to Dr. Begos
who was selected again as one of of Boston’s top doctors by Boston Magazine in 2015
CSA Vein Center
receives accreditation by the IAC:
CSA is the first vein practice in Northeast Massachusetts to be fully accredited as a Certified Vein Center by the IAC (Intersocietal Accreditation Commission).
Radiofrequency Ablation (RFA or VNUS Closure)
This technique has virtually replaced the old-fashioned vein stripping,
which is rarely done these days. It represents a dramatic advance in the
treatment of venous reflux and varicosities. This procedure is performed in
the office using sterile techniques. A small nick is made in your skin after
local anesthesia is administered. The saphenous vein is then punctured using
ultrasound guidance, and a special catheter is advanced through the length
of the vein. Special local anesthesia is then injected along the vein, and
the catheter is then used to heat-seal the vein.
The heat-sealing process is painless and takes about
3-4 minutes. The catheter and sheath are then removed and a bandage applied.
Your compression stocking is put on, and you are able to walk home with no
difficulty. There is almost no post-procedural pain and you should be able
to return to normal by the next day. The results of RFA are usually
dramatic, with resolution of your throbbing, pain, and swelling in most
In many cases small varicose veins connected to the treated vein may resolve completely as can be seen in these pre- and post- procedure pictures.
Sometimes, you may want to have either sclerotherapy or ambulatory
phlebectomy for any prominent veins that still remain.