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What is Venous Insufficiency?

To help the blood make the steep climb up to the limbs, the veins need to work properly & efficiently to get the blood to the heart. Sometimes the veins do not function properly which can be related to pressure, obesity, heredity, valve deficiency, and other causes.  When this happens, blood can pool in the veins which puts pressure on the walls of the veins. This is known as venous insufficiency or venous disease.

PAD Senior Woman Leg Pain
Venous Insufficiency Symptoms

Like many conditions, venous insufficiency is easier to treat when it’s diagnosed early. If left untreated, venous insufficiency can lead to severe pain, varicose veins, ulcers, swelling, and open wounds. These ulcers can be difficult to heal and are prone to infection. That’s why it is important to make a consultation with the American Endovascular affiliated team of physicians if you or someone you know is suffering from any one of these symptoms.

  • Swelling in lower legs and ankles—particularly after prolonged standing
  • Aching or tiredness in legs—characterized by tightness in the calves or itchiness
  • Varicose veins—especially new ones near the calves and ankles
  • Flaking skin—Can be extremely itchy near the feet

Venous Insufficiency Causes

There are many reasons why the leg veins can break down. It could be a result of age, reduced mobility, or even extended sitting. It is quite common. It tends to affect people above the age of 50, and more often women. The following are other factors that may cause venous insufficiency.

  • Overweight
  • Pregnancy
  • Family history of venous insufficiency
  • Damaged leg due to an injury, or previous blood clots
  • High blood pressure
  • Prolonged periods of sitting or standing
  • Lack of exercise
  • Smoking
  • Phlebitis (inflamed vein close to the skin)
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Schedule an Appointment at your nearest American Endovascular affiliated center.

Venous Insufficiency Treatment

Venous insufficiency will not go away on its own, and the disease can become more dangerous as it progresses. If you or someone you know is suffering from symptoms of venous insufficiency, it is essential that you schedule an appointment at an American Endovascular affiliated center. 

Our team can diagnose and treat venous insufficiency with a variety of minimally invasive-image guided techniques that can successfully minimize or eliminate the condition. Prior to treatment, a thorough physician exam, history, and duplex ultrasound is necessary. We offer the following venous insufficiency treatments at American Endovascular.

Endovenous Thermal Ablation

This cutting-edge technique helps minimize the effects of venous insufficiency via high-frequency radio waves or a laser. Both work by heating up the vein and eliminating the bad veins, with minimal bleeding or bruising.  As a result, less blood pools in the leg, dramatically improving blood flow while reducing the bulging veins common with venous insufficiency.

Mini Phlebectomy

Minimally invasive specialized tool to remove abnormal bulging veins (varicose veins) with a tiny incision so small that it does not even need a suture.

Image Guided Sclerotherapy

Ultrasound &/or fluoroscopic guided sclerotherapy can also be utilized for more complex venous insufficiency channels that may be very deep and/or portuous requiring this adjunctive sophisticated technique.

Stenting Abnormal Deep Veins

In more advanced venous insufficiency, the main problem may be a very narrowed or occluded vein from a prior occlusive event such as blood clot, thrombis, a prior trauma, or an active compressive effect such as portuous artery (May-Thurner Syndrome).  In these cases, the vein will be re-opened with a variety of techniques ultimately requiring a stent to re-establish the normal framework of the vein wall.

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What to Expect from Venous Insufficiency Treatment

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Less Invasive
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Same Day Procedure
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No Hospital Stay
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Shorter Recovery Time

Venous Insufficiency FAQ

What is the Most Common Cause of Venous Insufficiency?

Venous insufficiency is most commonly caused by deep vein thrombosis (DVT). Your leg vein is damaged by a blood clot. Those with a history of DVT are at a higher risk of developing chronic venous insufficiency.

What are the Early Stages of Venous Insufficiency?

In order to treat venous insufficiency, being aware of the symptoms can help you catch it at the earliest possible stage. The early warning signs of venous insufficiency are varicose veins, leg pain, swelling in your lower leg, and changes in your skin, such as discoloration.

What is the Most Serious Complication of Venous Insufficiency

Insufficient blood flow to the legs may indicate the presence of a blood clot deep inside, a condition called deep vein thrombosis (DVT). A pulmonary embolism can occur if pieces of the clot break off and travel to your lungs, which can be fatal and a life-threatening medical emergency.

Our Vascular Specialists

American Endovascular is proud to be affiliated with vascular specialists in NY that represent the “best of the best.” Our affiliated physicians at our vascular centers are nationally recognized as leaders in vascular and interventional radiology, providing high-quality and compassionate care for our patients living with PAD. Our affiliated vascular specialists perform venous insufficiency treatments for patients in New York.

Our Vascular Centers in NY & NJ

American Endovascular has vascular centers in New York. Our centers offer venous insufficiency treatments using the the latest minimally invasive-image guided technology in an outpatient setting.

Brooklyn, NY
71 Carroll Street
Brooklyn, NY 11231
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Harlem, NY
505 East 116th Street,
2nd Floor
Harlem, NY 10029
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Queens, NY
30-30 Northern Blvd
Suite 501
Queens, NY 11101
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What Our Patients Are Saying

When came in to see Dr. Shams I was in alot of pain in my legs. He took care of my needs immediately. After the procedure which went well. The pain in my legs had diminished greatly . Dr Shams is patient and understanding. He is a great doctor. The staff was pleasant. The nurses were amazing especially one that was having a baby she was very nice to me and took care of my needs ❤️.
Betty Branch
Betty Branch
00:39 01 Aug 26
These Doctor’s That Works At Harlem Endovascular, What These People Had Did To My Legs, They Did A Real Great Job, And They Really Are The Best !!!
Raul Diaz
Raul Diaz
18:47 21 Jul 26
Excellent staff & Dr and his assistants
Emily
Emily
21:32 25 Jun 26
I was so confident in them the nurses and the receptionist are also kind and caring about you. The Dr and his assistant were excellent. Everyone in that office was excellent. I felt very comfortable with them.
Emily Fanelli
Emily Fanelli
21:31 25 Jun 26
Awesome service, a beautiful staff and teamFrom booking ur appointment to receiving care. Had i known about them i know I would have been better already. I love how polite understanding and comfortable everyone make you feel it definitely make you feel better during care The services here are top notch. I know my healing journey is even greater.
Barbara Maschack
Barbara Maschack
21:31 18 Jun 26
Dr Sham is a very good doctor who helped me with everything he made sure he had they gave me something for the pain and to relax before the procedure and everything went perfect he is the best 5 star’s.
Martin Fagen
Martin Fagen
20:42 15 Jun 26
His team is excellent. Make you feel safe.
Doris Val
Doris Val
22:41 02 Jun 26
Everyone was friendly and helpful and Dr. Rivera was very focused in doing what is best for my mother.
Michael Robayo
Michael Robayo
21:15 02 Jun 26
Very good staff and doctor.
Moises Cuevas
Moises Cuevas
20:57 28 May 26
Very professional. Kept me informed through the procedure.
Laurence Clarke
Laurence Clarke
20:37 27 May 26
Great Service, they explain everything and make you feel relaxed comfortable. From the staff to the Doctor fabulous!
Janet “Jangirl212”
Janet “Jangirl212”
20:49 20 May 26
It’s been the 2nd time I have the procedure no complaint at all
fernando medina
fernando medina
13:03 20 May 26
Just wonderful!!!
Rose Grandma
Rose Grandma
23:05 14 May 26
Doctor shams and his team are very good .They took care of me and showed me that they cared how I was feeling after the procedure .i highly recommended the doctor and his staff
Maria Ortiz
Maria Ortiz
20:34 05 May 26
Dr. Shams has done 2 procedures in my left leg and had cero issues. He did a great job both times.
Roberto Rosales
Roberto Rosales
20:26 04 May 26
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Schedule an Appointment at your nearest American Endovascular affiliated center.