Varicose Veins

Varicose veins are blood vessels that are stretched and damaged, resulting in blood that pools in the veins that can visible just beneath the skin. The condition affects 50 percent of the population in the United States. 

The Division of Interventional Radiology at Mount Sinai performs a multitude of procedures to successfully relieve this pain and improve the appearance of your legs by using a variety of advanced minimally invasive treatment options. All procedures are completed in our outpatient office and cause little discomfort with minimal recovery times. 

EndoVenous Laser Treatment (EVLT) 

A small catheter is inserted into the vein in the leg. The energy from a laser kills the damaged portion of the varicose vein, allowing the enlarged vein to shrink. This treatment is performed on an outpatient basis and can be completed within 30 to 60 minutes. Patients recover quickly, go home the same day and return to most normal activities immediately afterward. 


This procedure is performed in our office by injecting a chemical substance, called a sclerosant, directly to the varicose veins. This is often done for spider veins and reticular veins. The chemical causes affected veins to collapse. The veins are then no longer able to fill with blood, close off, and are reabsorbed by the body over several weeks to months. Many patients who receive this procedure for cosmetic reasons notice significant improvement in the look and feel of their legs following treatment. 

Ambulatory Phlebectomy 

Ambulatory phlebectomy is a minimally invasive technique to remove surface varicose veins. It is performed in the office using local anesthesia. The area surrounding the varicose vein clusters is injected with anesthetic fluid. A needle is then used to make a puncture next to the varicose vein and a small hook is inserted into the needle hole and the varicose vein is grasped and removed. The punctures typically leave nearly imperceptible scars. Ambulatory phlebectomy is often performed in conjunction with endovenous laser treatment.