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Avera Veradia
Vein Center

1301 S. Cliff Avenue
Plaza 2, Suite 215
Sioux Falls, SD 57105
605-322-8346

Avera Veradia Vein Center

Endovenous Laser Ablation Services

Avera Veradia Vein Center puts a significant focus on treating venous conditions where, in the past, invasive surgery has been the primary solution. Thanks to endovenous laser ablation (EVLT), the need for surgery in most of these conditions is no longer necessary. We are proud to be part of this exciting evolution in medicine and look forward to offering even more advances in the near future.

Common Conditions

Varicose Veins

Varicose veins are one of the most common, chronic conditions affecting people worldwide. 25% of women and 15% of men have varicose veins. In the past, the only options for painful "bulging" veins were surgical stripping, involving pain, a lengthy recovery and weeks to months in compression stockings.

At Veradia, most patients can benefit from a minimally invasive procedure that generally takes less than 90 minutes for immediate results. There is no recovery time and, little, if any, discomfort. Currently, Avera Veradia performs three varying procedures for varicose veins: Laser Vein Ablation (EVLT); Ambulatory Phlebectomy; and Sclerotherapy.

Look at the difference that Veradia’s laser vein ablation treatment can make on varicose veins

Spider Veins

Like little road maps on your legs, spider veins are thin, threadlike veins that lie close to the skin's surface and are commonly red or purple in appearance. They are very common, especially in women, and can be hormonally induced and associated with pregnancy and menstruation. They range from very minor to extremely severe, and appear most frequently on the face, upper thighs and behind the knees. There are a variety of treatment options for spider veins. At Avera Veradia, we offer the sclerotherapy.

Look at the difference that Veradia’s laser vein ablation treatment can make on varicose veins

Uterine Fibroids

Uterine fibroids are very common non-cancerous (benign) growths that develop in the muscular wall of the uterus. While fibroids do not always cause symptoms, their size and location can lead to problems for some women, including pain and heavy bleeding.

Procedures

Laser Vein Ablation Procedure (EVLT)

If you're wondering how this can be so easy when vein ablation has always been so complicated in the past, we have one thing to say. Thank goodness for laser technology! The laser itself is the key to the simplicity of endovenous laser ablation. Here's how it works:

First, a local anesthetic is applied to an area on the skin. Then, an experienced interventional radiologist makes a very slight incision and inserts a thin catheter into the vein, and, with ultrasound guidance, advances it up the great saphenous vein. Then the tissue around the vein is infiltrated with dilute local anesthetic before the laser energy is applied. The inside of the vein is heated and the heat seals the vein closed. Once the vein is closed, other healthy veins re-route blood flow and the treated varicose vein dissolves. It's that easy.

You can expect this process to take less than 90 minutes and you can return to your usual activities, possibly as soon as the same afternoon, with minimal discomfort. You may feel a slight "pulling" sensation along the treated vein for a few days. For best results, we do recommend wearing compression stockings during the day for the first week following treatment.

Our non-invasive laser procedures have been proven up to 98% effective, with rare cases of re-occurrence. In addition to vein ablation, our expert physicians can also treat other venous disorders and complications with minimally invasive methods.

The Day of Treatment

Any kind of medical procedure can sound scary if you don't understand the process. At Avera Veradia, we want you to be as comfortable as possible. Below we outline your pre-procedure instructions, so that you can come prepared and relaxed.

  • Do not come to the office on an empty stomach. You will not be having general anesthesia. We encourage you to have a small meal 1 to 2 hours prior to arriving at the office.
  • You will be receiving a local anesthetic and, if you choose, an oral sedative. You will not be able to drive home following the procedure. Please arrange for someone to drive you home. You will be in the office up to 2 1/2 hours. The actual procedure itself takes only about 1 hour.
  • Shave the affected leg the night before your procedure including 1-2 inches in the pubic area on that side. Do not apply any type of moisturizer to your leg the day of the procedure.
  • Do not use any aspirin products for 1 week prior to having the procedure. If you are on blood thinners, please notify us immediately so we can speak with your primary doctor and determine a course of action.
  • Please bring your compression hose to all appointments.

Be sure to ask any questions at any time. We want your experience to be positive and rewarding!

Going Home

Now that your varicose veins have been successfully treated, making sure they stay that way takes a few simple measures. We ask all our patients to follow these standard post-treatment instructions:

  • Do not drive or operate machinery for 24 hours after your procedure. For any long car rides the week after your procedure, please get out and walk hourly.
  • You will have compression hose in place when you leave the office. Wear this hose for the first 24 hours (including during sleep) after your procedure. Then wear the hose for the next 6 days except when sleeping or showering.
  • You will have a small dressing and Steri-Strips at the insertion site after your procedure. You may remove the dressing at your first shower, but leave the Steri-Strips in place. The Steri-Strips may begin to come loose after 5-7 days, at which time you may remove them.
  • You may have some discomfort following the procedure. We suggest Tylenol (2 tablets every 4 hours as needed) to manage this discomfort. A "pulling" sensation in the treated leg several days (5-7) after treatment is normal. If you are having extreme discomfort or bleeding, notify the office immediately. Some patients find it helpful to take a day or two off from work, although we expect you to be able to resume all your pre-procedural activities (including work) the following day.
  • We would like you to continue to keep moving and maintain a normal level of activity. Walking twice daily for 20 minutes is encouraged and promotes speedy healing. Please refrain from vigorous exercise, however, for 1 week.

You will have a short, follow-up appointment 72 hours after the procedure.

Ambulatory Phlebectomy

Ambulatory phlebectomy (also known as microphlebectomy) involves the direct removal of large, superficial varicose veins. This is occasionally necessary as an adjunct to endovenous laser ablation. After injecting a local anesthetic, the abnormal veins are removed with a small hook through a 1-3 mm incision. Several tiny incisions may likely be necessary to remove the abnormal veins.

The Day of Treatment

  • Do not come to the office on an empty stomach. You will not be having general anesthesia. We encourage you to have a small meal 1 to 2 hours prior to arriving at the office.
  • You will be receiving a local anesthetic and, if you choose, an oral sedative. You will not be able to drive home following the procedure. Please arrange for someone to drive you home. You will be in the office up to 2 1/2 hours. The actual procedure itself takes only about 1 hour.
  • Shave the affected leg the night before your procedure. Do not apply any type of moisturizer to your leg the day of the procedure.
  • Do not use any aspirin products for 1 week prior to having the procedure. If you are on blood thinners, please notify us immediately so we can speak with your primary doctor and determine a course of action.
  • Please bring your compression hose to all appointments.

Going Home

  • Do not drive or operate machinery for 24 hours after your procedure. For any long car rides the week after your procedure, please get out and walk hourly.
  • You will have compression hose in place when you leave the office. Wear this hose for the first 24 hours (including during sleep) after your procedure. Then wear the hose for the next 6 days except when sleeping or showering.
  • You will have a small dressing and Steri-Strips at the insertion site after your procedure. You may remove the dressing at your first shower, but leave the Steri-Strips in place. The Steri-Strips may begin to come loose after 5-7 days, at which time you may remove them.
  • You may have some discomfort following the procedure. We suggest Tylenol (2 tablets every 4 hours as needed) to manage this discomfort. If you are having extreme discomfort or bleeding, notify the office immediately. Some patients find it helpful to take a day or two off from work, although we expect you to be able to resume all your pre-procedural activities (including work) the following day.
  • We would like you to continue to keep moving and maintain a normal level of activity. Walking twice daily for 20 minutes is encouraged and promotes speedy healing. Please refrain from vigorous exercise, however, for 1 week.

You will have a short, follow-up appointment 72 hours after the procedure.

Ultrasound Guided Foam Sclerotherapy

Some problematic veins that require treatment are too tortuous (twisted) for laser ablation and too superficial (shallow) for ambulatory phlebectomy. These vessels are accessed with a needle under direct guidance with ultrasound. Once vein access is confirmed, a foamed scleroscent is injected. The scleroscent damages the vein lining, causing it to occlude. This procedure is different from (cosmetic) sclerotherapy which is used to treat spider veins.

The Day of Treatment

Any kind of medical procedure can sound scary if you don't understand the process. At Avera Veradia, we want you to be as comfortable as possible. Below we outline your pre-procedure instructions, so that you can come prepared and relaxed.

  • Do not come to the office on an empty stomach. You will not be having general anesthesia. We encourage you to have a small meal 1 to 2 hours prior to arriving at the office.
  • You will be receiving a local anesthetic and, if you choose, an oral sedative. You will not be able to drive home following the procedure. Please arrange for someone to drive you home. You will be in the office up to 2 1/2 hours. The actual procedure itself usually takes about 1 hour.
  • Shave the affected leg the night before your procedure including 1-2 inches in the pubic area on that side. Do not apply any type of moisturizer to your leg the day of the procedure.
  • Do not use any aspirin products for 1 week prior to having the procedure. If you are on blood thinners, please notify us immediately so we can speak with your primary doctor and determine a course of action.
  • Please bring your compression hose to all appointments.

Be sure to ask any questions at any time. Again, we want your experience to be positive and rewarding!

Going Home

Now that your varicose veins have been successfully treated, making sure they stay that way takes a few simple measures. We ask all our patients to follow these standard post-treatment instructions:

  • Do not drive or operate machinery for 24 hours after your procedure. For any long car rides the week after your procedure, please get out and walk hourly. You will have compression hose in place when you leave the office. Wear this hose for the first 24 hours (including during sleep) after your procedure. Then wear the hose for the next 6 days except when sleeping or showering.
  • You will have a small dressing and Steri-Strips at the insertion site after your procedure. You may remove the dressing at your first shower, but leave the Steri-Strips in place. The Steri-Strips may begin to come loose after 5-7 days, at which time you may remove them.
  • You may have some discomfort following the procedure. We suggest Tylenol (2 tablets every 4 hours as needed) to manage this discomfort. A "pulling" sensation in the treated leg several days (5-7) after treatment is normal. If you are having extreme discomfort or bleeding, notify the office immediately. Some patients find it helpful to take a day or two off from work, although we expect you to be able to resume all your pre-procedural activities (including work) the following day.
  • We would like you to continue to keep moving and maintain a normal level of activity. Walking twice daily for 20 minutes is encouraged and promotes speedy healing. Please refrain from vigorous exercise, however, for 1 week.

You will have a short, follow-up appointment 3-7 days after the procedure.

Uterine Fibroid Embolization (UFE)

To treat uterine fibroids, the interventional radiologists at Avera Veradia make a tiny nick in the skin in the groin and insert a catheter into the femoral artery. Using real-time imaging, the physicians guide the catheter through the pelvic vessels and then release tiny particles into the uterine arteries that supply blood to the fibroid tumors. This blocks the blood flow to the fibroid tumors, causing them to shrink and die. This procedure is performed in the hospital with conscious sedation and requires an overnight stay.

Day Of Treatment

  • Because you will be sedated during the procedure, you may not eat any solid foods after midnight the day before the procedure. You may take your usual medications with small sips of water the morning of the procedure.
  • Please refrain from taking aspirin for one week before the procedure.
  • If you are on blood thinners, please notify us immediately so we can speak with your primary doctor and determine a course of action.
  • Please plan to arrive at the hospital 90 minutes prior to the scheduled procedure time to allow time for registration and pre-procedure activities. Prior to the procedure, an IV will be started and an antibiotic will be given.

The uterine fibroid embolization procedure (UFE) takes 1-3 hours depending on the vascular anatomy and volume of fibroids. During the procedure, you will be given medications (Versed and Fentanyl) for relaxation and pain relief. You may be in a relaxed wakefullness or lightly sleeping during the procedure. In addition to the physician performing the procedure, a nurse will monitor you closely while you receive these medications to ensure your comfort and safety.

Following the procedure, you may experience significant uterine cramping and nausea. This typically resolves over the first 12-24 hours and is expected. Initially, you will be given IV medications to help manage these symptoms. Usually, these symptoms can be managed with oral medications the day after the procedure.

Uterine fibroid embolization is a procedure that must be performed in a hospital interventional radiology department.

Going Home

Most patients are discharged from the hospital the day after the procedure.

You will be given prescriptions for pain relief, nausea relief, and a stool softener. The most common problem or discomfort after UFE is constipation.

Post-embolization syndrome (PES) is a group of symptoms that commonly occur following UFE. The symptoms of PES are pain, low-grade fever, nausea/vomiting, and malaise. This syndrome may take up to 1 month to resolve but patients are typically able to resume work and their usual activities after 1 week. Should you experience severe pain, foul-smelling discharge or a high-grade fever (greater than 101.5 F) please contact us immediately.

We will call you several days after the procedure to see how you are doing. You will have a follow-up appointment with the physician performing the procedure back at Veradia, typically after 3 months.

Avera Veradia Vein Center Testimonials

Avera Veradia Vein Center Testimonials

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New Vericose Vein Treatment

Watch Matthew Casey, MD, Interventional Radiologist, in Avera Medical Minute as he talks about Endovenous Laser Ablation.

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Avera Veradia Vein Center

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