Venous Treatments


Endovenous Laser Therapy


EVLT (Endovenous Laser Therapy) is a minimally invasive, gold-standard form of thermal ablation for treating varicose veins caused by venous insufficiency. Widely recognized and utilized around the world, this advanced procedure uses laser energy delivered through a small catheter to heat and seal the affected vein, redirecting blood flow to healthier veins. EVLT is performed under local tumescence anesthesia and provides highly effective results with minimal downtime and discomfort, making it a safe and proven option for both symptom relief and cosmetic improvement of varicose veins.

At York Vascular, we utilize the 1940 wavelength endovenous laser, the latest in laser technology, along with a tumescence infiltration pump to ensure precise delivery, enhanced patient comfort, and optimal outcomes. This cutting-edge approach combines advanced technology and expert care to deliver exceptional results.



VenaSeal Glue Closure


VenaSeal is an innovative, minimally invasive treatment for chronic venous insufficiency, commonly used to treat varicose veins. FDA-approved in 2015, this advanced procedure involves delivering a specialized medical adhesive into the affected vein through a small catheter. The adhesive seals the vein shut, rerouting blood flow to healthier veins.

VenaSeal is known for its quick recovery time, minimal discomfort, and significantly fewer needle sticks compared to other treatments. It also eliminates the need for heat-based techniques or multiple tumescent anesthesia injections. With optional post-procedure compression stockings, VenaSeal offers a safe, effective, and patient-friendly alternative to traditional thermal ablation methods.



Saphenectomy (GSV Ligation and Stripping)


Vein Stripping and Ligation is a traditional surgical procedure for treating varicose veins and chronic venous insufficiency. It involves tying off (ligation) and removing (stripping) the affected vein through incisions typically made at the groin and knee. Performed under general anesthesia in a hospital operating room, this procedure redirects blood flow to healthier veins. Although less common today due to advances like EVLT and VenaSeal, it remains an option for severe cases or when minimally invasive treatments are unsuitable. Recovery usually takes a few weeks, with expected bruising, scars and discomfort.



Venous Ligation (AASV and SSV)


Venous Ligation is a surgical procedure used to treat varicose veins or chronic venous insufficiency, particularly in cases involving the anterior accessory saphenous vein (AASV) or the small saphenous vein (SSV). The procedure involves tying off the affected vein near its junction with the deeper venous system to prevent abnormal blood flow. Performed under local or general anesthesia, venous ligation is often recommended when minimally invasive treatments like EVLT or VenaSeal are unsuitable. This technique preserves the surrounding healthy veins and improves venous circulation. Recovery is typically quick, with minor bruising and discomfort expected.



Microphelebectomy


Microphlebectomy is a minimally invasive surgical procedure used to remove superficial varicose veins. It involves making tiny incisions in the skin through which the problematic vein is carefully extracted using specialized hooks or tools. The procedure is performed under local anesthesia, typically in an outpatient setting, and leaves minimal scarring. Microphlebectomy is highly effective for addressing visible, bulging veins, providing both cosmetic improvement and symptomatic relief.

Recovery is usually quick, with most patients resuming normal activities within a day or two. This procedure can also be performed in conjunction with stripping and ligation, or following treatments such as EVLT or VenaSeal, to address residual varicose veins for optimal results.



Sclerotherapy


Sclerotherapy is a minimally invasive treatment for varicose and spider veins. The procedure involves injecting a specialized sclerosant solution, such as sodium tetradecyl sulfate or Sclerodex (a mixture of dextrose and NaCl), directly into the affected vein. This causes the vein to collapse and seal shut, allowing it to be naturally absorbed by the body over time while blood flow is rerouted to healthier veins. Performed in our clinic, sclerotherapy requires no anesthesia and involves minimal downtime. To ensure precision and optimal outcomes, adjunct tools like ultrasound, vein lights, and VeinViewer technology are used.

Highly effective for both cosmetic enhancement and symptom relief, sclerotherapy often requires multiple sessions for the best results. It is also commonly performed after truncal vein ablation procedures such as VenaSeal or EVLT to address residual or smaller varicose veins.



Compression Devices


Compression Stockings are a vital component in the treatment and prevention of venous disorders such as varicose veins, chronic venous insufficiency, and deep vein thrombosis (DVT). These specialized stockings provide graduated compression, with the highest pressure at the ankle, gradually decreasing up the leg. This improves blood flow, reduces swelling, and alleviates symptoms like leg fatigue, discomfort, and heaviness.

The right fit and proper measurement are crucial for ensuring effectiveness and comfort. Poorly fitted stockings can compromise their therapeutic benefits and cause discomfort. At York Vascular, we are proud to offer Sigvaris and Bauerfeind compression stockings, known for their superior quality and performance. We also have a certified fitter on-site to provide accurate measurements and expert guidance in selecting the ideal compression level, length, and style tailored to your needs.

Whether used independently or as part of a comprehensive treatment plan following procedures like sclerotherapy, VenaSeal, or EVLT, properly fitted compression stockings are essential for maintaining venous health and achieving optimal outcomes.




About Us

York Vascular is an Artery and Vein Clinic headed by Lukasz M. Boba MD, CCFP(EM), RPVI, FRCSC, Vascular and Endovascular Surgeon with locations in Newmarket and Markham and Thornhill.


Newmarket Clinic

16945 Leslie St., Unit 38
Newmarket, ON
L3Y 9A2
Tel: (289) 903-1000
Fax: (289) 663-0999


Markham Clinic

5293 Hwy 7 E., Ste. 209
Markham, ON
L3P 7M7
Tel: (289) 903-1000
Fax: (289) 663-0999


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