Varithena

Learn about Varithena™ varicose vein treatment.

WHAT IS VARITHENA™?

The Varithena™ is one of several minimally invasive venous closure methods used to treat Chronic Venous Insufficiency (CVI). Varithena involves injecting a medicated microfoam to fill the lumen, completely displace the blood, and efficiently destroy the endothelial lining. This seals off the diseased vein and reroutes the blood flow to healthy veins while reducing or eliminating the symptomatic discomfort associated with varicose veins.

WHY IS VARITHENA USED?

As the tiny valves within the superficial leg veins experience damage over time with age, pregnancy, or other causes, chronic venous insufficiency (CVI) can occur. The result is non-functioning veins and poor blood flow up and out of the leg. Patients with CVI often report common leg problems such as swelling, aching, itching, cramping, restless legs and ulcerations at the inner ankle.

Varithena can be used to treat these malfunctioning superficial veins by injecting a sclerosant microfoam into them. With the non-functional veins sealed closed, blood is able to find other functional pathways up and out of the leg.

Varithena is particular adept at sealing off twisty-turny vessels that a straight catheter may not pass through.

HOW IS THE VARITHENA PROCEDURE PERFORMED?

Varithena treatment is an outpatient procedure we regularly perform at Allegheny Vein and Vascular and usually takes just under half an hour. The entire treatment — from arrival to preparation through treatment may take up to 2 hours.

To ensure patient safety, we perform Varithena as a sterile procedure. After mapping the malfunctioning vein and applying a numbing medication to the small access point, Dr. Tahara uses ultrasound guidance to access the vein. A Venaseal catheter is then inserted into the vein and the tip is carefully positioned using ultrasound imaging to maximize treatment efficacy while minimizing potential complications. Once positioned, small amounts of the Varithena sclerosant medication are injected to evenly fill the vein, displacing the blood it contained and causing it to spasm, collapse and close off. External pressure is applied to the vein and the catheter is removed. At AVV, total treatment time from access to removal of the catheter is usually less than 30 minutes.

At the conclusion of treatment, pressure is then applied to the access site to control bleeding (typically minimal). Compression stockings and ace wrap bandages are used on the leg until the follow up ultrasound is performed within 24-72 hours.

PRIOR TO YOUR PROCEDURE

Varithena varicose vein treatment is an outpatient procedure we regularly perform at Allegheny Vein and Vascular and usually takes 1 to 2 hours.  The entire treatment — from preparation through treatment and recovery — may take up to 3 hours.

Dr. Tahara will provide you with detailed instructions about how to prepare for the procedure during your initial evaluation. Dr. Tahara also explores your medical history during pre-op evaluation, including inquiries about recent illnesses, existing medical conditions, and any allergies you have or medications you’re taking. He will carefully explain how you should manage your regular medications, food, and drink just prior to the procedure. As a typical example, you may be told not to eat or drink anything several hours before arrival. You may also be asked to wear loose and comfortable clothing and refrain from wearing jewelry.

WHAT TO EXPECT AFTER YOUR PROCEDURE

The Allegheny Vein and Vascular nursing staff will call you about 24 hours after your procedure to check up on you. Typically, the patient will also come in for a followup visit with Dr. Tahara about a week after the procedure is completed.  From there on out, you will be scheduled for office visits and duplex ultrasound appointments as necessary.

IMPORTANT: It is vital that patients keep their followup appointments.  The reason for this is that vascular disease is not something that just goes away.  It is a process that continues, even after any necessary procedures have been performed.  Regular monitoring of your condition will be required in order to help you realize your best possible outcome for the long term.

ALL THINGS VASCULAR

A great place to learn about all things vascular.

Take time to learn about the vascular system and how it functions.

Learn about venous and arterial vascular conditions that affect the body.

Explore treatments & procedures offered through Allegheny Vein & Vascular.

Learn about the examinations and testing protocols vascular patients receive.