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Why Encompass HealthCare uses Mechanical Venous Ablation

Posts Tagged ‘venous ablation’

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: March 19th, 2021 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine-filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH!

What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure which is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

Why Encompass HealthCare uses Mechanical Venous Ablation

Posted on: February 11th, 2019 by Encompass Healthcare No Comments

Biological ablation is defined as the removal of a biological structure or functionality. Venous ablation, in particular, is a procedure used by physicians to shut down poorly performing veins that leak blood and fluids into the soft tissues of the legs. Such leaking is the primary cause of chronic swelling, redness, heaviness, and sores that won’t heal. Thus, ablation of just a few identified, culprit veins will reverse all of these symptoms and heal the long-standing sore.

The methods that are available today for providing ablation of these veins are all minimally invasive and are performed in the physician’s office; however, patients should be aware that the level of pain associated with the procedure varies. For example, the most painful ablation techniques use laser and radiofrequency, which “burns” the vein on the interior of the leg. In order to complete this specific technique, the introduction of multiple, separate injections of lidocaine filled fluid around the vein is required. As a result, the vein is ablated and the surrounding soft tissues are prevented from burning. OUCH! What’s worse, radiofrequency and laser procedures carry the risk of causing irreversible damage, and even accidental burning, to important sensory nerves; yet, with Clarivein, this is not a risk. In fact, we have seen that the benefits of the radiofrequency and laser procedures are present with Clarivein, but the risky outcomes are not. Therefore, a lack of medical awareness is the only reason one would choose radiofrequency or laser procedures over the much less painful and risky Clarivein.

At Encompass Healthcare we use Clarivein, a mechanical venous ablation procedure.

This procedure typically requires no more than a single needle inserted into the targeted leg vein under ultrasound guidance, much like a typical lab draw at your doctors’ office. Guided by ultrasound, a catheter is threaded along the length of the interior vein and withdrawn while simultaneously creating a painless, inner vein injury in order to cause vein contraction, and thus ablation.

In general, venous ablation is a procedure that is considered only after other conservative measures have failed. Bruce Ruben, M.D., our Medical Director will often try compression bandaging like unna boots, pneumatic compression pumps, or multi-layer compression wrapping first. These methods are more akin to wrapping a leaking pipe with duct tape; however, it may just be enough to heal a non-healing wound without resorting to the vein ablation procedure. At Encompass Healthcare, each patient is always given the full range of appropriate options.

So, you’re probably wondering what sorts of results we’ve seen with this venous ablation procedure, right? Great news! Patient outcomes after receiving a mechanical venous ablation with Dr. Ruben are very impressive. When treated for a non-healing, venous stasis leg wound, Dr. Ruben’s patients healed completely within 4 weeks!

If a patient or loved one you know might be a candidate for venous ablation, give us a call. We can set up a consult in our comfortable and safe outpatient office and determine the best course of action for the patient’s healing process!

 

Topics covered by Dr. Bruce Ruben in this blog post:

•What is venous ablation
•How does mechanical venous ablation differ
•Why we use mechanical rather than other techniques
•What results have we seen from this procedure
•Call to action

Dr. Ruben’s Venous Insufficiency Article

Posted on: December 15th, 2015 by Mindy Ruben No Comments

Dr. Ruben’s Venous Insufficiency Article explains this condition thoroughly in his Woundsource article here.

Venous Insufficiency: blood and other fluids can't travel up toward the heart because of faulty valves inside the vein. This is explained in Dr. Ruben's venous insufficiency article.

Venous Insufficiency: blood and other fluids can’t travel up toward the heart because of faulty valves inside the vein. This is explained in Dr. Ruben’s venous insufficiency article.

Chronic venous insufficiency (CVI) refers to a long-term condition where the veins inside the legs have lost their ability to move blood back up to the heart from the legs. This occurs because the vein walls have weakened to the point where the venous pumps are no longer sufficient enough to send blood back up, against gravity, to the heart. CVI also affects the tiny valves inside the leg veins. When these valves do not close sufficiently, blood seeps back down past the valves and pools in the lower legs.

Many treatments are available including our in-house venous ablation(more…)

Avoid Amputation At Encompass HealthCare & Watch Our Video

Posted on: December 8th, 2015 by Mindy Ruben No Comments

We avoid amputation by delivering the most sophisticated wound healing technology to our patients…all outside of a hospital, safely at our in-house wound treatment center.

At Encompass Healthcare, our patients have been able to avoid amputation because we have access to hospital-level technology without the hassles that hospitals present. Our sophisticated wound care technology includes treatments such as venous ablation, hyperbaric oxygen therapy, I.V. antibiotics, x-rays, special dressings and a home-like atmosphere that is anything but hospital-like!  (more…)

Treating Lymphedema Successfully

Posted on: May 29th, 2013 by Mindy Ruben No Comments

TREATING LYMPHEDEMA SUCCESSFULLY: A CASE STUDY

Treating lymphedema successfully in our outpatient setting has allowed patient M. Silver to begin to heal his bilateral, lower extremity swelling (photo above is not M. Silver, but rather an example of lower extremity lymphedema.)  M. Silver has venous insufficiency, swelling in his legs, and has developed an ulcer between his 1st and 2nd toe, resulting in a fungal infection.

Treatment began with compression therapy, applied by Julia, our certified, manual, lymphedemic physical therapist, an Unna Boot, an increase in his diruetics (medicine to reduce swelling,) an oral fungal pill called Lamisil, and a special powder called Nystatin (both used to treat the fungus.)

M.Silver has been here for only 1 week and he is already improving, estimating his full treatment at about 2-4 weeks total.  All in our outpatient setting, so M.Silver can get his treatment, get healed, and get on with his life.

Treating lymphedema successfully can be achieved if all of the underlying conditions causing lymphedema are addressed.

 

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