Vein Center

Hallmark Health System Vein Center
Melrose-Wakefield Hospital
585 Lebanon St., Melrose
(781) 979-3900

The Hallmark Health Vein Center diagnoses and treats the entire spectrum of venous disorders.  We provide diagnostic and therapeutic services for the management of varicose and spider veins at the Hallmark Health Cardiac and Endovascular Center, located at Melrose-Wakefield Hospital. 

Our board-certified vascular surgeons and interventional radiologists have comprehensive expertise in the diagnosis and care of patients with vascular disease.  Our goal is to care for venous disease in the least invasive way.  Recent advances in medical technology allow us to make vein treatment a simple procedure.



Cardiac and Endovascular Center, 2nd floor

Melrose-Wakefield Hospital

585 Lebanon St.

Melrose, MA


What is venous disease/insufficiency?
Venous disease is a very common condition which affects both men and women.

The great saphenous vein drains oxygen depleted blood from the ankle, lower leg and thigh vessels to the femoral vein and the primary deep vein in the leg.  When the valves fail the resultant venous reflux causes blood to back up into the smaller veins closer to the skin causing varicose veins, leg swelling, aching and throbbing of the legs.  Varicose veins affect 1 out of 2 people age 50 and older, and 15 to 25% of all adults.


Varicose veins are enlarged veins that appear to be above the surface of the skin.  They often appear twisted, dark blue and swollen.  Symptoms can range from mild to severe with leg swelling, aching, throbbing, and calf pain after sitting or standing for long periods of time. They can result from reflux (backflow) of blood down the superficial (Saphenous) vein.

Treatments: 

  • Endovenous ablation is a minimally invasive treatment that uses radiofrequency or laser energy to cauterize and close the saphenous vein which feeds the varicosities.   Endovenous ablation is an image-guided procedure that uses heat generated by radiofrequency or laser energy to seal off these faulty vessels, diverting blood flow immediately to nearby healthy veins.
  • Ambulatory phlebectomy is a minimally invasive approach to the treatment of larger varicose veins on the surface of the leg. Best used with a visible bulging vein, ambulatory phlebectomy involves removing the bulging veins through small freckle-size incisions while using a local anesthetic. The permanent removal of the veins leads to excellent long-term results, including optimal cosmetic appearance with minimal scarring at a competitive cost.

Patients who undergo ambulatory phlebectomy wear compression stockings for 2 weeks following treatment and can return to normal activity right away.

 


Spider veins are similar to varicose veins, but smaller and are on the very surface of the skin.   Spider veins are superficial veins that appear blue, purple or red in color.  Spider veins usually appear in three shapes, branch like, linear, or spider-shaped.  
 
Treatments:


 

  • Sclerotherapy: This is a non-surgical procedure that  is done at our Center.   The spider 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. During sclerotherapy, the affected leg is elevated to drain blood, and the sclerosant is injected into the spider veins. The procedure normally takes 5 to 30 minutes, depending on how many spider veins are treated.
  • Ultrasound-guided sclerotherapy is used to treat more significant vein problems.   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.

 


Symptoms:
• 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

 



The diagnosis of varicose and spider veins are mainly based on visual exam and medical history.  Our physicians will check your legs for any swelling, tenderness, and skin color changes.  They will  also check the appearance of the veins when you are standing or seated.  The physician may order a duplex ultrasound of your legs to test blood flow and to rule out other disorders. 

Ultrasound: Ultrasound imaging is a completely painless procedure.   This test will check your veins structure, check and measure the blood flow in your veins and arteries and look for any blood clots.  Ultrasound uses sound waves to
 


 


Potential treatments:


Varicose Veins treatment:
 
Endovenous ablation is a minimally invasive treatment that uses radiofrequency or laser energy to cauterize and close the saphenous vein which feeds the varicosities.   Endovenous ablation is an image-guided procedure that uses heat generated by radiofrequency or laser energy to seal off these faulty vessels, diverting blood flow immediately to nearby healthy veins.


Ambulatory phlebectomy is a minimally invasive approach to the treatment of larger varicose veins on the surface of the leg. Best used with a visible bulging vein, ambulatory phlebectomy involves removing the bulging veins through small freckle-size incisions while using a local anesthetic. The permanent removal of the veins leads to excellent long-term results, including optimal cosmetic appearance with minimal scarring at a competitive cost.

Patients who undergo ambulatory phlebectomy wear compression stockings for 2 weeks following treatment and can return to normal activity right away.

Spider vein treatment:
Sclerotherapy: This is a non-surgical procedure that  is done at our Center.   The spider 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. During sclerotherapy, the affected leg is elevated to drain blood, and the sclerosant is injected into the spider veins. The procedure normally takes 5 to 30 minutes, depending on how many spider veins are treated.

Ultrasound-guided sclerotherapy is used to treat more significant vein problems.   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.

 


Will my insurance cover vein treatments?
Many insurance companies will cover these procedures/treatments in part or in full, based on medical necessity.  Our staff can discuss insurance coverage at the time of consultation.



To schedule an exam please call our Center at (781) 979-3900.

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