Treatments for Vein Disease

The Coronado Vein Center, founded by Dr. Robert Coronado in 2009, is the only comprehensive vein center in Northern California run by a cardiovascular specialist.

Equipped with state of the art operating rooms, cutting edge technologies, and a like-minded staff with a caring, service oriented philosophy, The Coronado Vein Center has been designated by the industry leader in vascular disease a training center of excellence. It is regarded by many as the center of choice for cardiovascular specialists from around the world looking to add the treatment of venous disease to their practices.

Understanding Venous Reflux Disease

Approximately 40 million Americans suffer from venous reflux disease, the underlying cause of varicose veins. Of these, only 1.7 million seek treatment. Healthy leg veins contain one way valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. As a result, vein valves will not close properly, leading to symptoms of:

  • Varicose veins

  • Leg heaviness

  • Pain

  • Skin changes

  • Swollen limbs

  • Ulcers

Venous ulcers are the leading cause of non-healing wounds in the lower extremities; in fact, they account for up to 80% of ulcers in the legs. We screen for both arterial and venous issues when dealing with lower extremity wounds to find the true cause and best treatment options for leg wounds. Venous reflux disease or venous insufficiency is progressive and symptoms can worsen over time if left untreated. Many factors contribute to the presence of venous reflux disease including:

  • Age

  • Multiple pregnancies

  • Gender

  • Obesity

  • Family history

  • Standing profession

  • Heavy lifting

Using ultrasound to scan your legs, we will determine if venous reflux is present.Traditionally, this condition was treated with vein stripping surgery, requiring lengthy hospital stays, painful recoveries, and high complication rates with less than ideal results. Now with new, proven technologies, patients can be treated with minimally invasive office based procedures requiring very little downtime, and covered by most insurances. Although, once mistakenly thought of as only a cosmetic issue, varicose veins are often a symptom of a medical issue

Our Services

  • This is a conservative treatment aimed at wearing compression stockings. While this may alleviate some of the symptoms of varicose veins, it does not stop progression of the venous disease. Compression therapy is typically used to temporarily relieve symptoms associated with varicose veins and is not the ideal long-term solution to the underlying problem.

  • Using ultrasound, a radiofrequency catheter is positioned into the diseased vein through a small opening in the skin, similar to starting an IV. The tiny catheter powered by radiofrequency energy delivers heat to the vein wall. As the thermal energy is delivered, the vein wall shrinks and the vein is sealed closed. After closure of the diseased vein, blood with continue to circulate through other healthy veins.

  • A new technology for the treatment of venous insufficiency, Venaseal is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein

  • Microphlebectomy is the removal of a vein through a very small incision under a local anesthetic. A small hook is passed through this incision to elevate and hook the vein which is then removed. This is usually achieved with no scarring at all and usually achieved with no stitches. This may be done in conjunction with the primary procedure or done at a later date.

  • A tiny needle is used to inject a solution directly into the vein. In the deeper veins, this is sometimes done via ultrasound guidance. The solution irritates the lining of the vessel, causing it to swell and stick together, and the blood to clot. Over time, the body will absorb the treated vein.

  • Varithena is an FDA approved micro-foam indicated for the treatment of incompetent great saphenous veins, accessory saphenous veins and visible varicosities of the great saphenous vein (GSV) system above and below the knee. Varithena improves the symptoms of superficial venous incompetence and the appearance of visible varicosities.