With more than two decades of experience, Peter Mann is San Diego’s leading expert in the treatment of venous diseases. As a fellowship trained vascular surgeon, he is uniquely qualified to provide his patients with the most technologically advanced vein care available anywhere. Today’s varicose vein treatment options are simple, safe, minimally invasive and virtually pain-free. Best of all there’s no down-time and many of the procedures are covered by medical insurance plans. Done in the office in less than an hour patients can walk out and be symptom free almost immediately.
RADIO FREQUENCY CLOSURE (R.F.CLOSURE):
The R.F. Closure (formerly known as the VNUS CLOSURE FAST) procedure has replaced vein stripping, the traditional treatment for varicose veins. Vein stripping was a major surgical procedure requiring hospitalization, general anesthesia and several weeks of recovery time. During the R.F. Closure, the physician uses ultrasound technology to guide a thin R.F. catheter into the vein through a very small opening (puncture wound as compared to making an incision). Radio frequency energy delivered to the diseased vein wall closes it off and eliminates backflow at the source. Only a local anesthetic is used to avoid pain during this procedure.
Its main objective is to seal shut the Great Saphenous or the Small Saphenous vein – the two main that cause varicosities. Blood is then redirected into the deeper normal veins with no alterations in the venous return.
Walking immediately following the procedure is encouraged and normal activity can be resumed immediately. Patients are instructed to wear medical grade compression stockings for the next two weeks. However, strenuous physical activity such as aerobics should be avoided for two weeks.
A follow up visit is usually scheduled within 7 -10 days. Symptoms dramatically begin to resolve within the next few weeks and patients notice a significant improvement in quality of life.
- In office procedure
- Only local anesthetic used.
- No scarring
- Takes less than an hour to complete
- Normal activities can be resumed immediately
Both the R.F. Closure procedure and the Endovenous laser (EVLT) and are similar in their clinical applications. The former uses a R.F. catheter and radiofrequency energy while the Endovenous Laser uses a fiber optic probe and laser energy to heat the vein wall. Choosing to do either the Endovenous laser or the R.F. Closure procedure is based upon the specific needs of the patient.
Before and Afters
We are providers for Medicare, Tri Care and most PPO insurances, including Blue Cross, Blue Shield, Aetna, Cigna, and United Health Care.