Welcome to the Vascular Surgery and Vein Center

Welcome to the Vascular Surgery and Vein Center, a comprehensive vascular practice providing state-of-the-art care to patients throughout the tri-state area. Under the direction of board-certified surgeon Dr. Norman Chideckel, we utilize our advanced skills and many years of experience to help patients achieve clear, beautiful and healthy legs.

With our convenient Manhattan location, Dr. Chideckel offers patients a wide range of services to treat varicose and spider veins, deep vein thrombosis, and other vascular conditions, including:

Dedicated to helping patients achieve their desired results through the most effective and minimally invasive treatments available, Dr. Chideckel and his staff take the time to talk with each individual patient and address any concerns or questions they may have before undergoing treatment. Your comfort and satisfaction are among our top priorities.

To learn more about the services provided by Dr. Chideckel, please contact us to schedule an appointment. We always welcome new patients and look forward to meeting you.

Vascular Surgery & Vein Center
108 East 96th Street
Front 1
New York, NY 10128

Call us today at 212-993-6133 to schedule an appointment.

We now offer Telemedicine sessions. Please call us for more information or to schedule a Telemedicine appointment.

See Our Main Website At www.VeinsDoc.com
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Category Archives: Varicose vein doctor nyc

I Have A Blood Clot

If you have a “blood clot”, or are concerned that you may have a blood clot, what should you do?

Firstly, seek medical attention, as this may pose a serious health issue. The diagnosis is made by a test known as a venous duplex ultrasound, also known as a sonogram, ultrasound, or Doppler, of the extremity. This will allow visualization of the veins of the extremity to determine if a clot is present. It would also differentiate between a superficial vein blood clot or a deep vein blood clot, as well as the location of the highest portion of the clot.

Once the diagnosis has been established, a treatment plan will be decided upon. The reason that blood clots of the vein are of concern, is due to the potential of developing a pulmonary embolism. This is when a blood clot from the extremity travels to the blood vessel in the lung, thereby stopping blood flow to that portion of the lung, and causing chest discomfort, and shortness of breath. This can be a fatal situation.

In general, superficial vein blood clots do not cause a pulmonary embolism, but there are exceptions to this rule. At certain points in the extremity the superficial veins connect to the deeper veins, so a clot located at the connection point or close to this connection point are of greater significance.

Deep vein blood clots do pose a significant risk of causing a pulmonary embolism, probably one out of twelve people, and therefore all patients will be treated. The treatment protocol is using anticoagulation drugs, also known as blood thinners. These medications do not destroy the clot, but prevent the clot from becoming larger, and preventing the possibility of a pulmonary embolism. However, only certain patients with a superficial vein blood clot will require treatment with the anticoagulation medications. Those are in situations where the clot is progressing up the extremity, or are located near to the deeper vein connections, or at the deeper vein connecting points. Most patients with a superficial vein thrombosis are treated by conservative management, which may include the use of a compression hose, local warm or cold compresses for symptomatic relief, and homeopathic remedy-Arnica gel which can be rubbed into the affected area. The symptoms and the associated clots usually resolve within a short period of time, probably 2-3 days, but may persist longer in certain cases.

If you have any questions about blot clots, call NYC’s top vascular doctor, Dr. Norman Chideckel today!

What are varicose veins?

To answer the question, what are varicose veins, we first need to address the anatomy of the veins of the lower extremity.

Varicose Vein Anatomy

There are two systems of veins of the lower extremity called the superficial veins, and the deep veins. In utero (before birth) it is the superficial veins that return the blood flow back to the heart, as the deep veins are not as of yet functional. Once we are born, the deep system takes over the role as the venous return to the heart, and the superficial system becomes expendable. As such, a normal superficial vein may be removed and not cause any consequences, and often is used to replace an artery in the heart , or even in the leg in bypass surgery.

How do veins return blood flow to the heart?

There are valves inside the veins, much like doors, that open to allow blood flow to pass, and then under normal circumstances will close and only allow the blood to flow in one direction. However, if these valves do not close, then the blood will flow down the leg, causing the vein wall to bulge. This bulging vein results in a varicose vein.

Symptoms of Varicose Veins.

As the amount of backwards blood flow increases, symptoms will develop. The symtpoms of varicose veins include: swelling of the leg, heaviness, tiredness, and aches and pain. Often an itchy sensation will occur. Addtionally, as the blood pools, this will allow blood to seep out of the vein wall causing a skin reaction, ankle swelling, brown discoloration, and eventually ulcers. The most increased pressure is at the ankle as it is the furthest distance from the heart and exerting the most gravity when standing.

Treatment for Varicose Veins.

Once these symptoms develop, action is needed to prevent irreparable damage. At first, a compression stocking should be used, which will prevent the pooling of vein blood flow, and by pumping the blood flow more rapidly out of the leg. However, this is not a good long term solution, and the best option would be to rid the body of the abnormal vein.

Many ask, “don’t i need these veins?” Clearly not, as they are no longer participating in normal blood flow return, and could never be used as an arterial substitute.

The options that exist today have changed the management protocol, and most cases can be managed by minimally invasive procedures including laser ablation, which will seal the vein internally without the need for vein removal. For more details regarding laser ablation of varicose and spider veins please see previous blogs.