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Varicose Vein Treatments

Varicose veins that are treated at Hogue Vein Institute include enlarged symptomatic superficial leg veins that may appear swollen, twisted or bulging beneath the skin. Some varicose veins are hidden within the fat layer beneath the skin and are not visually apparent.

Varicose Veins Overview

Varicose Veins comparison graphicThe visible presence of bulging, cord-like, or tortuous veins beneath the skin is what many envision when they think of varicose veins. That is not always the case. Not all varicose veins involving the legs can be seen beneath the skin. It depends on where the varicose vein is positioned as it traverses within the fat layer between the skin and the underlying muscle.

Sometimes, varicose veins can involve perforator veins within the leg. Perforator veins are short in length, usually have a single valve, and connect superficial veins to (residing within the fat) deep veins (residing within the muscle).

Varicose veins are caused by malfunctioning or leaky valves within the veins that allows blood to flow bidirectional, rather than unidirectional. This backwards flow increases the venous pressure within the veins causing them to stretch and dilate. This vein stretching elicits leg symptoms such as pain, burning, itching, cramping, restlessness, heaviness, and fatigue. Increased venous pressure in tissues surrounding the varicose veins may cause swelling or edema, inflammatory skin changes, skin breakdown, ulcers or even catastrophic bleeding or clotting.


Accredited by IAC

Hogue Vein Institute is fully accredited by IAC Vascular Testing as a vein imaging center in the area of Peripheral Venous Testing. Hogue Vein Institute provides FREE Vein Screenings and Comprehensive Vein Evaluations using state-of-the-art diagnostic ultrasound imaging systems. Hogue Vein Institute specializes in the treatment of varicose veins and spider veins.


Through our vein evaluation approach, we can diagnose the extent of your underlying vein condition, and determine whether it is medical, cosmetic, or both.

We invite you to call our office at 763-447-2500 to schedule either a FREE Vein Screening or a Comprehensive Vein Evaluation. If you have known varicose veins or if you have signs or symptoms to warrant evaluation of a medical vein condition, then we recommend a Comprehensive Vein Evaluation be scheduled initially. If you have no history of varicose veins and you do not have signs or symptoms of a medical vein condition, then we recommend an initial FREE Vein Screening be scheduled. This will allow our vein specialists to evaluate your leg veins to determine if cosmetic vein treatment is appropriate.

Treatment Methods

Treatment methods for varicose veins at Hogue Vein Institute include Endovenous Laser Ablation (EVLA), Ultrasound-Guided Sclerotherapy (UGS), and Ambulatory Phlebectomy (AP). These techniques are highly effective for treating varicose veins, perforator veins, and tributary or branch veins stemming from varicose veins. Our varicose vein treatments, when done for medical or therapeutic reasons, are covered by Medicare and by most insurance plans.


Endovenous Laser AblationAt Hogue Vein Institute, an Endovenous Laser Ablation (EVLA) procedure is safely and painlessly performed using tumescent local anesthesia. Having performed tens of thousands of EVLA procedures, our expert vein specialists perform this minimally-invasive procedure in less than 30 minutes. Ultrasound guidance is used during catheter placement and laser ablation of the targeted vein to optimize safety and treatment success. With the EVLA technique, laser energy destroys the varicose vein, which causes it to collapse and seal shut.


ULTRASOUND-GUIDED SCLEROTHERAPY (UGS)At Hogue Vein Institute, an Utrasound-Guided Sclerotherapy (UGS) procedure is performed using a tiny needle with an FDA-cleared sclerosing agent to chemically ablate targeted veins. This procedure requires no anesthesia and is essentially painless since the sclerosing agent, polidocanol, used for sclerotherapy at Hogue Vein also has local anesthetic properties. 

Ultrasound guidance is used to ensure safety and effectiveness during needle placement. With the UGS technique, a chemical sclerosing agent destroys the targeted vein segment and causes it to shrink and dissolve.



At Hogue Vein Institute, an Ambulatory Phlebotomy (AP) procedure is performed using local anesthesia. The Ambulatory Phlebectomy procedure (also called micro-phlebectomy) is an in-office procedure involving tiny incisions placed in the skin above the vein to permanently remove bulging veins. A tool called a phlebotomy hook is used to remove the bulging veins. A compression bandage is applied along with an overlying compression stocking. Daily walking and wearing compression stocking is encouraged for at least one week. The bandage is removed after 2 days. The compression stocking is worn for at least one week. Avoidance of hot baths, hot tubs, heavy lifting, and long travel is advised for one week after an ambulatory phlebectomy procedure. All other normal daily activities may be resumed immediately.

Often times, an ambulatory phlebectomy procedure is covered by insurance, unless it is determined not to be a medical condition or a covered benefit.

Side Effects and Complications

Endovenous Laser Ablation (EVLA), Sclerotherapy, and Ambulatory Phlebectomy are safe, effective, minimally-invasive, outpatient vein treatment procedures. As with any medical procedure, there are potential side effects and complications. The most common side effects are pain, itching, bleeding, and bruising. If any pain medication is needed after a vein treatment session, ibuprofen or acetaminophen is usually all that is required. Complications are rare, but include thermal or chemical injuries, allergic reactions, venous thromboembolism, skin necrosis, thrombophlebitis, and severe skin hyperpigmentation.

Experts in Spider & Varicose Vein Treatment Schedule A

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7365 Kirkwood Court North Suite 120, Maple Grove, MN55369

(763) 447-2500

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