Apex Heart and Vascular Center (Vein Restoration Clinic)

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Apex Heart and Vascular Center (Vein Restoration Clinic)

Dr. Anuj Shah has always had the passion to help take care of patients with circulation problems. As the Vascular Director of several prestigious institutes in NY and NJ, he has worked on countless patients to improve their circulation, relieve their pain and discomfort, improve their appearance, help heal their wounds, and prevent amputations. In 2018, he formed the ‘Vein Restoration Clinic’ – a dedicated center for the entire spectrum of venous disease from cosmetic spider veins to complex venous ulcers, using minimally invasive technologies. We treat venous conditions using the latest minimally invasive technologies.

At Vein Restoration Clinic, we understand the difficulty of living with painful, bulging veins and take pride in helping patients regain confidence and the freedom to enjoy life to its fullest. We are committed to relieving leg pain, treating the vascular cause of leg ulcers and eliminating uncomfortable or unsightly veins – allowing our patients to look better, feel better and live better.

We are one of the most unique vein clinics in the nation, for a number of reasons. Our staff including our technicians, assistants, care-coordinators and providers with superior qualifications and some of the highest caliber and we have a complete array of tools and technologies and devices to provide appropriate clinical procedures to treat the root causes of venous insufficiency while also improving our patients’ appearances. We are focused on innovations that can make the biggest difference in the vein health.

Our practice is built on innovation, expertise and empathy. When visiting Vein Restoration clinic, our patients know they will always see an experienced vein doctor and receive the safest, most effective and comprehensive treatment, tailored individually for each patient and their lifestyle.

doctor treating a patient

Why Choose Vein Restoration Clinic?

  • We are a top-notch vein clinic providing complete spectrum of vein care
  • Multiple Convenient locations in New Jersey with easy parking
  • Vein treatments covered by most insurance plans including Medicare
  • Personalized care directly from a board-certified doctor
  • Multiple vein treatment options for varicose veins and spider veins
  • Office-based, minimally invasive treatments with little to no downtime
  • Weekend appointments available upon asking
  • Free Vein screening available
  • Same-day appointments available on weekdays

Vein Treatment Options

Apex Heart and Vascular Center has facilities that enable us to remain on the forefront of diagnostic and treatment solutions for vein disease. We employ safe, effective, and painless in-clinic procedures covered by Medicare and other insurance plans. You’ll have highly regarded physicians collaborating with you to implement a treatment plan specifically structured around your needs.

We provide vein treatment options that include:

taking care by doctor

Radiofrequency Ablation (RFA)

What You Need to Know

  • It’s minimally invasive.
  • It is performed in the clinic by physician under ultrasound guidance to ensure accurate and safe treatment of the affected area.
  • It makes use of radio waves to treat symptoms as well as underlying causes of varicose veins.
  • The procedure requires local anesthesia.
  • It can be performed in under an hour.
  • It involves relatively minor discomfort.
  • You can recover from it quickly (a few hours.)
  • Covered by insurance almost all the time

How It Works

The procedure begins with a thin catheter being gently inserted into a vein with unhealthy valves. The catheter then emits radio waves which cause specific areas of the vein to heat and close. The healing process will almost immediately commence after the withdrawal of the catheter. As for the closed vein, it is now reabsorbed into the body with blood supply in the area rerouted through healthier veins. With this procedure, we’re able to treat the greater and the small saphenous vein, the saphenous vein’s side branches, and a few of the perforator veins.

getting theraphy

Endovenous Laser Ablation (EVLA)

What You Need to Know

  • It is a minimally invasive procedure.
  • It makes use of laser beams to treat the symptoms as well as the underlying causes of varicose veins.
  • The procedure requires local anesthesia.
  • You can recover from it quickly (a few hours.)
  • It involves some minor discomfort.
  • It is performed in the clinic by physician under ultrasound guidance to ensure safe and accurate treatment of the affected area.
  • It is covered by insurance more often than not.
  • Patients can resume their normal routines within a day after getting the treatment.
  • Procedure is completed in an hour or less.

How It Works

The procedure basically starts with a small optic fiber being inserted gently into a vein with unhealthy valves. This delivers laser light that heats and closes specific areas of the vein. The healing process almost immediately begins after the optic fiber is removed. The closed vein will now be reabsorbed into the body with the blood supply in the area being rerouted naturally through healthier veins. This procedure treats the greater and the small saphenous vein, the saphenous vein’s side branches, and a few of the perforator veins.

woman receiving laser treatment

Sclerotherapy

What You Need to Know

  • We provide premium treatment for smaller varicose veins and spider veins. It is also used as a treatment solution for malformed blood vessels and hemorrhoids.
  • The procedure lasts about half an hour.
  • Recovery is immediate.
  • It is often covered by insurance.

How It Works
A medicated sclerosing solution is first injected into affected blood vessels. Right away, this causes the veins to close and begins their reabsorption into the body. Multiple ten-minute sessions of this procedure may be needed for all unhealthy veins to be removed and achieve the ideal aesthetic result.

There is a variation of this procedure called duplex ultrasound-guided sclerotherapy, in which ultrasound is basically used to map and visualize veins, allowing the doctor to track the injected sclerosant. For larger veins, foamed sclerosants are used because its thicker consistency and larger surface area displaces blood in affected veins and ensures maximum scelrosant action.

Please feel free to visit our centers or get in touch using the contact details below. We look forward to working with you!

Frequently Asked Questions

Questions about my recovery following varicose vein treatment

How much time do I need to take off of work?

Everyone has a different health status. There isn’t really a predetermined period of recovery that applies to everyone after varicose vein treatment. However, on average, a good majority of patients are able to walk and participate in full-bodied activities after a day of rest.

Soreness, pain, discomfort, and extensive bruising may also be observed for a while, but it will resolve itself over time.

Is it possible for me to develop a deep vein thrombosis after the procedure?

Any type of surgery poses a similar risk, but the actual danger is very minimal. To further increase your safety, heparin (a blood thinning drug) and supportive stockings are used to help you avoid deep vein thrombosis and gain mobility as soon as possible.

Helpful advice about varicose veins procedures

Keep these pointers in mind:
  1. Once you have been discharged from the clinic, you will then be advised to wear support stockings. These special garments are to be worn both day and night for the whole first week after your procedure. After the initial week has passed, you will then only be required to wear these stockings when you are out and about on your day.
  2. Approximately two days following the procedure, you will be allowed to take a short shower (but not a bath). Remember to remove your supportive stockings before doing so to keep it from being damaged.

    To dry your legs, make use of a gentle dabbing motion. The steri-strips (paper strips) that cover your wounds will come off of the shower, after a span of two weeks.

  3. If you have noticed that the avulsion sites on your leg are emitting discharge, you can remedy it simply by taking a seat and pressing a clean wad of tissue against the area. The issue will be resolved within 5 minutes or so.
  4. It is normal to observe signs of bruising. These marks will disappear within 2-3 weeks.
  5. In case you feel a bit of stiffness or firmness (or general discomfort) under the skin, don’t panic. It is a normal part of the healing process and can be solved by regular exercise and daily walks.
  6. Begin attempting to walk as soon as possible. Taking short walks frequently will help facilitate the healing process. While at rest, you should also keep in mind to elevate your legs for the first 10 days.
  7. There is nothing wrong with wanting to get back to work and start being active again immediately after the procedure. However, before going through the whole process, you should clear out a couple of weeks from your schedule to give your body enough time to recuperate.
  8. Avoid driving for the first 10 days after the procedure. In the meantime, you can ask a family member or friend to be your designated driver.
  9. The presence of a groin wound (which feel stiff or firm) is not a cause for alarm as it will most likely be rectified within 2 weeks.
  10. If you notice other symptoms or if you have other concerns about the procedure, don’t hesitate to contact us.

Helpful advice about thread vein sclerotherapy

The information enumerated below is a compiled list of insightful recommendations from the Vascular Society of Great Britain and Ireland, as well as, from our own practice.
  1. What is the treatment about?

    Sclerotherapy is a procedure that is well suited for removing smaller thread veins and varicose veins (which look unsightly but are otherwise benign). This form of treatment works by aligning the vein wall with an injection and applying compression afterward. As a result, it removes any unwanted protrusions in the process.

  2. What should you do to prepare for it?

    Proper rest after the procedure is vital to your recovery. To facilitate this, you must schedule a couple of weeks off of work after your clinic appointment and make arrangements for someone to drive you home. You can either book a taxi or request either a family member or friend.

  3. What does the procedure entail at the clinic?

    Problem areas will be injected with a small amount of liquid, then pressed with a ball of cotton wool or rubber pad. After that is done, a bandage is wrapped around the leg and secured with a stocking to prevent it from coming loose.

    In most cases, one session is more than enough to rid your leg of varicose veins. But, if both your legs are affected or if your condition is more prominent, you may need additional appointments for a full treatment.

  4. What happens after the procedure?

    For the next 24 hours, you should get enough bed rest as much as possible while keeping your feet elevated (up to the level of your hips). You should also take short walks frequently and avoid standing still for prolonged periods of time.

    For the next 48 hours, you should remove both the bandages and cotton wool pads. Replace the stocking as well and be sure to wear it throughout recovery (removing it only before sleeping or taking a bath/shower).

    For the next 1-2 weeks, you should continue wearing the stocking. It will apply proper pressure at the affected areas and ensure the success of the procedure.

  5. What should you expect during recovery?

    After the first few weeks, there will be a palpable firmness, hardness, and general discomfort (in the area treated), but it will subside gradually. If excessive redness or swelling is observed, you can remedy it by keeping your legs elevated above your hips.

Patients don’t usually experience problems after the procedure, but there is a chance that the site of treatment may present with:

  • A persistent thread vein or cord
  • A brown mark on the skin
  • An ulceration

In order to prevent varicose veins from reoccurring, it is advisable for you to wear light support stockings or tights.

Information You Need to Know About Thread Vein Laser Therapy

Below are the information about thread vein laser therapy that you should know. The reference used for these information is based on the details from the British Association of Aesthetic Plastic Surgeons.

Suitability of All Thread Veins for Laser Therapy

Not every available thread vein responds to laser therapy. This holds true, especially if the vein is situated too deeply within the skin where it cannot be penetrated by laser light. In this situation, sclerotherapy can be an effective procedure.

How Laser Therapy Works

A laser produces light with pure wavelength. When a wavelength of the laser matches a target color (like the vessel wall or red blood cell), such target solely absorbs the laser’s energy without affecting the surrounding tissues. The heat-generating energy pulses break down thread veins into particles which are dispersed naturally within the body. After several weeks, the veins will fade.

What happens in a Laser Treatment?

Laser treatment is a brief and non-invasive procedure. You and the staff, basically everyone in the treatment room during the procedure need to wear protective glasses or goggles. While treatment is ongoing, entry to the treatment room must be strictly controlled. When a laser is fired onto the thread veins, a warm feeling similar to that of a pinch from a snapped rubber band can be felt on the skin. Cooling the skin is a necessary step to reduce this feeling.

Preparations for the Treatment

There is no need to make any change to your normal routine before or after the procedure. Before and after any laser treatment, exposure to the sun must be limited. Tanned individuals are not recommended to undergo this treatment.

Test Patch: The First Phase

Laser light may damage the skin’s pigment. Sometimes, the treatment area can become unusually dark or pale months after the treatment. Prior to proceeding to extensive treatment, a small trial of this procedure will have to be done in an unobtrusive area. Six to eight weeks later, the test patch will be examined for any unwanted side effects and evaluate its success prior to proceeding with the extensive treatment. Treating patients having brown skin will need special care.

Post Treatment

After receiving the treatment, the skin’s surface may feel dry. Treated veins may also appear more prominent than before, further characterized by bruises and redness. There may be crusting on the treated area. Such an area may also feature a slight increase in skin pigment. These things typically subside after a week or two. Stay out of the sun after treatment. Exposing the recently treated skin to the sun can increase the chances of pigmentation problems.

Number of Treatments Necessary and Their Frequency

The number of treatments will be estimated during the consultation and typically depends on the extent of damage to the affected area. Treatments are typically carried out with intervals of four to six weeks.

Laser Therapy Complications

Laser therapy is generally safe and effective. But, complications do occur at times. These may include scarring, loss of skin pigment and/or increased pigmentation which can be permanent, blistering, and ulceration. The area around the ankle is more susceptible to complications. Make sure to inform the therapist about the meds you are taking or any medical problem you may have prior to the treatment.

Patients known to produce keloids and underwent radiotherapy in the area for treatment or those recently with Roaccutane have greater risks of complications. Reactivation of herpes or cold sores can be possible. Preventative treatment may be given to patients with such a tendency.

Best Treatment for Varicose Veins

Deciding which treatment is best for your varicose veins from the many can be hard. Should you choose an established option with a proven long-term result or a new technique? Before making any decision, you need to know if treatment is necessary for your veins and if you really want treatment.

If yes, you need to talk to a vascular surgeon who specializes in venous disease. A reputable specialist will give you a number of various treatments available. The hospital where the procedure will be done should be fully equipped to provide you with a similar range of treatment.

Never finalize a decision until the results of the venous duplex scan have been reviewed by the specialist. Never let the kind of anesthetic you want or being offered to you be the single factor that influences your decision. Remember that general or local anesthesia or halfway house sedation can be provided for all procedures. Whatever is chosen, having an anesthetist along with you and your surgeon in the room is typically recommended.

Most techniques, including endolaser ablation, high tie and stripping, and Chiva and foam sclerotherapy, may provide good initial results when administered by a good surgeon. Long-term results may recur at five to ten years.

Flying and Varicose Veins

There is little specific literature and convincing evidence surrounding air travel, varicose veins, and venous complications. Preventing people with varicose veins from flying or the necessity of taking medical prophylaxis has little to no justification. No solid evidence is present when it comes to proving the necessity or sufficiency of these procedures in preventing thromboembolism due to confusion about this topic, as well as provide relief to anxious patients.

Wearing compression stockings for patients with varicose veins can also be argued.

Due to the possible benefits of mobilization during a flight, flying may have to be postponed until the full functionality of the leg is back after the varicose vein surgery.

The Impact of Weight on Varicose Veins

The risk of developing varicose veins may increase because of your weight or if you have a high Body Mass Index. Complications of venous disease may also be possible.