17, 3, 2014

New Cosmetic Spider Vein Clinic

2021-11-04T19:15:57-07:00

While the doctors at La Jolla Vein Care are committed to advancing vein care through medicine, education and research (Dr. Bunke just published the 2nd edition of the Vein Book and Dr. Fronek remains an integral part of the American College of Phlebology), we are pleased to offer our new RN/ PA (Registered Nurse/ Physician Assistant) cosmetic sclerotherapy clinic for simple spider vein conditions offered on Mondays and Tuesdays.  Simple spider vein conditions are those that are cosmetic and can be treated with liquid sclerotherapy.  This does not include foam sclerotherapy for larger varicose veins, which is administered by the doctor.

The cost is based on how much solution is used, so it is a cost-efficient means of treating that ‘stubborn patch of veins’ or ‘clean up’ of small spider veins after larger varicose vein removal.  The cost is $100 for the first syringe (2cc) and $75 for each additional syringe.

spider veins

Spider veins can come in different sizes and severity. Depending on the severity of the spider veins, multiple sclerotherapy treatments may be required.

New patients or patients not seen within two years will be required a physician consultation first.  For more information or to schedule your consultation, call 858-550-0330.

New Cosmetic Spider Vein Clinic2021-11-04T19:15:57-07:00

13, 2, 2014

Watch A Phlebectomy: Varicose Vein Removal

2021-11-03T23:51:15-07:00

 

microphlebectomy

Microphlebectomy is one treatment option for removing varicose veins on the surface of the legs. It is performed in the office at La Jolla Vein Care using a local anesthetic.  It involves making a tiny puncture/incision and using a tool that resembles a ‘crochet hook’ to remove the varicose veins.  The incision is so small that stitches are not required.   This procedure may take 1 to 2 hours, depending on the extent of the varicose veins.  Return to normal activities after the procedure is possible. Compression stockings are required after treatment.  There are different treatment options to remove varicose veins. It is important to discuss what is best for you with your doctor.

To understand more, watch a video of a microphlebectomy performed at La Jolla Vein Care this week by clicking here: Microphlebectomy

Watch A Phlebectomy: Varicose Vein Removal2021-11-03T23:51:15-07:00

New Foam Treatment of Varicose Veins

2021-11-04T19:24:26-07:00

In November of 2013, the US Food and Drug Administration (FDA)  approved Varithena,™   a new type of foam treatment for the treatment of patients with incompetent veins and visible varicosities of the great saphenous vein (GSV) system. Varithena is a pharmaceutical-grade, low-nitrogen, polidocanol foam dispensed from a canister device. In two pivotal, placebo-controlled Phase III trials, VANISH-1 and VANISH-2, Varithena achieved a clinically meaningful improvement in the symptoms of superficial venous incompetence and the appearance of visible varicosities and addressed the underlying venous incompetence in the majority of patients treated. Varithena (polidocanol injectable foam) is a sclerosing agent indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins, and visible varicosities of the great saphenous vein system above and below the knee.  Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.  Treatment is a minimally invasive, non-surgical procedure that requires neither tumescent anesthesia nor sedation.  Foam sclerotherapy has been used for years by medical doctors. What is new with Varithena, is that the foam is pre-made with low-nitrogen as opposed to room air, and is dispensed in a proprietary canister.   It is not yet available in doctor’s offices. Making Foam

New Foam Treatment of Varicose Veins2021-11-04T19:24:26-07:00

28, 1, 2014

Dr. Fronek teaches primary care doctors to care for patients with vein problems

2022-01-04T05:17:54-08:00

Dr. Fronek was recently invited to discuss vein disorders with the Family Medicine Residency Program at Scripps Chula Vista.  The doctors-in-training were excited to learn about the variety of problems that patients have with their veins – including spider veins,  varicose veins,  blood clots, and leg ulcers.  Primary care doctors see patients with vein disorders every day, and yet very few medical schools or residency training programs include any information about these common problems.  Dr. Fronek and Dr. Bunke-Pacquette are committed to sharing their expertise with colleagues and are frequently asked to speak at medical meetings.  Primary care doctors, in particular, can often start patients with vein disorders on conservative treatment, including graduated compression stockings and regular exercise (walking is usually the best exercise for vein disorders), as well as certain supplements such as horse chestnut seed extract, that can alleviate the symptoms that many patients with vein disease suffer from.  Informed primary care doctors can also refer patients to a vein specialist when symptoms aren’t diminished with conservative treatment, if the varicose veins worsen while a patient is using compression and exercise, or if the patient suffers from a venous leg ulcer.

Dr. Fronek teaches primary care doctors to care for patients with vein problems2022-01-04T05:17:54-08:00

Oxford University Press releases The Vein Book

2014-01-24T22:49:10-08:00

The second edition of The Vein Book, edited by Dr. Nisha Bunke Paquette and Dr. John Bergan will be released on January 30th, 2014 by the Oxford University Press.

Since its initial publication nearly a decade ago, The Vein Book continues to serves as the ultimate comprehensive resource on venous disease. Upholding its reputation as the go-to reference for complete, authoritative, and up-to-date information about venous function and dysfunction, this second edition effectively bridges the gap between clinical medicine and basic science, suitable both for the seasoned surgeon as well as the medical student.

La Jolla Vein Care's Dr. Bunke releases The Vein Book

La Jolla Vein Care’s Dr. Bunke releases The Vein Book

The book is divided into five essential sections: basic considerations, primary superficial venous insufficiency, venous thromboembolism, chronic venous insufficiency, and congenital venous malformations. The book covers the entire spectrum of venous conditions from clarification of the pathophysiology of venous insufficiency, molecular mechanisms in the cause of varicose veins, new treatment options for varicose veins and spider veins, startling new treatment for venous thromboembolic disease, and effective treatment for leg ulcers.

More user-friendly and encyclopedic than ever, The Vein Book is still a must-have for vascular surgeons, phlebologists, interventional radiologists, research scientists, epidemiologists, and surgeons at all levels.  It is available for pre-order at Amazon.com.

Oxford University Press releases The Vein Book2014-01-24T22:49:10-08:00

New Varicose Vein Treatments 2014: Clarivein

2021-11-04T18:59:12-07:00

CLARIVEIN Procedure to Treat Varicose Veins

The newest alternative to vein stripping surgery and endovenous ablation procedures is Clarivein. The ClariVein procedure, also known as mechanochemical ablation (MOCA) utilizes a wire and sclerosant medication to seal shut incompetent veins. It can be performed in the office in less than an hour without using a local anesthetic.  A thin catheter is introduced into the vein under ultrasound guidance. A sclerosant medication, such as is used in sclerotherapy, is delivered via the catheter, to seal the veins shut. La Jolla Vein Care is one of the few southern California vein centers to offer the Clarivein or mechanochemical ablation procedure. To read more about Clarivein, go to www.july01ljvascular.com.

Clarivein insertion

Clarivein insertion

New Varicose Vein Treatments 2014: Clarivein2021-11-04T18:59:12-07:00
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