

For patients with spider veins or incompetent superficial veins, sclerotherapy is used to give them quick results with less pain. During this procedure, air is mixed with sclerosant – a solution used to treat vascular problems – to produce injectable sclerosant. An ultrasound is conducted to inject the sclerosant into the damaged veins. Although there is mild discomfort, patients will be able to walk only 24 hours after the procedure. Patients can expect to wear compression hose for approximately two weeks to aid their recovery.


Microphlebectomy is a minimal surgical procedure to remove bulging veins on the skin’s surface. Unlike earlier versions of vein stripping methods, microphlebectomy is a more accurate surgery that requires a smaller incision and a quicker recovery time.

During this procedure, the treated area is numbed and a tiny incision is made in the skin. The bulging veins are delicately removed using specialized instruments. Follow-up treatment may be needed to target smaller veins.

RF Closure Fast™ Ablation

This procedure uses ultrasound to position a tiny catheter to remove superficial, deep and perforator veins through a small opening in the skin. Because this is an outpatient procedure, patients can be ready to resume normal activities within the next day.

  • Heat closes the vein.
  • Multiple needle sticks of numbing medicine.
  • Compression stockings/hose required before and after the procedure.

VenaSeal™ Closure System

The VenaSeal system improves blood flow by sealing or closing the diseased vein. The system delivers a small amount of a specially formulated medical adhesive to the diseased vein. The adhesive seals the vein and blood is rerouted through nearby healthy veins.

  • Adhesive seals the vein.
  • Only one needle stick of numbing medicine.
  • NO compression stockings/hose before or after the procedure.

Graduated Compression Hose

Crighton Olive Dunn Surgical Group often recommends the use of graduated compression hose in addition to our other vascular treatments to ensure an efficient, successful recovery. Graduated compression hose is worn to ease the pressure on the newly treated superficial veins and enhance the blood flow of the legs.

Compression hose may also be used to treat venous ulcers. The use of hose is often recommended for patients who were recently treated with sclerotherapy to enhance the results of the surgery. Patients may need to wear the hose according to the standards set forth by their insurance company. However, Crighton Olive Dunn Surgical Group will walk you through the fitting of your hose and how to care for it.

The term “graduated” is used to describe the height of the hose, which often lays somewhere between the ankle and the lower thigh. The hose comes in different strengths, which refer to the amount of pressure applied to your legs. The pressure is segmented, with the most pressure applied to the ankle the least amount applied to the calf or thigh.

Cosmetic Sclerotherapy

Cosmetic Sclerotherapy is a procedure utilized to eliminate spider veins. It involves a small injection of a solution into the vein. The FDA approved solution allows for the vein to seal shut. The vein eventually disappears with time. Planning the best time to be treated would be when you can wear your compression hose (required) and your legs will be out of the sun. Usually a patient requires one treatment and a free touch up with in the following 3 months. Come to a FREE vein screening at our office to determine your vein needs. Veronica attends every FREE screening Saturday each month!

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