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Jeffery P. Schoonover, MD

Varicose Veins Treatment

Endovenous Laser Ablation

The treatments to eliminate varicose veins and all vein abnormalities have improved dramatically in recent years. Performing an endovenous laser ablation eliminates the abnormal saphenous vein, which is often the source of most varicose vein issues. Using ultrasound technology, a thin laser fiber is guided into the vein through a very small opening to deliver laser energy to the diseased vein wall. This heat causes the vein to close, and eliminates venous reflux at its source.

Ultrasound Guided Sclerotherapy (UGS)

With the help of ultrasound, sclerosant medication can also be delivered to remaining varicose branches that the laser could not address. The medication triggers an inflammatory response in the vein and causes it to close. This is especially helpful for complex, winding branches that are tributaries to a problematic saphenous vein.


Varithena is used for treatment of saphenous veins and some visible varicose veins that feed into these saphenous veins. Treatment involves injection of local anesthetic into the skin and then placement of a tiny needle and plastic catheter into the vein with ultrasound guidance. Varithena is then injected into the vein with ultrasound guidance to direct the medication into the veins to be treated. The medication displaces the blood within the treated veins and causes the veins to seal shut.


The VenaSealâ„¢ closure system is a new and innovative treatment option that improves blood flow by closing the diseased saphenous vein with a medical adhesive. It is the only procedure that uses a medical-grade adhesive to close abnormal saphenous veins. The adhesive is inserted into the vein under ultrasound guidance via a small catheter and seals the vein shut.


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