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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 Testing Austin
Chronic Venous Disease:
Chronic Venous Disease (CVD) covers the whole range of venous disorders including cosmetic (unsightly) veins, some of which bulge, as well as deeper problems. Venous diseases can be diagnosed through venous testing administered at the Austin, Texas clinic of Dr. John Hovorka, All In Veins. Vein disorders CAN develop into a deeper problem than what can be seen on the surface and is associated with pain as well as swelling. We call vein disease Chronic Venous Insufficiency (CVI) when you begin to have swelling or skin changes. With venous insufficiency, the valves in the veins have become damaged. These valves normally keep blood flowing toward the heart, but damaged valves allow some blood to flow backward, causing the veins to become overfilled. Fluid seeps out of the engorged veins into the surrounding tissues, resulting in tissue breakdown and venous skin ulcers.
Diagnosis of Chronic Venous Disease:
At All in Veins, Dr. Hovorka tests for Chronic Venous Disease by conducting a duplex ultrasound to provide the information needed to recommend treatment. There are several other simple screening tests that detect vein problems, all of which are non-invasive and painless. Additional routine examinations include digital photo plethysmography and sometimes air phlethysmography. For patients that also have CVI, sometimes Venous pressure measurements are recommended. In severe chronic venous insufficiency patients arm/foot pressure differential and Ambulatory Venous Pressure measurements may also be needed.
Other commonly performed tests include Venography and Intra Vascular Ultrasound (IVUS). The ready availability of IVUS has decreased the amount of dye necessary for most venograms, making the examination safer and allows us to truly address a broad spectrum of venous disease.
Cosmetic Veins:
If after testing, the patient is shown to have cosmetic veins, Dr. Hovorka will classify the patient on a 9 to 1 scale. This scale was developed by Clinica Miyake to classify patients that have aesthetic and/or cosmetic complaints. Once the type of veins you have is identified on the scale, Dr. Hovorka will assign appropriate measures for treatment. One such method is a combination of Laser and Sclerotherapy called the ClaCs .Medically Necessary Patients:
For patients who are deemed medically necessary after testing, duplex ultrasound of the inferior vena cava and iliac veins may be warranted. If there is clinical suspicion by history of symptoms or certain signs are present, then Intra Vascular Ultrasound (IVUS) may be recommended.Candidates for Venous Testing:
Venous screening should be performed on individuals who have aching leg pain, fatigue or heaviness of the legs, swelling, itchy legs, restless legs, night cramps, skin color changes and bleeding skin ulcers. Dr. Hovorka along with the first National Screening Program for Venous Disease created by the American Venous Forum in concert with the American Vascular Association, believes venous disease must become a national health care priority and is committed to improving public awareness and understanding of venous disease. Currently, Dr. Hovorka offers comprehensive screening programs for the Austin and McAllen and their surrounding areas for anyone who believes they may be suffering from venous disease.