Services Vein Care

Vein Care

The Vein Clinic offers the latest minimally invasive and surgical treatments for varicose and spider veins and venous insufficiency. Many people suffer from leg pain, swelling, and/or heaviness in the legs, and in addition to being uncomfortable, some varicose veins can become more serious if they are not treated.

Previously, patients were treated with a vein removal procedure called vein stripping, which was painful and had a long recovery time. Now, there are technologies and techniques that involve less pain, good cosmetic results and an easy recovery. Such treatment techniques include sclerotherapy, thermocoagulation (Veinwave™) and radiofrequency closure (VNUS® Closure).

Who performs these procedures is as important as the technologies themselves. The specialists at The Vein Clinic are board-certified vascular surgeons who are trained to treat all kinds of vascular problems.

Our Services

Amputation Prevention and Wound Care

Amputation prevention can include lifestyle changes, medication, or minimally invasive endovascular procedures such as a peripheral angiogram or venogram to address arterial/venous flow. The physicians also provide specialized topical/subcutaneous wound care including incision and drainage, dressing recommendations, etc.

Aortic Disease

The physicians at Vascular and Vein Institute of Siouxland use endovascular repair to treat abdominal aortic aneurysms. This type of repair is minimally invasive, meaning only small incisions are required and recovery time is much shorter than if open surgery were used.

Carotid Disease

Carotid angiograms are performed to determine the level of narrowing or blockage in the carotid arteries. It is an invasive test that also helps to evaluate risk of future stoke. Carotid stenting, a minimally invasive procedure, can be performed to fix narrowing of the arteries.

Chronic Venous Disease/Venous Insufficiency

The physicians at Vascular and Vein Institute of Siouxland use a variety of methods to treat chronic venous disease. These methods are minimally invasive and are generally less painful than traditional treatment methods like vein stripping or laser treatments. The physicians will determine which of the following treatment methods is best for you: radiofrequency ablation, sclerotherapy, Varithena®, or VenaSeal™.

Deep Vein Thrombosis (DVT)

Venograms are used to diagnose DVT. These X-ray tests allow your physician to find blood clots and are more accurate than ultrasound tests. If needed, your physician will utilize thrombolytic therapy to dissolve the clot and mitigate the serious side effects of DVT.

Dialysis Access

Vascular and Vein Institute of Siouxland provides the full spectrum of access care for dialysis patients including fistulogram, fistula creations, and catheter placements or replacements.

Hyperhidrosis

A sympathectomy is a surgical procedure that treats hyperhidrosis by clamping the sympathetic nerve to alleviate symptoms.

IVC Filters

Vascular and Vein Institute of Siouxland provides placement, management, and removal of IVC filters designed to capture blood clots for high risk patients.

Liver Disease

The physicians at Vascular and Vein Institute of Siouxland use transjugular intrahepatic portosystemic shunts (TIPS) to treat liver disease. It is a minimally invasive procedure that helps to create new connections between blood vessels in the liver to treat fluid buildup and recurrent variceal bleeding in the abdominal cavity.

Palliative Care

Palliative care offered at Vascular and Vein Institute of Siouxland includes: celiac plexus nerve block, kyphoplasty with ablation, paracentesis, PleurX™ for malignant ascites/effusion, and thoracentesis.

Peripheral Arterial Disease

A peripheral angiogram is an X-ray test that allows your physician to find narrow or blocked areas in the arteries that supply blood to your legs. This test allows your physician to determine whether surgical treatment is necessary.

Spider Veins

Spider veins can be treated with subcutaneous injections that eliminate swollen or painful veins.

Uterine Fibroids

Uterine fibroids can be treated with uterine fibroid embolization. This method treats fibroids without invasive surgery by blocking the blood supply to the fibroids.

Varicose Veins

Depending on the severity of your varicose veins, the physicians at Vascular and Vein Institute of Siouxland will choose one of the following treatment methods: radiofrequency ablation, sclerotherapy, Varithena®, or VenaSeal™. These methods tend to be less painful than other treatment methods like vein stripping and laser treatments.

We offer comprehensive screenings to prevent, diagnose, treat, and monitor our patients.

  • Vascular Ultrasound by a Certified Vascular Ultrasound Tech
  • Intravascular Ultrasound
  • Angiography
  • Venography

Healthy leg veins have valves that keep blood flowing to the heart. Venous reflux disease develops when the valves stop working properly and allow blood to flow backward (i.e., reflux) and pool in the lower leg veins.

Varicose veins may be a sign of something more severe–venous reflux disease or even prior blood clots.

If venous reflux disease is left untreated, there is an increased risk of blood clots and symptoms can worsen over time. Your doctor can help you understand if you have this condition.

Superficial venous reflux disease may cause the following signs and symptoms in your legs:

  • Varicose veins
  • Aching
  • Swelling
  • Cramping
  • Heaviness or tiredness
  • Itching
  • Restlessness
  • Skin damage
  • Open skin sores

 

Many factors contribute to the presence of venous reflux, including:

  • Pressure
  • History of blood clots
  • Age
  • Gender
  • Family history
  • Obesity
  • Multiple pregnancies
  • Heavy lifting
  • Prolonged standing

 

Superficial venous reflux disease treatment aims to reduce or stop the backward flow of blood. Increased walking and activity level is our first step in the care of vein patients, followed by weight loss for the obese patient. Compression therapy is important for long-term and short-term care.

If these treatments prove ineffective and if there is not a venous blockage, there are three minimally invasive treatment options available to help. Visit with your physician’s for recommendation based on your individual needs and insurance approval.

  • Varilase laser procedure
  • ClosureFast radiofrequency procedure
  • VenaSeal adhesive procedure

 

Additional procedures may include removal of larger varicose veins through a minor incision and/or a chemical injection for closure of smaller varicose veins.

  • Comfortable outpatient setting
  • Consistent and controlled treatment
  • Proven outcomes with rapid recovery
  • A positive patient experience

 

Studies have shown:

  • Relief of symptoms after 1-5 days with a noticeable improvement in one to two weeks
  • Proven results with positive patient outcomes and experience
  • Rapid recovery – on average patients resume normal activities within a few days
  • Minimal risk of complications

Research

Our team is involved in cutting-edge research aimed at furthering our understanding of cardiovascular treatment of heart disease. We are currently enrolling patients in several clinical trials.

Doctors & Providers

Contact Us

Monument Health Heart and Vascular Institute 353 Fairmont Boulevard, Rapid City, SD 57701

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