title: Update on venous procedures performed in the office setting.
abstract: Treatment for chronic venous disease has evolved from hospital-based surgical procedures to minimally invasive office-based office procedures that provide shorter recovery periods, less postprocedural discomfort, and quicker return to normal activities. A specialty venous clinic, separate from the arterial practice, with a specialized professional health care team, provides a comfortable setting in which patients can have access to the most up-to-date treatment options. Sclerotherapy treatment for telangectasias, reticular veins, tributary varicosities, insufficient truncal veins, and incompetent perforating veins is a common therapy that is well suited for the office setting. Most office-based minimally invasive venous procedures require little or no sedation. Tumescent anesthesia is safe and effective for ambulatory phlebectomy and endovenous ablation procedures. A calm, inviting atmosphere, confident and professional health care team, and prompt access to care will improve patient satisfaction and result in a successful, growing venous practice.
authors.affiliation: Wisconsin Heart and Vascular Institute, Comprehensive Vein Care Center, Madison, WI 53713, USA. scarr@wiheart.com
authors.forename: Sandra C
authors.initials: SC
authors.lastname: Carr
mesh_terms: D000556:Ambulatory Surgical Procedures; D000758:Anesthesia / Q000379:methods; D006801:Humans; D053685:Laser Therapy; D019060:Minimally Invasive Surgical Procedures; D010348:Patient Care Team; D017060:Patient Satisfaction; D011787:Quality of Health Care; D015911:Sclerotherapy; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000458:organization & administration; D014680:Veins / Q000601:surgery*