Varicose leg veins are a common condition associated with peripheral artery disease, occurring when veins near the surface of the leg stretch, bulge, and twist. If left untreated varicose veins can cause leg pain, a leg wound or foot wound, or even overall fatigue.
One treatment option for this form of PAD is minimally invasive ablation, an outpatient surgical procedure performed under local anesthesia by vascular surgeons on the medical staff at Baylor Hamilton Heart and Vascular Hospital to destroy varicose veins with bursts of radiofrequency or laser energy. First, the physician maps a patient’s leg veins using duplex ultrasound to mark varicose veins on the skin. Next, the surgeon passes a catheter, a long, thin tube through a small nick in the skin above the vein and moves the catheter to the end of the vein, activating a radiofrequency generator or sending laser pulses through the catheter and then slowly retracting it.
This heat destroys tissue along the length of the vein. The vein collapses and is eventually reabsorbed by the body. The procedure takes about 60 minutes and may relieve symptoms immediately.
Vein stripping is also a surgical procedure to remove large varicose veins and their tributaries to alleviate leg pain symptoms associated with varicose veins.
After making a small incision in a patient's groin, the physician removes the great saphenous vein after disconnecting any tributary veins. Usually an outpatient procedure, vein stripping is commonly performed in the operating room using general or occasionally, spinal anesthesia.
Phlebectomy, also known as microphlebectomy, ambulatory phlebectomy, or stab evulsion is a procedure to remove varicose veins. In this minimally-invasive outpatient procedure, several small incisions are made in the skin to remove varicose veins using local anesthesia; stitches are ordinarily not required. This technique may be performed along with other treatment options such as vein stripping
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