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Chronic Venous Insufficiency (CVI) is a progressive medical condition that worsens over time and affects the veins and vessels in the leg that carry oxygen-poor blood back toward the heart. Varicose veins, which are enlarged veins in the leg that appear like twisted, bulging cords, can progress to CVI if left untreated.

There are a number of factors that contribute to varicose veins and CVI, including pregnancy and heredity. As varicose veins progress to become CVI, other painful symptoms like leg swelling, skin damage and ulcers may occur. CVI is diagnosed with non-invasive ultrasound of the veins of the legs, this ultrasound scan can be done at our Canton, Cumming, or Johns Creek offices. No special preparation is necessary for this ultrasound.

Minimally Invasive Treatments
Today, there are a number of minimally invasive treatment options that are covered by many insurance plans. While treatments like compression stockings are often first prescribed to manage symptoms, there are a variety of treatments that can actually treat the diseased veins to eliminate varicose veins, improve your quality of life and halt the progression of CVI.

Sclerotherapy is a method to treat spider veins and small varicose veins. Spider veins are small flat, reddish or purplish branching vessels found on the leg or other parts of the body. Sclerotherapy involves injection of these small veins with a solution composed of an anesthetic and mild clotting agent that closes the vein. The spider veins usually fade within several days.

Phlebectomy is direct removal of medium to large varicose veins using a small incision and a sterile instrument. The procedure is done under oral sedation and done in the office setting. This procedure often follows Endovascular Ablation (see C).

cEndovenous Ablation
Endovenous thermal ablation is a minimally invasive treatment that involves the insertion of a thin, flexible tube called a catheter into a diseased and refluxing vein to seal it shut using heat. Blood that would normally return toward the heart through these veins will then travel through other veins instead. Over time the treated vein shrinks and is absorbed by the body. Compared with surgical options like ligation and vein stripping, endovenous ablation results in less pain and quicker recovery time.

These procedures are done under minimal or oral sedation at our Canton office or at the HVC Vascular Lab in Cumming.

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