Tel 503-648-0731 ~ Fax 503-640-2747

& Center for Vein Therapy

Hillsboro Cardiology

          Patients experiencing leg pain, swelling, varicose veins, skin changes, or ulcerations may have a condition called venous reflux disease.  This can occur when the valves in the legs become damaged or diseased, impacting the blood flow between the heart and lower extremities.   These patients may benefit from in-office treatment options known as venous ablation, phlebectomy, or sclerotherapy.  

          Vein therapy treatments at our office start with a consultation with our vascular specialist, Dr. Isenbarger.  After the initial meeting, diagnostic ultrasounds may be used to assess the severity and location of chronic venous insufficiency (CVI), which is the term used to describe improper functioning of the vein valves in the legs. Once this assessment has been completed, there are several treatment options that may be used to improve symptoms and remove painful varicose veins or spider veins.  

All treatments are done as outpatient procedures in our office and may be covered under your health insurance.  

Treatment types:

  • Radiofrequency ablation (RFA):  RFA is a minimally invasive procedure that uses heat to ablate incompetent veins. After local anesthesia is applied to the treatment area, a catheter is inserted and guided to the vein using ultrasound. Radiofrequency energy is applied to the catheter as it withdrawn, sealing the defective vein and redirecting blood to nearby healthy veins.  A few days after the procedure another ultrasound is done to ensure the treatment was successful.

  • Phlebectomy:  Phlebectomy is a procedure used to remove varicose veins.  Local anesthesia is applied to the treatment area, then tiny incisions are made in the skin above the vein.  The diseased vein is then removed, allowing blood to be diverted to nearby healthy veins.  Unlike vein stripping, this procedure allows for small treatment areas.

  • Sclerotherapy:  Sclerotherapy is a treatment that involves using a very fine needle to inject a solution directly into a refluxing vein that is too small for venous ablation.  This solution causes the wall of the vein to become irritated, which results in the walls collapsing and sticking together, causing a blood clot to form. This clot causes blood to be redirected to healthy veins nearby. The collapsed vein will become scar tissue that will eventually fade away.

Recovery varies by procedure and person, but patients generally can expect to return to usual, non-strenuous activities a few days after the procedure, though the use of compression stockings may be needed during the recovery period to ensure proper healing.

333 SE 7th Ave, Suite 5400, Hillsboro, OR 97123 ~ Tel 503-648-0731 ~ Fax 503-640-2747

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