26, 9, 2023

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness

2023-08-31T18:32:31-07:00

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness

In the realm of advanced vascular treatments, Radiofrequency Perforator Ablation is revolutionizing the way we address vein issues. In this article, we delve into the intricacies of this procedure, exploring its benefits, the process it involves, and what you can anticipate on the day of treatment. Join us on a journey to understand how Radiofrequency Perforator Ablation can enhance your vascular well-being.

Understanding Radiofrequency Perforator Ablation: A Breakdown

Radiofrequency Perforator Ablation focuses on perforator veins, the short connections bridging deep and superficial veins. These veins, like others, can experience valve damage and venous reflux, contributing to discomfort and potential health risks. This innovative procedure aims to rectify these issues, offering relief and improved vascular health.

Why Perforator Veins Matter

Perforator veins are pivotal in linking the superficial and deep venous systems within the extremities. They facilitate the flow of blood from superficial veins to deep veins, aiding in the process of returning oxygen-depleted blood to the heart. However, when the valves in these veins malfunction, venous reflux can occur. This may lead to blood buildup, increased pressure, and complications such as edema, skin discoloration, dermatitis, and skin ulcers.

The Treatment Process: Unveiling the Steps

Radiofrequency Perforator Ablation is a well-structured outpatient procedure, designed to swiftly address these issues. Here’s a closer look at the treatment process:

  • Preparation and Anesthesia: The procedure commences with the application of local anesthesia. Some patients opt for mild oral sedatives like Valium for enhanced relaxation.
  • Patient Comfort: You’ll be provided with a gown or shorts and positioned for comfort, with special accommodations made based on your needs.
  • Guidance and Insertion: Using ultrasound guidance, a fine needle is inserted into the perforating vein through the skin.
  • Radiofrequency Energy: The magic happens with the delivery of radiofrequency energy, which shrinks the perforator vein and eliminates abnormal flow.
  • Treatment Duration: Approximately 10 minutes are allotted for each perforating vein. Patients may have one or multiple veins treated in the same leg, requiring about an hour in the office due to preparation and setup.

A Day of Treatment: What to Expect

perforatorperforator

On the day of your procedure, a few steps ensure your comfort and well-being:

  • Anesthesia and Sedation: Local anesthesia is applied. Some opt for mild sedation to enhance relaxation.
  • Positioning: Special accommodations are made based on your comfort level, and you’re given the choice to watch Netflix or listen to music.
  • Ultrasound Mapping: Your veins are mapped, and numbing agents are injected.
  • Radiofrequency Catheter: A tiny puncture is made to insert the radiofrequency catheter.
  • Local Anesthetic: Additional local anesthetic is administered, numbing the vein and ensuring comfort.
  • Radiofrequency Treatment: The vein is painlessly treated with radiofrequency energy.
  • Post-Treatment Care: A compression stocking is applied, and walking is encouraged for the next 72 hours.

Post-Treatment Care: Guiding Your Recovery

After treatment, walking for 30 minutes twice daily is recommended to alleviate discomfort and prevent blood pooling in the legs. Avoid strenuous exercise, heavy lifting, saunas, hot tubs, and leg massages for two weeks to support proper healing.

Radiofrequency Perforator Ablation is a modern marvel in vascular care, offering relief from discomfort and enhancing overall well-being. At La Jolla Vein & Vascular, our expert medical professionals are dedicated to providing personalized care for your vascular health. By embracing innovative treatments like Radiofrequency Perforator Ablation, you can take confident strides towards a healthier, more vibrant life.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link, and our website https://ljvascular.com

For more information on varicose veins and eliminating underlying venous insufficiency,

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 

For more blogs and educational content, please check out our clinic’s blog posts! 

Precise Relief: Exploring Radiofrequency Perforator Ablation for vascular wellness2023-08-31T18:32:31-07:00

19, 4, 2023

Radiofrequency Ablation for perforator vein reflux

2023-02-15T15:55:23-08:00

Radiofrequency perforator ablation is performed on perforator veins, short connections between your deep and superficial veins. Perforator veins can suffer the same sort of valve damage and retrograde blood flow (venous reflux) as other veins. Most patients with vein disease who experience skin changes, (that also may result in leg ulcers if left untreated) have reflux in perforator veins near their ulcers, as well as in the superficial or deep veins.

Perforator

What are Perforator Veins?

Perforator veins serve as connections between the two networks of veins in the extremities, the superficial venous system and the deep venous system. Perforators connect the two parallel systems, and normally drain blood from the superficial veins to the deep veins as part of the process of returning oxygen-depleted blood to the heart.

Perforator veins have one-way valves designed to prevent backflow of blood down towards the superficial veins. When those valves no longer function properly and reflux occurs, the buildup of blood and pressure can cause not only the superficial veins but the perforators themselves to become incompetent. Perforator veins in the lower leg and ankle are particularly vulnerable to distention and incompetence, and the resultant circulatory problems create an increased likelihood of edema, skin discoloration, dermatitis and skin ulcers in the immediate area.

Perforator

Your doctor may have recommended treatment of your perforator vein(s) because it is contributing to:

  • Venous leg ulcers
  • Pre-ulcerative skin changes
  • Persistent or recurrent varicose veins
  • Leg pain
  • Leg swelling

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

Our accredited center is also a nationally known teaching site and center of excellence. 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

Please follow our social media Instagram Profile and Tik Tok Profile for more fun videos and educational information. 


Radiofrequency Ablation for perforator vein reflux2023-02-15T15:55:23-08:00

28, 11, 2022

What you need to know about venous insufficiency

2022-10-24T11:36:50-07:00

When you become a patient with La Jolla Vein and Vascular, you will go through a screening process, and a vascular evaluation using ultrasound technology to diagnose your venous reflux disease. Chronic venous insufficiency is a disease affecting at least 50 million Americans. It is very common, but unfortunately undiagnosed. Through our venous insufficiency Duplex Ultrasound test, our vein specialists can determine exactly what is going on in the patient’s veins. 

The anatomy and process of venous insufficiency or venous reflux disease: 

One of the major veins that takes the blood to the heart is deep inside the muscles of the thigh and calf called the deep veins. Parallel to this lies the superficial veins inside the legs. Superficial veins dump the blood into the deep vein in the groin area and collectively they take the blood back to the heart. 

The direction of the blood flow begins from the ground up towards the heart. Both deep and superficial have a structure system known as the valves. They function as a safety unit directional valve system. Where the blood can flow upward and not downward and be open or closed off. Similarly the same type of structure is found in your heart with heart valves. 

Over the course of the years, depending on your occupation, family history, pregnancy, surgeries, any trauma or injury to your legs, and any kind of underlying muscular or skeletal problem will contribute to problems with the valves in your legs. The valves, over the course of the years may get farther apart from one another. They will still be able to open and close, but the main problem will be the blood flow will not be able to go in one direction. This causes the veins to become enlarged. As a result,  the valves remain open and the blood to flow upward and also downward. This is known as venous reflux disease or venous insufficiency. 

A consultation with one of our vein specialists for chronic venous insufficiency involves taking a detailed history and physical examination in combination with a venous reflux ultrasound study.  Based on your personal findings, a customized treatment plan will be discussed which may include doing nothing, conservative management, or various treatment options based on your individual needs. 

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

 

What you need to know about venous insufficiency2022-10-24T11:36:50-07:00

8, 7, 2022

How to reduce bruising and swelling after vein treatment

2022-06-25T16:45:43-07:00

One way to reduce bruising after surgery

 

One of the most common side effects after surgery is bruising. Whether it is due to plastic surgery or vein surgery, bruising and swelling are inevitable. One of the most powerful tools that we recommend for patients undergoing any type of surgery is RECOVA post surgery cream. 

 

Dr Nishe Bunke created RECOVA cream as a post surgical recovery cream specifically designed to reduce bruising, swelling, redness, and pain. RECOVA skin creams are packed with antioxidants and natural ingredients that promote healing and reduce inflammation. 

 

RECOVA cream aids in reducing pain, swelling, and discoloration after cosmetic surgery, injections, and procedures, laser treatments, varicose vein procedures, Sclerotherapy, minor injuries, and easy bruising. 

 

Our patients at La Jolla Vein Care have seen quick transformation post procedures. The combination of natural ingredients in RECOVA cream helps aid in quicker recovery.

 

 The powerful ingredients that help reduce bruising included in RECOVA are listed below:  

 

Arnica Montana is a flower extract that helps with inflammation, swelling, and bruise recovery. 

 

Grapeseed Oil has numerous benefits and includes numerous vitamins such as vitamin E. It is a flavonoid that aids in chronic venous insufficiency, varicose veins, and edema. 

 

Bromelain is an enzyme that is a natural remedy for inflammation and swelling.

 

Horse Chestnut is used to improve poor blood circulation, reduce swelling, and for varicose vein symptoms. 

 

Caprylhydroxamic Acid is an amino acid derived from coconut oil used as a gentle preservative that ensures product safety and longevity. 

 

Witch Hazel is used for swelling and inflammation. It is used to shrink varicose veins and hemorrhoids as well as reduce rosacea and clear redness of the skin. 

 

Butcher’s Broom is used for natural anti-inflammatory properties. It is used to reduce swelling and reduce varicose vein symptoms. 

 

Sunflower Seed Oil is packed with vitamins A, E, C, and D. 

 

Menthol is not present in the tinted RECOVA, since Tinted Arnica is often used around the eyes. 

 

The combination of these ingredients contributes to an overall comforting and healing sensation when applied to the skin. 

 

RECOVA is a tool that stands out due to its natural ingredients that aid in venous disease symptoms. RECOVA is hypoallergenic, and non comedogenic. RECOVA is also free of parabens, phthalates, preservatives, synthetic additives, and dyes, and never tested on animals. 

 

Patients have used RECOVA cream after vein procedures and have seen quick and lasting results. We recommend physicians offer this for patients if they complain of redness, itching, and bruising after their procedures. RECOVA offers immediate soothing relief of discomfort for our patients. 

 

Check out RECOVA online for more information and to purchase RECOVA tinted arnica cream and RECOVA post surgery cream. 

 

How to reduce bruising and swelling after vein treatment2022-06-25T16:45:43-07:00

15, 3, 2022

Why have I been offered an endovenous laser ablation (EVLA) procedure? 

2022-03-17T10:20:32-07:00

Endovenous Laser Ablation for Saphenous Vein Reflux 

Endovenous laser vein ablation, also known as endovenous laser therapy (EVLA), is a type of treatment for saphenous vein reflux, the underlying cause of most varicose veins. At La Jolla Vein Care, we offer ALL treatment modalities for varicose veins, not just one. Treatment is customized based on a person’s individual pattern of venous reflux (determined by ultrasound examination), personal preference, and personal health history.

The  endovenous laser vein ablation procedure may be offered for backward flow (or “reflux”) in your saphenous vein(s).  The great and small saphenous veins are the two main superficial veins that run along the inner thigh/ calf and the back of the legs, respectively. Some people have anatomic variations where the small saphenous vein in the back of the calf extends to the thigh. Many people also have reflux in their anterior or posterior saphenous veins.

evla

This minimally invasive procedure can be performed in the office in less than 30 minutes and patients return to their usual level of activity the same day.

evla treatment

How does the treatment work?

The skin is numbed with lidocaine, then a tiny wire and the laser catheter are inserted into the vein. The catheter delivers laser energy to the vein wall, causing it to seal shut. The remaining healthy veins continue to bring blood back to the heart. 

 

What should I expect on the day of treatment?

The procedure is performed with local anesthesia, but many patients elect to use a mild oral sedative (Valium), which is taken after checking in and completing all paperwork. You will change into a gown and leave underwear on.

Depending on the vein to be treated, you will lay on your back or on your belly. We do our best to make special accommodations (for example, if you cannot lie flat or cannot bend a knee very well) with body positioning and using pillows. We will do our best to make you comfortable. Then, we will give you the option of watching a movie on Netflix or listen to music. Once you are comfortable, your leg will be prepped with cleansing solution for the sterile procedure. The doctor will perform an ultrasound to map the vein to be treated.

Then, a numbing agent (lidocaine) will be injected into the skin. In the numb area of the skin, a tiny puncture is made to pass the laser catheter under ultrasound guidance. Your doctor will then use a needle to administer a combination of cool saline and local anesthetic around the vein. This solution numbs the vein and insulates it from the surrounding tissue. Laser energy will then be used to painlessly treat the vein. Once your vein has been treated, we will help you into your compression stocking, which you will wear for 72 hours continuously. You will walk for 30 minutes prior to getting in your car. 

 

Why have I been offered an endovenous laser ablation (EVLA) procedure? 2022-03-17T10:20:32-07:00

28, 7, 2014

Laser and Radiofrequency Vein Treatments

2021-11-04T20:20:33-07:00

What is the difference between laser and radiofrequency procedures for varicose veins?

Both laser and radiofrequency ablation techniques are used as an alternative to surgery for the treatment of varicose veins and underlying venous insufficiency.  The concept behind both laser and radiofrequency treatments is that an energy source is used to heat the vein, causing it to collapse and seal shut. Over time, the treated veins will dissolve. This is offered as an alternative to surgical removal of the veins. The basic difference between the two, are the types of energy sources used.

Laser vein treatment, also known as laser ablation or endovenous laser ablation therapy (EVLT or EVLA) utilizes laser energy to heat the vein.

Radiofrequency vein treatment, also known as radiofrequency ablation (RFA), or the Venefit procedure (previously known as VNUS Closure) utilizes radiofrequency energy to heat the vein.

Both procedures are used to treat the small, great or anterior saphenous veins.

Either procedure involves making a tiny incision the size of a grain of rice on the skin, and a narrow catheter is inserted into the vein. The machine applies either laser or radiofrequency energy to the vein interior, an action that heats the vein and seals it closed.

Unlike traditional surgery, this new minimally invasive procedure takes about 30 minutes to perform and patients can walk out of the office afterward.

While both are effective options for vein treatment, we prefer radio-frequency ablation over laser because it has been proven to be more comfortable than laser yet equally effective. It is also our experience that there is less bruising,  pain, and quicker recovery associated with radio-frequency closure of the veins.

Slide23

Laser vein treatment, also known as laser ablation or endovenous laser ablation therapy (EVLT or EVLA) utilizes laser energy to heat the vein.
Radiofrequency vein treatment, also known as radiofrequency ablation (RFA), or the Venefit procedure (previously known as VNUS Closure) utilizes radiofrequency energy to heat the vein.

Slide24

The radiofrequency catheter is inserted inside the vein. Radiofrequency energy then heats the vein causing it to collapse and seal shut. We prefer radiofrequency over laser vein treatment because we find that it is more comfortable for the patient with less bruising.

Remember, that more than one treatment type is often needed such as radiofrequency of the saphenous vein + sclerotherapy of superficial branches. Talk to your doctor to find out which is best for you or schedule a consultation at 858-550-0330.

 

Laser and Radiofrequency Vein Treatments2021-11-04T20:20:33-07:00
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© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

CONTACT INFORMATION

La Jolla/UTC

Vista

Patient Privacy Practices

Privacy Policy

Hippa Privacy Practices
HIPAAOneTM Certified Seal 2

Use the search features below to find articles and insights for the diagnosis and treatment of vascular disease

TWO CONVENIENT LOCATIONS THROUGHOUT SAN DIEGO

La Jolla/ UTC

North County San Diego/ Vista — Endovascular Center
Now Open! Call/Text for Appointments

© Copyright 2010-2024, La Jolla Vein & Vascular | All Rights Reserved

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