Services

Endovenous Thermal Ablation (EVTA)

Endovenous Thermal Ablation (EVTA) is a treatment that is typically used on incompetent larger veins, which are usually not visible but are a common cause of varicose veins and symptoms. The procedure uses radiofrequency or laser energy to close these abnormal veins in the legs. During the procedure, Dr. Macumber uses a local anesthetic to ensure your comfort. He will then make a small puncture in the skin allowing us to guide a sheath into the diseased vein. Next, he will gently advance a long, thin radiofrequency catheter or laser fiber through the sheath to the top of the diseased vein. He will then inject more numbing medicine along the entire length of the vein. Finally, he will use the catheter or fiber to deliver heat to the vein wall, causing it to shrink and seal the vein closed. The closed vein will then be reabsorbed by the body, blocking the abnormal flow of blood back into the leg. Once the abnormal vein is closed, visible varicose veins in the area may improve on their own, but additional treatments may be required. After the procedure, you will have gauze applied to the incisions and compression stockings placed on your legs. You may remove these to shower within 24 hours. There might be steri-strips over your incisions that will need to remain in place for about a week and during this time you will need to continue wearing your compression stockings, removing them only to shower or sleep. The only activity restrictions are avoiding hot tubs, and air travel or long drives for approximately one week. Maintaining your normal activity level and even short walks after the procedure is encouraged.

Endovenous Adhesive Ablation (EAA)

VenaSeal™ is an injectable treatment for varicose veins. Unlike other treatments for varicose veins, VenaSeal™ doesn’t use heat or a foaming medication to close and seal damaged veins. Instead, it uses an adhesive substance to help varicose veins close and remain shut. It is a minimally invasive outpatient procedure. During the VenaSeal™ procedure, Dr. Macumber uses a local anesthetic to ensure your comfort. He will then make a small puncture in the skin allowing us to guide a catheter into the diseased vein. Next, we slowly withdraw the catheter while simultaneously injecting the adhesive substance along the length of the vein. Once the adhesive is in place, light external pressure is applied to adhere the vein walls together. Finally, the catheter is removed and a single bandage is applied to the puncture site (stitches are not necessary).

When your treatment is complete, you can drive yourself home. Unlike other varicose vein treatments, VenaSeal™ treatment does not require you to wear compression stockings afterward although we advise it for comfort. You can immediately return to your regular activity and even exercise routine. We recommend walking at least 10-15 minutes immediately after the procedure and remaining active every day to promote healthy circulation. There is virtually no downtime.

Varithena TM

Varithena™ is an injectable foam treatment for varicose veins that can effectively treat veins of many types and sizes both above and below the knee, including twisted (tortuous) veins. It is a suitable treatment for patients with dysfunction in the great saphenous vein and may also be used to retreat veins that didn’t respond to other therapies. Varithena™ treatment takes less than an hour. Your doctor will examine your legs and provide a local anesthetic to ensure your comfort during the procedure. Then, using a specialized needle the Provider will inject the Varithena™ foam medication into the damaged vein or veins. This causes the vein to collapse and seal itself closed as blood flow is redirected through healthier veins. Over time, the collapsed veins are absorbed by the body. When your treatment is complete, compression stockings are applied to your legs and you can drive yourself home. There is virtually no downtime. We do recommend walking and low-intensity exercise after the procedure, but in general you should avoid strenuous exercise and heavy lifting for two weeks. After your Varithena™ treatment, you need to wear compression stockings for at least 48 hours continuously to help your treated veins remain closed as the medication takes effect. After 48 hours you can remove the stockings and any bandages, shower, then continue to wear compression stockings during the daytime only for up to two weeks.

Sclerotherapy

Sclerotherapy refers to the use of a medication called a “sclerosant” that is injected into diseased veins. The sclerosant will irritate and scar the veins from the inside, causing them to collapse and eventually close. The closed veins will then be reabsorbed by the body, shutting off the abnormal leaking. More than one treatment may be necessary to achieve complete closure of the diseased veins. The procedure can be either visually guided (when the physician injects smaller veins visible on the surface of the skin) or ultrasound guided. Ultrasound guided sclerotherapy is a form of sclerotherapy that works better for larger veins because it utilizes a foam medication that can reach a larger area. During the treatment, an ultrasound machine is used to guide the procedure for maximum accuracy and safety as your physician uses a small needle to inject the foam medication into the diseased veins. Immediately after your procedure, you should walk or perform calf raises for 5 minutes before getting in your car. For the remainder of the treatment day, walk or perform calf raises for 5 minutes every hour. Later that day you may remove the compression stocking and the bandages to shower. Continue to wear the compression stocking and take frequent walks for the remainder of the week, removing the stocking only to shower or to sleep. The only activity restrictions are avoiding hot tubs, and air travel or long drives for approximately one week. Maintaining your normal activity level and even short walks after the procedure is encouraged.

Diagnostic Ultrasound

Diagnostic ultrasound is what makes the modern practice of treating vein disease possible. Most people are familiar with the use of ultrasound in many aspects of medical treatment. It is often utilized in diagnosing blood clots in many areas of the body. Using this method to diagnose vein disease is an advanced and non-invasive way to look into the superficial and deep venous systems. Our clinic has ultrasound equipment available on site. All our diagnostic sonographers are specifically licensed and trained in the most recent techniques necessary to diagnose and assist in treatment of vein disease. All the necessary diagnostic scans are performed on site and the results are immediately available!

Advanced Vein Center

3114 W Irving Park Rd

Suite 1W

Chicago, IL 60618

Get In Touch

312-600-4526

HOURS

Mon — 8AM–6PM

Tue — 8AM–6PM

Wed — 8AM–6PM

Thu — 8AM–6PM

Fri — Closed

Sat — Closed

Sun — Closed