Marquette General Health System - Feature Stories

Aug. 13, 2003

MGH Vein Clinic offers non-surgical procedure to remove varicose veins
Patient: ‘I would absolutely recommend this approach to others’

 

Dr. Christopher Mehall, Medical Director of Vascular and Interventional Radiology at Marquette General Hospital, performs non-surgical sapheneous vein closure treatment on Sue Britton of Marquette. The endovascular outpatient treatment, new to the Upper Peninsula, is viewed as a major breakthrough in treating varicose veins. (MGH photo)

For the last 15 years or so, a varicose vein in the lower left leg has been a painful problem for registered nurse Sue Britton of Marquette. Varicose veins are a painful condition in the legs that affects an estimated 80 million people in the United States.


Sue Britton

Britton said she remembers experiencing pain in her left leg while working as a staff nurse.
“On days when I was on my feet a lot, especially if there were prolonged periods of standing, I would get very achy legs and some swelling,” she said. “All these years, I wondered if there was treatment available to me.”

Today, Britton experiences relatively little pain after recently undergoing a newly available non-surgical technique at the Vein Clinic, offered by the Specialty Clinic and Imaging Department at Marquette General Hospital.

Sapheneous vein closure treatment — new to the Upper Peninsula — is an endovascular outpatient treatment performed using local anesthetic. Endovascular surgery employs catheter-based technologies to treat vascular diseases.

During the procedure, imaging specialists at Marquette General thread a tiny laser fiber into the saphenous vein to seal it, correcting the cause of varicose veins.

“I’m very hopeful that this will solve the problems I have experienced because of the varicose vein,” Britton said.

Common symptoms associated with varicose veins include:
· Aching
· Heaviness
· Tiredness
· Cramping
· Swelling
· Burning
· Itching
· Significant bulging of leg veins

Less common signs or symptomsinclude: restless legs at night; leg cramps at night; superficial blood clotting; bleeding from a superficial vein after minor trauma; and unusual rashes.

The minimally invasive treatment is viewed as a major breakthrough in treating varicose veins, which are typically treated surgically by ligation and vein stripping. These procedures require overnight hospital stays and weeks of recuperation.

In most cases, the endovascular vein closure treatment takes less than an hour to complete.
Dr. Christopher Mehall, Medical Director of Vascular and Interventional Radiology at Marquette General who oversees the comprehensive Vein Clinic, said the new approach is good news for many patients who have painful varicose veins.

“Patients who undergo the vein closure treatment typically recovery quite quickly and there is little or no scarring,” Dr. Mehall said. “These patients can generally return to their normal activities once they leave the hospital, sometimes the same day or next day.”

Approximately one in five people in the United States experience painful and unattractive varicose veins, which form over time. Some 27 million Americans suffer from venous insufficiency, including 25 percent of all women and 15 percent of all men. Venous insufficiency and varicose veins lead to more significant leg pain and fatigue, ulcers, hemorrhage and infection.

“In a leg, the blood flows upward toward the heart, and the veins have one-way valves that prevent the blood from flowing backwards,” explained Mehall. “These valves, over time, fail to close tightly and blood pools together, which causes varicose veins.”

Britton underwent the procedure to guard against potential long-term, lower-leg problems.
“I didn’t want to have a huge surgical procedure that would take a long time to recover from. When the Vein Clinic started at Marquette General (this past spring), I was excited to think that maybe it was an option for me,” she said.

“The way my leg looked concerned me, but that wasn’t what really prompted me to get something done. I was starting to see an increase in spider veins in the ankle area, which is a common place to develop wound ulcers if they are left untreated. By having the varicose vein removed from my leg, my goal was to prevent more serious problems from developing down the line.”

The new approach, Mehall said, offers “a new alternative to more invasive procedures” that is more affordable, less time consuming and as effective as traditional surgery.

Britton went back to work the day after her procedure. Within days, the level of pain in her leg decreased and there were no visible signs of scarring.

“The procedure fit into my busy schedule,” she said. “I would absolutely recommend this approach to others. Because I have a family history of varicose veins, I wanted to prevent problems with leg ulcers now.”

MGH’s vein clinic is a collaborative effort under the Divisions of Vascular & Interventional Radiology and General Surgery. The choices of treatment are specific to the medical condition of each patient.
The clinic offers comprehensive venous disease services, including:
· Venous imaging services
· Laser saphenous vein ablation
· Surgical venous stripping and phlebectomy (removal of larger varicose veins)
· Wound care services from the MGHS Wound Care Clinic
· Professional fitting of support stockings and wraps

The Vein Clinic sees patients several days per month in the Specialty Clinic at Marquette General. Patients are encouraged to obtain a referral from their primary care physician to schedule appointments at the Vein Clinic. Dr. Mehall said patients can also call the MGH Specialty Clinic directly to schedule appointments at 906-225-7808 or 1-800-562-9753, ext. 7808.

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