Vascular and Endovascular Surgery

The Comprehensive Vein Program at Weill Cornell Medicine specializes in the diagnosis and treatment of all vein problems, including varicose veins, spider veins, and venous insufficiency. Our expert vascular specialists and state-of-the-art facilities make the Comprehensive Vein Program at Weill Cornell Medicine one of the best vein treatment centers in New York. Our team of vascular surgery specialists offers the most up-to-date, minimally invasive treatments for venous insufficiency, varicose veins, and spider veins. 
    
About Vein Disease 
    
Normally leg veins carry blood from the legs back to the heart, using one-way valves that are located inside the veins to keep blood flowing in the right direction. When the valves do not function normally, blood can pool in the leg veins and cause veins to gradually increase in size. This can result in the formation of spider veins, varicose veins, and symptoms of leg aching, heaviness and swelling. 
    
Superficial Phlebitis - Inflammation of a superficial vein, presents as a warm, tender, painful area 
    
Leg Swelling - Could be related to superficial veins (varicose veins) or deep veins (venous insufficiency, DVT, compression of the iliac vein (May-Thurner syndrome) 
    
Pelvic Congestion Syndrome - Chronic pelvic pain associated with pelvic varicose veins 
    
Deep Vein Thrombosis - Inflammation and blood clot formation in the veins, primarily occurring in the leg. We offer minimally invasive endovascular treatment to improve symptoms and long-term outcomes 
    
Spider Veins & Reticular Veins - Spider veins are tiny red or blue veins that are flat. Reticular veins are blue, medium-sized veins that sometimes protrude out from the skin. These types of veins are generally a cosmetic issue but can be associated with more advanced vein disease. 
    
Varicose Veins - Large veins which protrude out from the skin surface. Varicose veins may be associated with leg aching, fatigue, cramping, heaviness, and swelling. In advanced cases they may lead to skin rash, skin pigmentation and even skin ulcers. 
    
Minimally-Invasive Treatment Options 
    
Sclerotherapy-Injections used to treat small varicose veins, reticular veins and spider veins using a tiny needle to inject a medication that causes them to collapse. 
    
Radiofrequency Ablation (VNUS Closure™)-Minimally-invasive treatment to close veins with damaged valves using a small catheter that uses radiofrequency energy to heat the inside of the vein. Radiofrequency ablation is an alternative to traditional surgical saphenous vein stripping. This procedure is routinely performed under local anesthesia in our office, usually in less than an hour. 
    
Endovenous Laser Ablation (EVLT)-Minimally-invasive treatment similar to radiofrequency ablation to close veins with damaged valves. A small catheter is inserted into the vein and uses laser energy to generate heat that seals the vein closed. This procedure can also be performed under local anesthesia in our office in less than an hour. 
    
Phlebectomy- Removal of varicose veins through tiny incisions. This minimally-invasive surgical technique is performed in our office under local anesthesia. The tiny incisions are so small that stitches are generally not needed and virtually no scar is created. This is the preferred method for removal of large varicose veins. 

Weill Cornell Medicine Podiatrists provide comprehensive care and treatment options for a wide variety of conditions affecting the feet, ankles and lower extremities. Doctors of Podiatric Medicine (DPM), known also as a podiatric physician or surgeon are qualified by their unique education and training. A DPM is a specialist for the prevention of and treatment of conditions, diseases and injuries. We have a team of highly trained podiatric physicians, surgeons and staff members who work closely with patients to provide the highest quality care and cultivate a safe, comfortable environment. 
    
We specialize in providing treatment of: 
    
   · Bunions 
   · Hammertoes 
   · Fungal nails 
   · Heel pain 
   · Sports injuries to the foot and ankle 
   · Chronic wounds 
   · Diabetic foot 
   · Warts 
   · Flat feet 
    
Weill Cornell Medicine’s podiatry team delivers optimized care for both common and rare foot disorders. Our modern perspective lends itself to the cutting-edge medical therapeutics offered in the clinic. 

The Program for Advanced Limb Preservation (PALP) at Weill Cornell Medicine specializes in treating patients with vascular disease or diabetes who are high risk for foot and leg amputation. PALP is an interdisciplinary team of vascular specialists, podiatrists and many other experts dedicated solely to healing wounds and preventing amputations in patients with diabetes, peripheral artery disease (PAD), and other vascular problems. With appropriate treatment most amputations can be prevented and PALP provides comprehensive and advanced treatment alternatives to major limb amputation for patients with serious foot and leg problems caused by diabetes and PAD. PALP is New York City's only tertiary limb salvage program that provides comprehensive diagnostic evaluation, advanced wound care treatments including hyperbaric oxygen therapy (HBOT), surgical and minimally invasive vascular procedures, reconstructive foot surgery, and investigational treatments like stem-cell therapy at a single location. By considering all of our patients' needs the PALP team works collaboratively to heal wounds, improve blood flow, prevent recurrence, and keep patients walking.

Servicing Podiatrists 

John J. Doolan, DPM, FACFAS, Co-Director, PALP
Deena B. Horn, DPM
Joseph Larsen, DPM, DABFAS

The Division of Vascular and Endovascular Surgery’s ICAVL-accredited Vascular Diagnostic Laboratory has been providing non-invasive diagnostic, preventive and screening services for more than a decade. Our experienced team has a proven track-record of delivering the most accurate diagnostic exams for the early detection and diagnosis of a variety of vascular diseases. We use only state-of-the-art Ultrasound and Doppler equipment and offer the highest quality, comprehensive and personalized care during your examination.

All of our certified technicians are committed to keeping on the forefront of new advances in vascular ultrasound and work side-by-side with our renowned vascular surgeons to ensure continuity of your care. The Vascular Diagnostic Laboratory offers a full range of vascular studies and testing performed in our spacious and private exam rooms ensuring a comprehensive and comfortable visit. 
    
Our Diagnostic Services Include: 

• Venous Ultrasound of Upper and Lower Extremities for Varicose Vein evaluation; detection of DVT (Deep Vein Thrombosis) and SVT (Superficial vein thrombosis). **Varicose Vein treatments performed on-site. 
• Carotid Duplex Ultrasound for detection of carotid artery disease and stroke prevention. 
• Aortic Ultrasound for detection of abdominal aortic aneurysms; surveillance of aortic endograft and aortic open repair. 
• Ankle-Brachial Index (ABI) with Pulse Volume Recordings (PVR) to assess blood flow and arterial blockage in the arms and legs. 
• Arterial Duplex Imaging of Upper and Lower Extremities for evaluation of native arteries, bypass grafts, and stents.
• Dialysis Access Evaluation for evaluation and surveillance of dialysis AV grafts and fistulas. 
• Renal Artery Duplex Scanning for diagnosis of renal artery stenosis and work-up of renovascular hypertension. 
• Visceral Artery Duplex Ultrasound for diagnosis of mesenteric ischemia. 
• General Vascular Screening for Carotid Stenosis, Aortic Aneurysm, and Peripheral Artery Blockages. 

As part of one of the world's leading healthcare systems, we are at the cutting edge of new therapies. We diagnose and treat the full range of noncardiac vascular disorders, those conditions that involve the arteries and veins outside of the heart. Treatments involve proven state-of the art therapies and, when appropriate, exciting new investigational modalities.

For more information, please click here for the Division of Vascular Surgery web site.