Varicose Vein Treatment

 Ultrasound Guided Laser Ablation 

  Varicose Vein Treatment Center

  Longview Radiologists, Kelso, WA

 Scheduling (360) 425 - 5131                                                              Orhan Konez, MD, Interventional Radiologist   

  Laser Ablation
  Foam Sclerotherapy
  Non-surgical varicose vein treatment
  Treatments covered by most insurance
  No hospitalization needed
  45 minute treatment
  Same day recovery
  Board certified physicians 
Our interventional radiology specialists take varicose vein treatment very seriously. You can be confident that our board-certified physicians are expertly qualified to provide you the most effective and professional varicose vein removal and treatment available.

With recent advancements in the use of medical lasers, the removal and treatment of varicose vein disease has never been so painless, quick and easy. Plus, most insurance providers cover medical removal of varicose veins.

Take advantage of our varicose vein expertise. Call our office at (360) 425 - 5131 to schedule a consultation! 

How varicose veins develop?

Venous insufficiency is a very common condition resulting from decreased blood flow from the leg veins up to the heart, with pooling of blood in the veins. Normally, one-way valves in the veins keep blood flowing toward the heart, against the force of gravity. When the valves become weak and don't close properly, they allow blood to flow backward, a condition called reflux. Veins that have lost their valve effectiveness, become elongated, rope-like, bulged, and thickened. These enlarged, swollen vessels are known as varicose veins and are a direct result of increased pressure from reflux. A common cause of varicose veins in the legs is reflux in a thigh vein called the great saphenous, which leads to pooling in the visible varicose vein below.


How Common Is This Condition?

Chronic venous disease of the legs is one of the most common conditions affecting people of all races.

  • Approximately half of the U.S. population has venous disease--50 to 55% of women and 40 to 45% of men. Of these, 20 to 25% of the women and 10 to 15% of men will have visible varicose veins.
  • Varicose veins affect 1 out of 2 people age 50 and older, and 15 to 25% of all adults.



Risk Factors: Age, family history, female gender, pregnancy, especially multiple pregnancies

Symptoms: Symptoms caused by venous insufficiency and varicose veins include aching pain, easily tired legs, and leg heaviness, all of which worsen as the day goes on. Many people find they need to sit down in the afternoon and elevate their legs to relieve these symptoms. In more severe cases, venous insufficiency and reflux can cause darkening of the skin and wounds that may be very difficult to treat. One percent of adults over age 60 have chronic wounds known as ulcers.

People who have venous insufficiency can have symptoms even without visible varicose veins. The symptoms are caused by pressure on nerves by dilated veins.

Diagnosis: An interventional radiologist, a doctor specially trained in performing minimally invasive treatments using imaging guidance, will use duplex ultrasound to assess the venous anatomy, vein valve function, and venous blood flow changes, which can assist in diagnosing venous insufficiency. The doctor will map the great saphenous vein and examine the deep and superficial venous systems to determine if the veins are open and to pinpoint any reflux. This will help determine if the patient is a candidate for a minimally invasive treatment, known as vein ablation.


This minimally-invasive treatment is an outpatient procedure performed using imaging guidance. After applying local anesthetic to the vein, the interventional radiologist inserts a thin catheter, about the size of a strand of spaghetti, into the vein and guides it up the great saphenous vein in the thigh. Then laser or radiofrequency energy is applied to the inside of the vein. This heats the vein and seals the vein closed.

Reflux within the great saphenous vein leads to pooling in the visible varicose veins below. By closing the great saphenous vein, the twisted and varicosed branch veins, which are close to the skin, shrink and improve in appearance. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow.

Benefits of Vein Ablation Treatment:

  • The treatment takes less than an hour and provides immediate relief of symptoms.
  • Immediate return to normal activity with little or no pain. There may be minor soreness or bruising, which can be treated with over-the-counter pain relievers.
  • No scar. Because the procedure does not require a surgical incision, just a nick in the skin, about the size of a pencil tip, there are no scars or stitches.
  • High success rate and low recurrence rate compared to surgery.
  • The success rate ranges for vein ablation ranges from 93 - 95 percent.


Many insurance carriers cover the vein ablation treatment, based on medical necessity for symptom relief.

Surgical Therapy?

Traditionally, surgical ligation or vein stripping was the treatment for varicose veins, but these procedures can be quite painful and often have a long recovery time. In addition, there are high rates of recurrence with the surgical procedures. One study found a 29% recurrence rate after ligation and stripping of the greater saphenous vein, and a rate of 71% after high ligation. These recurrence rates are similar to those reported in other studies.

What other procedures available to treat venous varicosities?

In addition to image guided intravenous laser ablation (closure) of the greater saphaneous veins, sclerotherapy and phlebectomy procedures are available depending on the nature and severity of the condition.  

Scheduling (360) 425 - 5131 




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