Venous Disease
Superficial venous insufficiency/Varicose vein treatment • Deep venous thrombosis (DVT) • May-Thurner Syndrome • Inferior vena cava filter removal • Vascular malformation sclerotherapy

Venous Insufficiency & Varicose Veins
Blood is pushed back into the main circulation from the legs by the pumping action of the calf muscles over the leg veins. However, that alone is not enough to continuously achieve forward flow towards the heart. Normal veins have valves that keep the blood from moving backwards during the brief times the calf muscles are not being used. These valves may stop working properly for various reasons. As the calf muscles squeeze the blood forward, incompetent valves allow the blood to move backwards, resulting in pooling of blood in the lower legs. This is a medical condition referred to as venous insufficiency. Over time, the leg veins become dilated and twisted and do not control blood flow as they should. When the veins reach this state, they are referred to as varicose veins.

For many people, the only problem with varicose veins is cosmetic: they do not like the way it looks. However, if left untreated, the condition may progress and symptoms may worsen over time. Varicose veins can cause aching pain and discomfort, bruising, heavy and itchy legs, and swelling. In fact, venous insufficiency may cause some of these symptoms even without the appearance of varicose veins. When severe, venous insufficiency can lead to discoloration and wounds around the ankle.
The great saphenous vein is a large superficial vein of the leg that runs just underneath the skin from the ankle to the groin. It is the longest vein in the body and returns blood from the foot, calf, and thigh to the deep femoral vein at the level of the groin. In the great majority of cases, this is the vein that needs to be treated to improve symptoms from venous insufficiency and varicose veins. Occasionally, the incompetent veins may be the small saphenous vein or perforator veins that connect the deep venous system to the saphenous veins.

CLOSUREFAST PROCEDURE
The ClosureFast™ procedure uses radiofrequency energy to precisely and effectively treat patients suffering from chronic venous insufficiency (CVI). The vein is accessed percutaneously through a small incision in the ankle. A catheter is introduced into the vein through this small incision. The catheter delivers radiofrequency energy to the vein wall, causing it to heat, collapse and seal shut. Once the diseased vein is closed, other healthy veins take over and empty blood from your legs. As normal return flow is reestablished, your symptoms should improve considerably.
Venaseal®
The VenaSeal® Sapheon Closure System eliminates superficial varicose veins that cause these symptoms. To use the system, our trained vein care professional inserts a catheter directly into the diseased vein and injects the VenaSeal® adhesive, which is a clear gel that polymerizes into a solid substance. Ultrasound imaging is used to ensure proper placement of the catheter and gel. When the vein is sealed shut, blood is naturally rerouted by the body through healthier veins in the area. With this new system, there is no need for sclerosants, lasers, radio frequency waves, skin cutting or “vein stripping.” This allows patients to return to their usual activities quickly, with less bruising, and with a reduced risk of nerve injury as can sometimes occur with heat-based procedures. Some side effects may occur, such as tingling or vein inflammation (phlebitis), as occur with most vein treatment procedures. The FDA reviewed the safety and efficacy data on the VenaSeal® system and found it to be safe and effective for the treatment of superficial varicose veins of the legs.
BEFORE & AFTER
Results
“I had the ClosureFast procedure done on my legs about 6 weeks ago. Before I could barely make it across the yard…now I’m mowing the yard. They have a great team there and I would highly recommend them.”
-C.P.
TESTIMONIALS
What Our Patients Are Saying
Dr Gonzalez performed prostate pae surgery on me; he explained everything throughly beforehand and I am having wonderful results from same. Dr Gonzalez and his staff are amazing and caring people and I highly recommend.
David M.
Dr. Gonzalez is amazing. He was able to find a rare condition I have that multiple other physicians did not pick up. He is both caring and knowledgeable. He explained all procedures and outcomes clearly and was available for my questions and concerns even after my procedure. He is a five star doctor and I would highly recommend him!
Adrienne V.
Dr. Gonzalez-Beicos and his staff are very professional, knowledgeable, friendly and caring. After dealing for 10 years with BPH, five biopsies, two TURP and three hospitalizations for complications I want to thank Dr. Gonzalez-Beicos and his team. They did and excellent job with a procedure called Prostatic Artery Embolization. I recovered fast and finally I can say that I’m back to normal. I would and do highly recommend him.
Jorge M.

