Varicose veins are swollen, twisted veins that you can see just under the skin, and they are commonly found on the legs. Weakened or damaged valves within veins contribute to their development, causing blood to pool and veins to become enlarged. If left unaddressed, varicose veins may lead to discomfort, skin changes, or a feeling of heaviness. Here are some surgical treatment options for damaged veins:
Endovenous Ablation
Endovenous ablation is a minimally invasive procedure that uses controlled heat to target problematic veins. After assessing the affected vein with ultrasound guidance, a doctor makes a small incision and inserts a catheter. The catheter may use radiofrequency or laser energy to heat the vein wall. As the device is slowly removed, the heat causes the vein’s inner lining to collapse and stick together; this forms scar tissue that seals the vein shut. Blood flow then naturally redirects into surrounding, healthy veins. This procedure is typically performed under local anesthesia in an outpatient setting and often involves a short recovery time. Doctors typically encourage patients to walk soon after the procedure, and support stockings might also aid healing and comfort.
Iliac Vein Stenting
Iliac vein stenting focuses on treating iliac vein compression. In this condition, the iliac vein in the pelvis is compressed by a nearby artery or other structures, which restricts normal blood flow out of the leg. This increases venous pressure and may contribute to:
- Visible varicose veins
- Chronic swelling
- Feelings of heaviness and achiness
Imaging studies to pinpoint the compressed vein’s location, and a physician inserts a catheter through a blood vessel and guides it to the narrowed section. A stent, which is a small mesh tube, is delivered through the catheter and expanded within the vein, propping it open and restoring healthy blood flow. This procedure does not remove existing varicose veins but addresses the underlying cause of their formation. Regular follow-up visits may be suggested to monitor the stent’s position and overall blood flow in the area.
Ovarian Vein Embolization
Ovarian vein embolization is offered primarily for those who experience pelvic congestion syndrome, a source of chronic pelvic pain. In this condition, varicose veins develop around the ovaries, uterus, or nearby pelvic organs and can extend to the buttocks or upper thighs. These veins may lose their ability to efficiently return blood, creating backward flow and long-term discomfort.
The embolization procedure uses targeted imaging guidance to access the problematic vein through a small puncture, often in the groin or neck. Once the catheter reaches the source, doctors inject a sclerosing agent to block the vein, stopping blood flow and causing the vein to close. Over time, the body naturally redirects blood through alternative, healthier veins.
Treat Varicose Veins Today
Procedures such as endovenous ablation, iliac vein stenting, and ovarian vein embolization are designed to address specific causes and presentations of varicose veins. A healthcare provider can evaluate your symptoms and recommend a treatment option that matches your goals. If you have damaged veins or related discomfort, schedule a consultation with a vascular institute today.
