Vein Center


Welcome


Welcome to Hallmark Health Vein Center, located at Melrose-Wakefield Hospital in Melrose. We diagnose and treat the entire spectrum of venous disease and vein problems.

Varicose veins are quite common. Between 15 and 20 percent of all adults have them. In people (particularly women) over 50, the incidence jumps to 50 percent.  The problem results from a combination of hereditary factors, along with a buildup of pressure in the veins from prolonged standing, and in women, commonly pregnancy. The most common symptom of varicose veins is unsightly bulges which are often painful and result in swelling of the feet and legs along with leg cramps.

Many people consider varicose veins to be a cosmetic problem. If left untreated, however, they can lead to leg swelling and pain, blood clots, skin changes such as discoloration or thickening, and occasionally open sores (ulcerations) that do not heal. We can help.

 


 

Our Vein Center Team


Leading the Vein Center team are two highly qualified interventional radiologists, Neil Denbow, MD, and Wayne Wivell, MD. Both physicians have extensive experience in treating venous disease.

Neil Denbow, MD

Dr. Neil Denbow is a board-certified general radiologist with added qualifications in vascular and interventional radiology; and is a pioneer in the utilization of minimally invasive technology to treat varicose veins. He is one of the first eight interventional radiologists in the country to use what are now the standard treatments for varicose veins. He partnered with his colleagues to bring these new modalities to Yale University where he practiced for 10 years.  He then went on to direct the Yale Vein Center before joining Hallmark Health. He specializes in minimally invasive procedures to treat both arterial and venous disease of the lower extremities.

Wayne Wivell, MD

Dr. Wayne Wivell serves as the Associate Chief for the Department of Radiology and Co-Medical Director of the Cardiac and Endovascular Center at Hallmark Health System.  Dr. Wivell is a board-certified interventional radiologist, and has received a Certificate of Added Qualification in Vascular and Interventional Radiology.  He brings more than 22 years of venous disease experience, specializing in minimally invasive procedures to treat the veins and arteries of the lower extremities.

The Vein Center uses a team approach and focuses on coordination of your care. We pride ourselves on being able to see patients quickly, efficiently and most importantly coordinate care and treatment with our patient navigator as your partner in the process.

 


 

Contact Us


We are here to answer your questions or help schedule an appointment. Please call, email or complete our online form.

Phone:  781-979-3900

Email:   This email address is being protected from spambots. You need JavaScript enabled to view it.

Form:   Contact Us

Directions to 585 Lebanon Street, Melrose

 


 

Symptoms

Vein health is more than cosmetic. Chronic venous insufficiency of the lower extremities affects approximately 2.5 million people in the USA and has an important effect on daily activities and quality of life. Besides pain, swelling, edema, varicosity of the superficial veins and skin changes, chronic venous insufficiency is associated with venous leg ulcers, a disease of the veins. The Hallmark Health Vein Center provides complete evaluation and treatment for the full range of venous disease, as well as spider and varicose veins. Symptoms include:

  • • Varicose veins
  • • Heaviness and fatigue
  • • Leg or ankle swelling
  • • Pain, aching or cramping
  • • Burning or itching of the skin
  • • Skin thickening and inflammation
  • • Ulcers
  • • Restless legs

We are here to answer your questions or help schedule an appointment. Please call or email us.

Phone:  781-979-3900

Email:  This email address is being protected from spambots. You need JavaScript enabled to view it.

Form:    Contact Us

 


 

Treatment Options


The Hallmark Health Vein Center is distinguished by its comprehensive focus, from initial diagnosis through a range of minimally invasive treatment options. For each patient, an ultrasound confirms the diagnosis of venous disease, necessary paperwork and insurance approval is processed by the patient liaison, and the appropriate minimally invasive treatment option is offered.

Potential non-surgical treatment options include:  catheter ablation, injection sclerotherapy, and ambulatory phlebectomy-all same day treatments.  In all cases, our goal is to provide the most effective, long lasting and minimally invasive treatment options for our patients.

RFA / Endovenous Radiofrequency Ablation

Ambulatory Phlebectomy

Sclerotherapy (Medical-Based)

Ultrasound-guided Sclerotherapy

 


 

RFA /Endovenous Radiofrequency Ablation

Endovenous ablation is a minimally invasive treatment which uses radiofrequency energy to heat and destroy the abnormal superficial veins. Endovenous Radiofrequency ablation is an ultrasound guided procedure that uses directed heat to close the abnormal veins. This endovascular procedure has revolutionized the treatment of varicose veins. It usually takes approximately one hour to perform and normal activities can be resumed after the procedure.

What is endovenous radiofrequency Ablation/Occlusion?
Endovenous Radiofrequency occlusion is a minimally invasive procedure which is performed at the Hallmark Health Vein Center on an out-patient basis. It is performed with local anesthesia and a mild sedative. The area is cleaned, and a local anesthetic is injected into the skin above the vein to be treated. A small catheter is threaded in the vein under direct ultrasound guidance injecting local anesthetic along the way for patient comfort. Energy waves are used to heat and collapse the vein. The collapsed vein results in a thin scar which is eventually absorbed by the body.

What is the recovery like after radiofrequency occlusion?
Immediately following your radiofrequency ablation, compression stockings are applied and you will be able to ambulate and resume normal activities. Heavy lifting should be avoided for several days afterward.

What are the benefits of radiofrequency occlusion over other similar treatments?
Radiofrequency Ablation offers excellent results treating large superficial varicose veins. This procedure is performed on an out-patient basis in the HHS Vein Center. RFA offers a short to immediate recovery period with little to no-downtime. 

What are the possible complications or side effects of radiofrequency occlusion?
Minimal risks are associated with Radiofrequency Ablation procedures. The risks are similar to any medical procedure where bleeding may occur.  Risks are reduced in comparison to traditional vein stripping.

Do insurance carriers provide coverage for radiofrequency occlusion treatments?
Most Insurance companies often cover the cost of treatment in part and or in full based on medical necessity. Our Vein Center patient liaison will work closely with you on any insurance coverage issues.  


 

Ambulatory Phlebectomy

Ambulatory Phlebectomy is a minimally invasive approach to the treatment of larger varicose veins not amenable to endovenous radiofrequency ablation. Ambulatory Phlebectomy involves removing bulging superficial veins through a series of tiny incisions with local anesthetic. Following Ambulatory Phlebectomy procedure most patients can expect to return to normal activities.

What are the benefits of ambulatory phlebectomy over other procedures?
Ambulatory phlebectomy offers excellent results treating large superficial varicose veins. This procedure is performed on an out-patient basis in the Hallmark Health Vein Center. Ambulatory Phlebectomy offers a short to immediate recovery period with little to no-downtime.  

How is ambulatory phlebectomy performed?
The leg is sterilized and the leg is prepared with an antiseptic solution and a local anesthetic is injected along the veins. The anesthetic numbs the area for the ambulatory phlebectomy procedure. Once the entire area to be treated has been injected with the anesthetic solution, tiny incisions are made over the veins, removing the vein in small sections. The incisions for ambulatory phlebectomy procedures are so small they do not require sutures. These incisions allow the excess fluid to drain post operatively. When all the veins targeted for treatment on one leg have been completely removed, pads to absorb the fluid are placed next to the skin and compression stockings are worn afterwards.

What is the recovery process after ambulatory phlebectomy?
It is important to ambulate soon after your ambulatory phlebectomy to reduce the risk of complications and contribute to the healing process. Compression hose are worn for a period of time afterwards until the leg is healed. Most patients are back to work within 1 to 3 days. The only activities to be avoided in the first few weeks are prolonged standing and heavy lifting.

What are the risks associated with ambulatory phlebectomy?
Ambulatory Phlebectomy has minimal risks associated with it when compared to traditional vein stripping. Incisions are tiny and heal and fade within 6-12 months following the procedure.  Discoloration of the skin may occur and typically resolve in a short period of time.

Will my insurance cover the ambulatory phlebectomy?
Most Insurance companies often cover the cost of treatment in part and or in full based on medical necessity. Our Vein Center patient liaison will work closely with you on any insurance coverage issues. 


 

Sclerotherapy  (Medical-Based)

This is a minimally invasive procedure that is done at the Hallmark Health Vein Center. Superficial refluxing symptomatic small to medium veins are injected with a solution, using small needles, which causes them to clot and eventually disappear.

A few sessions may be required to obtain maximum benefit.

The procedure normally takes 15 to 30 minutes, depending on how many veins are treated. Patients are fully ambulatory after the procedure.  


 

Ultrasound-guided Sclerotherapy

Ultrasound-guided Sclerotherapy is used to treat larger refluxing veins. Ultrasound-guided Sclerotherapy identifies and targets the affected veins. Under direct ultrasound visualization, a sclerosant is injected into the abnormal vein. This closes off the vein, resulting in relief of symptoms.

What is sclerotherapy?
Sclerotherapy is an injection technique that helps eliminate smaller veins by causing the veins to harden and close.

How does sclerotherapy work?
Sclerotherapy causes scars to form along the walls of the veins. This scarring cause the veins to harden and constrict, eventually preventing the flow of blood. When the blood flow is halted, the vessels disappear. While most sclerotherapy techniques use a liquid formulation, occasionally foam sclerotherapy may be used.

How is the procedure performed?
Your procedure will begin with application of a topical anesthetic to numb the treatment area, sometimes no local anesthetic is necessary. Once the area is anesthetized, your specialist will inject the treatment area with the sclerosant, sometimes using ultrasound to monitor treatment. Depending upon the size of the area being treated, more than one injection may be necessary. Most procedures take about 30 to 45 minutes to perform.

What is the recovery like?
Sclerotherapy has a very brief recovery time, and most individuals can return to normal work routines immediately after their procedure. When leg veins are treated, a compression stocking may be worn for a day or two to aid in healing.

What will my results be like?
Some individuals achieve satisfactory results with one treatment, noticing a visible improvement immediately after the procedure. In other cases, however, subsequent treatments may be needed. Expectations are usually reviewed prior to beginning therapy.

Is sclerotherapy covered by insurance companies?
In most cases, sclerotherapy is considered a cosmetic procedure and is not covered by insurance. In some cases where larger veins are involved, however, the procedure may be covered. Ask your carrier to determine your coverage.

 


 

Your Visit With Us


Initial Vein Consultation

At your initial consultation at the Hallmark Health Vein Center a complete and comprehensive assessment of your vein symptoms will be performed. You will be greeted by the vein center patient liaison and nurse where a complete medical history is obtained, photographs are taken and measurements of your legs are completed. You will then meet one of our physicians who will perform a thorough examination, diagnose the nature of your condition and what if any, further evaluation is required.
 
Follow up visit 
If the initial consultation requires further assessment, a non-invasive duplex ultrasound of the superficial and deep venous system will be performed. This ultrasound allows our physicians to recommend the treatment best suited to your individual needs.

Venous Ultrasound
If your initial consult recommends further assessment, a duplex ultrasound scan may be necessary and a separate appointment will be scheduled. The ultrasound provides a visual window, revealing the diseased, refluxing veins beneath the skin’s surface. The diagnostic information from the ultrasound will help us pinpoint the exact cause of your venous sufficiency and enable us to customize a treatment plan for your individual needs.

 


 

Insurance and Payment


Medically indicated treatments are covered by most insurance plans. Our patient liaison will work closely with you and your insurance company to assist in coverage.

Cosmetic and aesthetic treatments are not covered by insurance plans.


 

 

 

 

DNU legs-250


 

Location


Hallmark Health Vein Center
Melrose-Wakefield Hospital
585 Lebanon Street
Melrose, MA 02176
781-979-3900

Email

Contact Us

Vein Center Brochure