Baystate Vascular Services, a service of Baystate Medical Center, and part of the Baystate Heart & Vascular Program, provides treatment options for varicose veins, spider veins, and chronic venous insufficiency. Our board certified vascular surgeons have offices in Springfield and Greenfield, and offer the latest treatment options.
If you’ve been putting off seeing someone about these conditions, you’ll be pleased to learn that new minimally invasive laser endovenous treatments are often advantageous, and may make surgery unnecessary. Chances are, you’ll return to normal activities, and maybe some activities you’ve been avoiding, faster than you think.
Varicose veins can be painful, causing itching, burning, and heaviness. They may also create swelling or even skin ulceration, and they often worsen over time. People who are on their feet for long periods, have a family history of varicose veins, or women who have been pregnant are most prone to suffer from this problem.
Varicose veins are the result of reflux (blood backing up and flowing in the wrong direction) in the great saphenous vein, the longest vein in the body running along the length of the leg. The blood pools, resulting in pressure, pain, and other symptoms.
Spider Veins: Spider veins are like varicose veins, but are smaller. These types of veins are small, red, blue, or purple and they commonly appear on the surface of the thighs, calves, and ankles. Spider veins can occur in nests or alone. They can be related to varicose veins.
Chronic Venous Insufficiency:
Longstanding elevation of pressure in the veins of a leg can cause serious problems, such as swelling, ulceration, skin thickening, and discomfort.
Our surgeons at Baystate Vascular Services, with offices in both Springfield and Greenfield, Massachusetts, will evaluate your condition to determine the best treatment plan for your condition. They are experienced in the following:
Venous Ablation Therapy: Our vascular surgeons now use minimally-invasive venous ablation technology to cauterize unsightly and bulbous varicose veins.We offer the only board-certified vascular surgeons in western Massachusetts performing venous ablation; they have performed several thousand procedures with great success.
In most cases, venous ablation is performed in an office setting under a local anesthetic with ultrasound guidance. The surgeon enters the vein with a small needle and inserts a catheter or probe that is proportionate to the length of the vein to be treated. Heat delivered through a coil at the end of the catheter ablates the vein and seals it. After the catheter is removed, the incision is generally sealed with a Steri-Strip; multiple incisions can be necessary.
Laser Therapy and Radiofrequency Ablation: Minimally invasive laser therapy may be an available treatment option for varicose and spider veins. This laser therapy works by delivering laser energy through a small puncture in the leg to close the diseased vein. The VNUS radiofrequency catheter works in a similar manner. With endovenous therapy, no major surgery is required.
Traditional Surgery/Vein Stripping/Phlebectomy: The traditional treatment for varicose veins is surgically removing – or stripping – them. Patients are fully sedated for this procedure, which is performed in an operating room. This procedure is used much less commonly than in the past, and is reserved only for the most complex cases.
Less invasive stab phlebectomy can also be used to remove secondary abnormal veins. In this procedure, which is often performed under local anesthesia, the surgeons makes small incisions and uses a small hook is used to grasp the abnormal vein, pull it though the incision, and remove it. Incisions are often closed with adhesive strips, or occasionally with a small suture.