Tri-State Vein Center, P.C. located in Dubuque, IA

505 Cedar Cross Road, Suite A
Dubuque, Iowa 52003
Telephone: 563.583.VEIN (8346)

Procedures

Radio-Frequency Thermal Ablation - Treats venous reflux disease of the great saphenous, small saphenous vein or other superficial truncal veins of the lower leg. Using ultrasound, a small catheter is positioned into the vein undergoing treatment. The catheter delivers heat to the vein wall. The vein is welded closed as the catheter is removed in a step fashion. Blood is rerouted into other healthy veins of the leg.

Ambulatory Phlebectomy - When large varicose veins are readily noted within the leg, an Ambulatory Phlebectomy may be necessary. This procedure requires a number of small incisions. Using a small hook-like instrument the vein is removed in segments. The incisions may require closure with a single stitch or steri-strip.

Sclerotherapy - The vein is treated by injecting a medication into the varicose vein. The medication destroys the internal layers of the vein. The vein becomes inflamed and blood flow stops within the vein. Over time the vein will disappear. An ultrasound maybe used to guide the medication into some of the veins involved with reflux disease.

The following techniques have recently been developed to treat the great saphenous vein and small saphenous vein within the leg. These procedures do not rely on heat to destroy the vein. The local anesthesia (numbing medication), which requires multiple needle sticks along the vein to inject the medication, is no longer needed.

Venaseal - This treatment places a medical adhesive (glue) within the vein. A small catheter is placed into the vein requiring treatment. As the catheter is withdrawn, the glue is delivered at intervals along the course of the vein. The glue seals the vein, and blood is rerouted into healthy veins of the leg.

Clarivein - This treatment is termed mechanochemical. The catheter is placed into the vein. The tip of the catheter spins, and injures the inner layers of the vein as it is withdrawn. There is also a medication (chemical) that is injected through the catheter as it is removed slowly from the vein. The combined mechanical injury and chemical destroys the vein, and blood is rerouted into healthy veins of the legs.

Varithena - This treatment consists of a commercial based foam medication (polidocanol). The foam is placed into the vein through a catheter or direct injection under ultrasound guidance. The foam fills the vein and destroys the inner layers of the vein. The vein becomes inflamed and blood flow stops. Other healthy veins carry the blood back to the heart.

Wound Management - Since 70-90% of leg wounds are due to vein problems, the treatment of these wounds require the expertise of the Tri-State Vein Center. There are three components to caring for these wounds.

1. Meticulous local wound care - debridement, cleansing, dressings and skin substitutes (Apligraf),

2. Compression Therapy - graduated compression stockings, medicated soft cast (UNNA boot), multi-layer compression dressings and specialized compression devices (Circ-Aid), and

3. Definitive treatment of the veins that have been identified as being the underlying cause of the wound.

Before the VNUS closure procedure my legs were sore and my veins pronounced. I chose the VNUS procedure because of the look and discomfort of my leg but more so because of what Dr. Jenkins said they could lead to. The procedure only took about an hour it was pleasant and virtually painless. I started to see excellent improvement over the next couple months. My life has improved since the procedure because my leg no longer hurts and I feel stronger.
Terry (age 54)

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