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Our Locations
All in Veins
11011 Domain Drive
Suite 104
Austin, Texas 78759
Phone: (512) 814-0742
Valley Laser Surgical
909 North Jackson Road
McAllen, Texas 78501
Phone: (956) 992-9161
Financing Available
Financing is quick and simple with the plans we have selected. Just fill out an application either on-line or during your appointment and be approved in a few minutes. Need help Wendy is available to assist.
Venous Stenting Austin
Narrowed or blocked veins can cause severe swelling and pain. Venous Stenting is a procedure performed in Austin, Texas to unblock a vein to improve blood flow and alleviate such pain. Stenting is less invasive than surgery and the recovery time is much quicker. Conditions such as orthostatic pain, or disabling leg pain, swelling and leg ulcers are the most common indications for Venous Angioplasty and Stenting. Chronic Venous Insufficiency (CVI) is a significant cause of discomfort and disability that can be treated with stenting. Patients with leg ulcers resulting from CVI are a significant fraction of all patients treated in wound care centers. These leg ulcers can be successfully treated using venous angioplasty and stenting techniques. Often patients have already had other vein treatment methods and conservative methods, such as compression therapy which did not work to improve severe symptoms because patients had scarred veins with ruined valves and venous obstruction, or deep reflux disease or a previous history of Deep Vein Thrombosis (DVT). On the other hand, many patients have never had a thrombus or a clot. We call this type of disease non-thrombotic and it is usually related to external compression or trauma (even from the "trauma" of childbirth). Sometimes these non-thrombotic problems are congenital (present from birth) and result in small membranes or "webs." In the 21st century, post-menopausal leg swelling in women often can be treated successfully by venous stent placement.Intravascular Ultrasound (IVUS) Placement:
Venous Stent Placement is guided by Intravascular Ultrasound (IVUS).The vein is entered by a needle stick. Usually this is in the thigh, although at it can also be placed in the groin. Anesthesia usually involves local anesthetic for the needle stick, but can also be with IV (conscious) sedation, moderate anesthesia or general anesthesia depending on the complexity of the procedure and a patients pain tolerance. A guidewire (a wire that guides the angioplasty balloon) is slipped into the vein with a catheter then threaded over the guidewire to the area where the vein is obstructed (blocked).
The obstruction (blockage) in the vein is first dilated by a balloon. Unfortunately the area dilated by the balloon usually will collapse and become narrow again because the vein is elastic like a rubber band. To prevent the vein walls from moving back to its original narrowed position, it is necessary to insert a stent into the vein. Once the compressed stent is placed, it springs back to its original size, which can be more than half an inch in diameter. The stent creates an inner circular tube, which helps to keep the vein open. Usually stents are placed in the abdominal veins that drain the leg circulation and sometimes several stents are inserted to cover the entire area, which is blocked. Side Effects:
The side effects of stenting are few and usually insignificant. Since veins do not carry sensation, the stents placed inside the vein are not felt. By placing a stent into blocked veins structures, these structures can be held open to allow enhanced flow of blood, allowing patients significant pain relief. Vein Stenting is a minimally invasive procedure and a welcome solution to complex open surgery, which is not only invasive but carries a long downtime.Experience:
Dr. Hovorka was extensively trained in Venous Stenting by world renowned Vascular Surgeons, Dr. Raju and Dr. Neglen at the Rane Center for Venous and Lymphatic Diseases. Call Dr. Hovorka today to see if you are a good candidate for venous stenting.