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.

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Category Archives: Varicose Vein Treatment NYC

Varicose Vein Treatments

Bluish and marble-like veins bulging out of your skin can be annoying and might affect your appearance. To avoid such discomfort and irritation, you need to undergo treatment, which can involve removing the vein. Clearly, these veins have suffered from damage, and this can lead to numerous complications. Removing the vein is the safest method to retain the appearance of your feet, legs, and hands.

What are Varicose Veins?

Varicose veins are bulgy, stretched, and prominent veins that may appear on your feet and legs. This condition occurs because of valve damage in your veins. There are valves on the start and end of every vein.

Because it is difficult for blood to travel against gravity back to the heart for purification, these valves direct blood flow forward. On the contrary, blood will pool inside the vein if valves lose their capability to direct the blood on the right path. As a result, the veins start to grow more visible, leading to discomfort, severe bleeding, and blood clotting. In addition to that, you may also develop skin ulcers, which cause severe pain and sores.

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Treatments of Varicose Veins

1. Sclerotherapy

Sclerotherapy is a non-invasive treatment. Many experts and patients consider this the painless varicose vein treatment. During this treatment, a vein specialist will inject a chemical solution in the varicose vein to shrink the vein’s lining by damaging the cells. This procedure does not involve a surgical process. But, the specialist will use an injection with a chemical solution or foam. Therefore, when the specialist inserts the sclerosant inside the vein, it irritates the vessels. Hence, the solution destroys the vein’s lining cells, forcing the veins to shrink.

The vein specialist will diagnose your condition before the treatment and inspect for the actual cause for varicose veins. They will examine the veins with ultrasound imaging, providing a clear picture of the situation. Generally, the procedure only takes 20 to 30 minutes. However, the specialist may take more time, depending upon the size and length of your vein. For instance, the doctor will introduce sclerosant foam instead of liquid inside longer veins.

Once the vein specialist injects the solution, they will rub the area to prevent blood from re-entering the vein. They will also ask you to wear tight stockings so the tissues can easily absorb the damaged vein. Likewise, this treatment can also treat spider veins, but you will require multiple sessions. Sessions will require gaps in between to allow recovery.

2. Laser Treatment

Laser technology is the latest advancement in the healthcare industry. A laser is simply a focused beam of light with high intensity. A vein specialist can treat varicose veins with devices emitting a laser beam. Due to high power and energy, these beam release heat, that the specialist use as a source to close the vein. Although there are two types of laser treatment for varicose veins, both uses laser heat as the source to damage the scar tissue, which eventually shrinks the vein. Once the vein loses its blood and shrinks, tissues start to absorb it. Once your vein disconnects with the circulation system, it requires two to three years to disappear completely.

3. Simple Laser Treatment

While performing this treatment, the vein specialist will use a laser device over your skin. They will trace over the varicose veins to damage the vein’s cells. This technique is perfect for tiny veins, but you need to undergo advanced laser treatment for larger veins. Furthermore, simple laser treatment helps remove the vein left after the endovenous laser treatment, radiofrequency treatment, and sclerotherapy.

4. Endovenous Laser Treatment

This is an extensive and invasive treatment and requires slight local anesthesia before treatment. A professional general surgeon will perform this treatment by passing a catheter inside the vein. This thin tube includes a laser device that helps close the ends of the varicose vein. During the procedure, the doctor will use an ultrasound device to locate and observe the vein.

5. Radiofrequency Treatment

Similar to Endovenous Laser Treatment, a vein specialist will insert a catheter. Instead of a laser, the tube will include a radiofrequency device. In this technique, specialists will use radiofrequency waves to generate heat. Likewise, with laser treatment and all other functions, the result will be the same.

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Varicose Vein Treatments: Conclusion

The initial symptoms of varicose veins are not life-threatening. Nevertheless, it can get severe and cause numerous health conditions such as skin Ulcer, bleeding, and blood clotting. You should visit a vein specialist before any severe symptoms occur. They will examine the severity of your condition and suggest proper treatment.

Dr. Norman Chideckel has extensive experience in treating vascular conditions. Contact us today at 212-993-6133 for a free consultation. We will inspect your condition and help you treat your varicose veins.

Microphlebectomy Procedure for Varicose Veins NYC

Microphlebectomy

Varicose veins are not only unappealing and embarrassing; they can also be painful and uncomfortable. Many patients choose Microphlebectomy for the removal of these large varicose veins. This is definitely an effective treatment that doesn’t require any major surgical procedure. While the smaller veins can be eliminated with procedures like sclerotherapy or injections, microphlebectomies are reserved for those veins that are too large to be effected by these other procedures.

Is This Procedure for Me?

The microphlebectomy is generally the chosen procedure for patients who want to eliminate pain cause by their varicose veins and improve their cosmetic appearance. When the veins are removed, it is a permanent meaning the vein cannot return. Microphlebectomy is an easy procedure where patients quickly see positive result. The entire procedure generally lasts less than thirty minutes.

Other veins may still develop in or around the same location but those that were removed are permanently gone. New veins can easily be eliminated through outpatient sclerotherapy injections.

How it’s Done

After a cosmetically acceptable incision is made in the leg, the vein is actually removed through the incision. Because the incision is so small, the doctor usually closes the opening with a small piece of surgical tape rather that applying stitches to close it.

After the doctor removes the vein from your leg, there is no negative result on the circulation or blood flow in the leg. Blood that was supported by the removed vein is simply redirected to a healthier vein in the leg. Circulation of blood will continue better than before, just without the unsightly bulge in the leg.

What to Prepare for

Before performing a microphlebectomy, it is important to make certain that the other large veins in the leg have healthy function. An ultrasound examination is used to make sure there is not a faulty valve causing the larger veins to bulge. If there are problems with valves or other veins, those problems will need to be addressed first to lower the chances of varicose veins returning.

Is a Microphelbectomy Safe?

Microphlebectomy is performed safely in a normal office setting using anesthesia to numb the area. After numbing occurs the small incision is made and the vein is carefully removed. After removal you can usually continue normal activity immediately. You will see cosmetic improvements within minutes of the procedure. Within a week or two the minor bruising from the procedure will disappear. There is minimal pain from the actual procedure due to anesthesia, and the pain caused by the varicose vein is relieved upon the removal.

Microphlebectomies are not emergency procedures, so you want to be certain your experience is as risk free as possible. Choosing an experienced physician is a step in the right direction.

Contact us today to schedule an appointment with Dr. Norman Chideckel for a microphlebectomy consultation.

What are the Treatment Options for Varicose Veins?

Varicose veins cause no problems in many cases and may not need treatment, but some people may find them extremely painful or want them treated for cosmetic purposes. There are a few treatments that may be offered for varicose veins, which all have pros and cons.

Lifestyle Changes

There are many lifestyle changes that can prevent varicose veins from worsening and these are normally recommended if they are not causing any symptoms and are not seen as dangerous. These will not get rid of varicose veins. Therefore, they may not be the right treatment if you want rid of your varicose veins due to cosmetic reasons. Doing regular exercise, losing weight, and stopping smoking may all be recommended, depending on your circumstances. If you are getting another treatment, these lifestyle changes will usually be recommended alongside the main treatment.

Injections

Injections can be used to close the vein using a special chemical. Results are normally seen after a few weeks and symptoms can be relieved. You may need a few injections for the treatment to work properly, and as with all treatments, it may cause side effects such as staining on the skin, headaches, or fainting. If you have a phobia of needles, this may not be the treatment for you.

Laser Treatment

Endovenous laser treatment may be used to treat your varicose veins. This is a minimally invasive treatment that involves using an ultrasound to guide the laser. A small laser will be used to heat the varicose vein from the inside, which causes it to close. It may cause tightness in the legs as well as some bruising or pain. This treatment only needs small incisions and can relieve symptoms. Unlike surgery, you would not need to stay in the hospital overnight.

Suction Removal

As stated in the name, this involves removing the affected veins through small incisions using a suction device. This can give immediate results and minimal scarring, but it can cause bruising. It also relieves the symptoms of varicose veins.
There are other treatments available and this is not an extensive list. Depending on the procedure, you may be given general or local anesthetic to make it as painless as possible for you.

If you want a varicose vein treatment or wish to explore your choices, contact us as soon as possible to schedule an appointment with the best varicose vein doctor in NYC.

Call us today at 212-993-6133 to schedule an appointment with the best Varicose vein treatment doctor in New York City.

When Is Treatment for Varicose Veins Necessary?

You have varicose veins. Perhaps your mother did as well. It is something that began happening after you had your children and now, you don’t think much about them. But, should you? In some situations, varicose veins are nothing to worry about. This is especially true when you only have a few of them and they are smaller. Spider veins, for example, are less worrisome. But, for others, there is a real need to make changes to your skin and to improve your varicose veins.

There is the risk of complications in some situations. Your varicose vein doctor can tell you more about these risks and how they can impact your health.

When Should You See a Varicose Vein Doctor?

If you have varicose veins, seek out help from a skilled and specialized varicose vein doctor. This is especially important in some situations such as:

You have pain in your veins or the area surrounding them
The veins are growing or changing
The veins are larger than ½ an inch
You have more than one varicose vein
You have any other health risk factor such as high blood pressure, higher risk of a stroke, or heart disease
In these situations, your risks are higher for developing complications. You should seek out care from a doctor as soon as possible.

What Are the Complications You Face?

Complications from varicose veins are not common, however they can occur. For this reason, you should see a varicose vein doctor if you have them. Some of the complications include:

- The development of ulcers, which can form near the varicose veins on the skin. These can be painful build-ups of fluid that can lead to infections.
- Blood clot risks are higher in those who have varicose veins. This can lead to a blood clot into your heart, lung or brain. If you have any sudden swelling or pain in or near the varicose vein, seek immediate medical attention.
- Bleeding is another risk factor. Because of their location, they can burst and lead to significant amounts of bleeding and an increased infection risk.

Most importantly, you do not have to live with the pain and discomfort that these veins can create. Instead, come in to see the best varicose vein doctor in Manhattan, New York. Learn about what simple options are available to give you the relief you want and need.

Management of Venous Thrombosis

Blood Clots

Venous thrombosis, or blood clots, is treated with anticoagulation therapy. Historically the treatment has consisted of Heparin initially, delivered intravenously, or by subcutaneous injection, and then long term treatment with Coumadin (warfarin) an oral anticoagulation tablet. The reason that treatment begins with Heparin, which is delivered into the blood stream, is so that the patient is immediately protected. The Coumadin dosage usually takes several days to reach a protective level in the blood stream.

The use of Coumadin requires frequent blood tests to monitor the blood level so that you are adequately protected. If the levels are not adequate you are at risk of developing a pulmonary embolism, and if the levels are too high you may be at risk of bleeding. Initially these blood tests may be done weekly, until an adequate level, known as INR, has been stabilized.

Medications

Certain medications may interfere with the adequate levels of Coumadin in your blood system, and certain foods may also interfere with obtaining adequate blood levels. Coumadin counters the effect of vitamin K, which naturally protects us from bleeding when we sustain an injury. So foods that are rich in vitamin K should be eaten in moderation while on Coumadin. Also, since the Coumadin is detoxified (broken down), in the liver, it would be wise not to drink alcoholic beverages for the duration of time that you are on this medication.

Women who are pregnant, and those who are breast-feeding, should not be using Coumadin, as it will pass through to the fetus, or newborn. This group of patients is being treated with an injectable form of Heparin, as it does not have that issue.

Recently, newer oral anticoagulation medications have been FDA approved, and are currently being used on the market. These medications, give adequate protective anticoagulation therapy, but do not require the blood testing that is required when using Coumadin. You may have seen television advertisements regarding these newer medications, Xarelto, and Eliquis. As with any other medications that are prescribed, please have a discussion with regards to their usage and safety with your healthcare provider.

If you have any questions about venous thrombosis, call the top vein doctor in NYC, Dr. Norman Chideckel.

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.

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