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The Vein Center of Mid-Missouri (VCMM) is comprised of board-certified vascular specialists. VCMM offers comprehensive
evaluation and treatment of lower extremity vein disorders in a specialized vein center setting.
After consultation with a vascular specialist, and explanation of findings and treatment options will be presented.
Non-surgical treatment such as sclerotherapy is performed in the vein center. If surgical treatment is recommended, this is efficiently pursued in the vein center or at an outpatient surgery center to minimize patient cost.
Veins are vessels that return blood to the heart. Veins have the ability to expand and contract as needed to store blood to be returned to the heart.
The legs have two venous systems—“deep” and "superficial” veins. The deep veins are primarily responsible for the return of blood from the extremity to the heart. The superficial veins are the closest to the surface of the skin. These veins can become noticeably dilated and distended. Superficial veins with severe bulging and dilation are known as varicose veins.
Vein walls do not have muscles to force the blood back to the heart. As the vein fills, it depends on the pumping action of the surrounding muscles (muscle pump) to squeeze blood upward. The valves prevent backward flow of blood. This pumping action occurs with physical activity of the extremity such as walking or riding a bicycle.
Varicose veins are abnormally dilated veins which render the valves dysfunctional. The valves are ineffective in preventing blood from “pooling” in the veins of the lower extremities. This “pooling” of blood causes further venous distention and increased pressure, with can result in pain, swelling, and in rare cases, ulcer formation.
Varicose veins are either inherited or acquired. Most varicose veins are caused by a familial tendency that leads to a loss of elasticity in the vein wall resulting in distention and incompetence of the valves. Acquired varicose veins are caused by trauma, thrombosis (clotting), or inflammation and are known as “thrombophlebitis”.
Saphenous Vein Ablation
This minimally-invasive treatment is an outpatient procedure performed using ultrasound guidance. After applying local anesthetic to the vein, the surgeon
inserts a thin catheter into the vein and guides it up the great saphenous vein in the thigh. Then laser or radiofrequency energy is applied to the inside of the vein.
This heats the vein and seals the vein closed.
Reflux within the great saphenous vein leads to pooling in the visible varicose veins below. By closing the great saphenous vein, the twisted and varicosed branch
veins, which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg,
re-establishing normal flow. Compression therapy may be recommended for 2-3 weeks following the injection. It is important to walk 30 minutes each day for 2 weeks beginning on the day of treatment.
Endovenous Laser Treatment (EVLT)
The EVLT™ Procedure deals with the incompetence of the greater saphenous veins. Unlike surgical stripping, EVLT permanently closes off the vein while leaving it in place. It uses the energy from an 810 nm diode laser delivered by a fine fiber-optic probe. As it is only the probe and a slim sheath which need to enter the vein the whole procedure is performed via a tiny skin nick, so there will be no post operative scarring. The probe is guided into place using ultrasound and the procedure is performed under strictly local anesthetic of a similar type used by dentist to numb the treatment area.
Benefits of EVLT…
• A simple procedure
• Performed under local anesthetic
• Minimally invasive
• Minimal risk of scarring or postoperative infection
• Short examination and treatment time
• Rapid recovery with reduced postoperative pain
• Normal activities can be resumed immediately
• Excellent clinical and aesthetic results
Injection sclerotherapy is used for the treatment of “spider veins” and small to medium-sized varicose veins. Spider veins are tiny, dilated blood vessels which lay just below the surface of the skin. Similar to small to medium-sized varicose veins, spider veins may sometimes result in itching or minor aches, but most often are a cosmetic concern.
Sclerotherapy obliterates veins by “burning” the inside of the vein resulting in reabsorption of the vein. This process does not offer a cure for the tendency to develop spider veins, but rather control the condition. This tendency to develop other varicose veins will not be altered by this treatment.
Sclerotherapy is accomplished with the use of concentrated sodium chloride solution, which is mixed with lidocaine for patient comfort. Multiple injections are typically performed along the course of the abnormal vein(s) with a tiny needle. Each treatment lasts approximately 20-30 minutes. If multiple sessions are required, they are spaced 3-4 weeks apart.
After a sclerotherapy session, compressive therapy is initiated and individualized for each patient. Compression therapy is used for 24-48 hours. For injection sclerotherapy of larger varicose veins, compression therapy may be recommended for 2-3 weeks following the injection. It is important to walk 30 minutes each day for 2 weeks beginning on the day of treatment.
Monday - Friday from
8:00 am - 5:00 pm.
3220 Bluff Creek Drive, Ste 100
Columbia, MO 65201
Phone: (573) 443-8773
& (800) 443-1082
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