The Vein Clinic at Texas Health Harris Methodist Hospital Fort Worth specializes in the treatment of venous and vascular health conditions. Treatment options and procedures for varicose and spider veins include:
Endovenous Laser Treatment (EVLT)
EVLT is a procedure performed in Texas Health Fort Worth’s Vascular and Interventional Radiology Center, requires no incisions and no inpatient hospital stay. After local anesthesia is administered, a laser fiber is inserted through a small needle hole in the skin into the vein that runs along the inner thigh. The laser is then slowly heated and the vein collapses around it. The collapsed vein soon shrinks and disappears. This technique rapidly treats the large varicose veins in the thigh and takes about 1 hour to perform. Patients can resume all their normal activities soon after the procedure.
Microphlebectomy is a minimally invasive procedure that allows for the removal of large, superficial varicose veins. Utilizing special instruments the veins are gently removed through tiny skin openings about the size of a pinhead. Unlike traditional, more invasive surgeries no stitches are needed and virtually no scarring occurs. The results are quick and cosmetically pleasing. There is relatively no downtime and discomfort is minimal. This can also be done in our Vascular and Interventional Radiology Center.
Sclerotherapy is a treatment for the elimination of spider veins and smaller varicose veins. Your doctor or nurse will begin injecting the sclerosing agent into the affected veins. Bright indirect light and magnification help ensure that the process is completed with maximum precision. Blood circulation is carried out through healthy veins located deeper within the body, so the outward appearance and sometimes pain associated with the problem veins is significantly reduced. Often, patients are surprised at the dramatic difference in appearance between a treated leg and an untreated one.
Pelvic Congestion Syndrome
Pelvic venous congestion syndrome is very similar to the condition of varicose veins in the legs. In both cases, the valves in the veins that help blood flow toward the heart are either defective or damaged. The function of the valves is to prevent backflow of blood. When the valves are destroyed, pooling of the blood occurs in the veins. The veins which are engorged with blood get bigger and stretch the vein wall. In Pelvic Congestion Syndrome, the enlarged veins occur near the uterus, fallopian tubes and pelvic floor causing pain and swelling.
In the last decade, there has been a new radiological method of treating Pelvic Congestion Syndrome called embolization. Embolization is only undertaken after the diagnosis is confirmed. Basically it involves plugging the blood vessels so that they do not become engorged with blood anymore, and the pelvic varicose veins subside with time. The procedure is typically done by an interventional radiologist and takes a few hours. Local anesthesia and sedation may be used during the procedure and an overnight stay in the hospital may be required.
A varicocele is a varicose vein of the testicle and scrotum that may cause pain, testicular atrophy or fertility problems. Veins contain one-way valves that work to allow blood to flow from the testicles and scrotum back to the heart. When these valves fail, the blood pools and enlarges the veins around the testicle in the scrotum to cause a varicocele.
Approximately 10 percent of all men have varicoceles and among infertile couples, the incidence of varicoceles increases to 30 percent. They mainly occur in men aged 15-35. Open surgical ligation, performed by a urologist, is the most common treatment for symptomatic varicoceles.
Catheter-directed embolization is a non-surgical treatment performed by an interventional radiologist using imaging to guide catheters inside the body. The procedure is performed on an outpatient basis with mild IV sedation and local anesthesia.
Deep Vein Thrombosis
Deep vein thrombosis (DVT) is the formation of a blood clot, known as a thrombus, in the deep leg vein. It is a very serious condition that can cause permanent damage to the leg, known as post-thrombotic syndrome, or a life-threating pulomnary embolism.
Catheter-directed thrombolysis is performed under imaging guidance by interventional radiologists. This procedure, performed in a hospital's interventional radiology suite, is designed to rapidly break up the clot, restore blood flow within the vein, and potentially preserve valve function to minimize the risk of post-thrombotic syndrome.
Inferior Vena Cava Filter Placement and Removal
Inferior vena cava (IVC) filters are placed in patients who have a history of or are at risk of developing blood clots in the legs, including patients:
- Diagnosed with deep vein thrombosis (DVT)
- With pulmonary embolus
- Who are trauma victims
- Who are immobile
- Who are at risk for developed deep vein thrombosis (DVT) and Pulmonary Embolism (PE)
IVC filters are used when patients cannot be successfully treated by other methods, including blood thinning agents.
Using image guidance, a catheter is inserted through the skin into a large vein in the neck or groin and advanced to the inferior vena cava in the abdomen. The IVC filter is then placed through the catheter and into the vein. Once it is in the correct position, the interventional radiologist will release the filter, allowing it to fully expand and attach itself to the walls of the blood vessel.
To remove an IVC filter, a special catheter is inserted into a large vein in the neck or groin and advanced to the site of the filter in the vena cava. A removable IVC filter has a small hook or knob at one end that enables the catheter to capture the filter, close it, pull it into the catheter and then withdraw it from the body.
We accept most insurance policies and will verify benefits prior to your appointment. However, we recommend you contact your individual insurance provider for benefit coverage. Please call us at 817-250-4590 if you have any questions.
Jennifer “Jenna” Bieshaar, R.N., BSN, CRN
Bieshaar serves as manager of the Vascular and Interventional Radiology Center, PICC Line Team, Radiology Care Unit and the Vein Center at Texas Health Harris Methodist Hospital Fort Worth. In addition to overseeing the daily operations and staff, she provides patient care and support when needed. Bieshaar holds a bachelor's degree in nursing from Regis University. She is a member of the Association of Radiologic and Imaging Nurses and has served in a leadership role with the Vascular and Interventional Radiology Center since 2001.
Robert J. Reeb Jr., M.D.
Reeb has been a radiologist for Radiology Associates of North Texas, since 1988 and been practicing at Texas Health Harris Methodist Hospital Fort Worth for more than 25 years. Reeb currently serves as the Medical Director for the Vascular Interventional Radiology Center at Texas Health Fort Worth. Reeb received and undergraduate degree from the University of Texas at Austin in 1976 and a medical degree from the University of Texas Medical Branch at Galveston in 1980. In 1981, Reeb completed an internship at Brackenridge Hospital in Austin. In 1987, he completed a residency in radiology at Emory University in Atlanta, and in 1988, a fellowship in neuroradiology at the University of Texas Health Science Center at Dallas.
Reeb’s honors include graduating Summa Cum Laude from the University of Texas and being a member of Phi Beta Kappa and the Mu Delta Society. He is certified by the American Board of Radiology and his sub-specialty is in Neuroradiology and Interventional Radiology. He has professional affiliations with the American College of Radiology, Radiological Society of North America, the Tarrant County Medical Society, the Texas Medical Association, the Society of Vascular & Interventional Radiology and the American Society of Interventional & Therapeutic Neuroradiology.