Mercy Medical Center North Iowa
Mercy Heart and Vascular Institute – Vein Center Offers Sclerotherapy
Start Date
Mercy Heart and Vascular Institute – Vein Center has now added Sclerotherapy to the list of medical procedures offered to treat large varicose veins and spider veins.

“Sclerotherapy is a minimally invasive procedure, used alone or in combination with other procedures, to treat varicose or spider veins reoccurring in the affected area,” said Ali Mardan, M.D., Medical Director, Vascular Medicine.

Varicose veins are due to a problem in the vein valves in the legs. There is a one-way valve in veins that keep blood flowing from the legs to the heart. When these valves do not work the blood collects in the legs, and pressure builds up and the veins become dilated, enlarged, and twisted.

Sclerotherapy is performed by the physician injecting medication into a varicose vein that causes the vein to scar, close and fade away. The sclerosing agent is injected with very fine needle. “It usually feels just like a short poke, causing little to no discomfort,” Dr. Mardan said.

The procedure is done under ultrasound. It takes only 10 to 15 minutes and the patient can return to normal activity almost immediately, according to Dr. Mardan. Patients need to wear compression stockings for two to three weeks after the procedure and return for a recheck in at that time.
In many cases, Sclerotherapy is used after another vein procedure to ensure that all dysfunctional veins have been treated and to avoid reoccurrence of varicose or spider veins, Dr. Mardan said.

Other treatment options available at the hospital-based Mercy Heart and Vascular Institute – Vein Center include:
• Radiofrequency Endovenous Ablation
• Ambulatory Microphlebectomy

We will soon add the latest and newest method to treat varicose veins “ClariVein.” This also is known as Mechanochemical Endovenous Ablation (MOCA) for the large varicose veins.

Vein procedures are often covered in case of symptomatic varicose veins or varicose veins with wound by many insurance plans. The spider veins alone are considered a cosmetic problem and may not be covered. Regardless, everyone should check with their insurance provider.
We will soon add the latest and newest method to treat varicose veins “ClariVein””. This is also known as Mechanochemical Endovenous Ablation (MOCA) for the large varicose veins.

“We offer a medically comprehensive program at Mercy’s Vein Center that provides people with the benefits of having a hospital-based service, while also helping them enjoy the many benefits of life without varicose veins,” Dr. Mardan said.
For more information or to schedule an appointment at Mercy Heart and Vascular Institute – Vein Center, call 641-428-8001 or 1-800-433-3883, ext. 88001.

Signs and Symptoms
The following are signs and symptoms of varicose veins:
• Aching, tender, heavy, or sore legs
• A burning sensation in your lower legs
• Swelling in the leg and ankles or feet, especially after standing
• Itching in the legs
• Leg ulcers
• Skin discoloration
• Eczema in the legs
• Restless leg
• Leg fatigue or weakness.
• Leg cramps
• Tingling
• Noticeable red or dark-blue -black small blood vessels to very tortuous large varicose veins, in the legs and thighs

Who Is Most At Risk?
People at risk for varicose veins include those who:
• Family history -- if other members of your family have varicose veins, your risk is greater
• Female
• Aging
• Hormonal changes related to pregnancy, premenstrual period, and menopause
• Standing for long periods
• Overweight
• Previous blood clot in the legs