A venogram is a diagnostic tool a top vascular doctor uses to discover the extent of your venous circulation problems. A venous stenting is treatment procedure to place a stent in a vein to keep it open and flowing. A vascular and interventional radiology expert like Dr. Sergei Sobolevsky applies each procedure as needed. Call the Downtown Vein & Vascular Center in Brooklyn for a venogram procedure or leg stents in veins to keep you mobile.
What Is a Venogram with Venous Stenting?
A venogram is an imaging test that helps your vascular doctor examine the veins in your legs affected by a blockage or other serious circulation problems. This advanced test also detects the cause of the clogged vein while guiding the doctor’s treatment of diseased veins. A venogram is primarily a diagnostic test.
After a venogram procedure, your vein doctor may recommend vein stenting, a minimally invasive procedure to relieve a blockage in a vein. You need an expert specialist to perform this procedure. In Brooklyn, you find Dr. Sergei Sobolevsky, an endovascular specialist in the Downtown Vein & Vascular Center. He performs a venogram with venous stenting if you have symptoms that include:
- Throbbing or cramping pain in your calf or thigh
- Skin discoloration with a reddish or darkened appearance around the source of pain
- Leg swelling in the affected leg
- Warmness and tenderness around the painful area
- Bulging, painful veins on your legs
- Leg pain, cramping or soreness that often starts in your calf
What Does a Vein Stent Treat?
A venogram, often coupled with venous stents, treat multiple conditions that affect your veins. Common vein conditions treated through a venogram and venous stenting include:
- Deep vein thrombosis (DVT). This is a type of blood clot that develops in a large, deep vein that usually is in your legs. This type of clot can become life-threatening if it breaks loose and travels up to your lungs, causing a pulmonary embolism.
- Effects of hemodialysis. Your doctor may perform a venous stenting procedure if you experience decreased blood flow after a hemodialysis procedure.
- Pelvic congestion syndrome. This condition is caused by backflow of blood in the veins of your ovaries. When painful varicose veins develop, your doctor may perform a venogram to determine the need for another procedure, a venous embolization, to restore a smooth blood flow to your pelvis.
- May Thurner syndrome. In this condition, the right iliac artery in your pelvis presses against the left iliac vein. The condition affects blood flow in the vein and causes chronic pelvic pain. An iliac vein stent treats this painful condition.
- Post-thrombotic syndrome. This condition is caused by damaged vessels. Whether from DVT or other venous diseases, the condition requires a stent to prevent pooling of blood.
You may not always need both a venogram and a venous stent, but the two often go together, especially when the venogram reveals a serious vein blockage. Trust Dr. Sobolevsky to choose the right procedures for you.
I was thoroughly impressed with Dr. Sergei’s expertise and professionalism during my vein treatment. He took the time to answer all of my questions and made me feel comfortable throughout the procedure. I’m thrilled with the results and would highly recommend him to anyone seeking vein treatment.
How Is a Venogram Procedure Done?
Before a venogram procedure, your doctor may tell you which medications to stop and ask about your allergies. During the procedure, your doctor uses x-ray fluoroscopy and a video monitor to see real-time images. The steps for a venogram include:
- You rest on an x-ray table.
- To reduce any discomfort, your doctor numbs the target area using a local anesthetic.
- A contrast dye is injected into the affected vein while your doctor monitors the images showing the flow of the dye.
- You may be instructed to move to different positions while the doctor takes more images of your leg veins.
- Afterward, you’re given fluids through an IV to remove the contrast dye, which isn’t dangerous.
- The doctor dresses the IV site with a bandage.
The procedure takes 30 to 90 minutes, depending on the number of veins examined. After treatment, you’re requested to drink a lot of water. Your doctor may place a vein stent based on the results of a venogram.
What Are the Steps in a Vein Stenting Procedure?
A stent in a vein is a tiny wire mesh tube inserted into a narrowed or blocked blood vein. The stent expands, acting as scaffolding for the damaged vein, most often in your leg or pelvis. The mesh allows blood flow and relieves the symptoms of blood backflow. The steps to place a stent in a leg vein include:
- You lie on the x-ray table, and the radiologist administers a sedative.
- Venous angioplasty. Your doctor introduces a catheter into the weakened vein, guided by the latest imaging technology. The Vein and Vascular Specialist inserts a balloon catheter into the problem vein. The balloon at the tip of the catheter is then inflated, which widens the vein to allow smooth blood flow.
- Vein stenting. Next, the vein doctor removes the angioplasty device and inserts a stent into the repaired vein. Once deployed the stent pushes against the vein walls to offer permanent reinforcement and prevent future blood flow problems.
- Removing the catheter. After placing the stent, the Vein and Vascular Specialist removes the catheter and uses a bandage to compress on the point of insertion to prevent bleeding.
- During the procedure, the physician injects a contrast dye to navigate instruments under guidance of the venogram.
You may experience mild bruising on the treatment site, but pain medication helps relieve any temporary discomfort. A venogram and leg stents in veins offer more precision in the treatment of damaged veins, a shorter recovery time and minimal risk of complications. Contact the endovascular specialist today for exceptional vein treatments. The Downtown Vein & Vascular Center serves all Brooklyn and New York City from their office in Downtown Brooklyn.
Sergei Sobolevsky, MD, is a leading specialist in endovascular medicine with experience in vascular and interventional radiology. Dr. Sobolevsky has decades of experience in the field, with over 25,000 procedures performed, accumulating extensive experience in image-guided minimally invasive medicine, diagnosing and treating a range of conditions.
Dr. Sobolevsky earned his Doctor of Medicine (MD) degree in 1997 from the University of Colorado School of Medicine. He received his specialty clinical training in vascular and interventional radiology at Harvard University. Later, he earned his MBA from the MIT Sloan School of Management. Recognized as a Castle Connolly Top Doctor and named to the Top Doctors New York Metro Area in 2020, 2021, and 2022, Dr. Sobolevsky is licensed in multiple states, has delivered presentations at numerous institutions in the US and abroad, and now acts as a clinical advisor for the biomedical industry. He also held multiple positions in the field during his career, including Chief of Vascular and Interventional Radiology at the Columbia University Medical Center in New York, NY, Senior Vice President in Clinical and Regulatory Affairs at Artann Laboratories in North Brunswick, NJ, and Medical Director at the American Endovascular and Amputation Prevention Center in Brooklyn.More About Dr. Sobolevsky
Downtown Vein Treatment Center
480 Court Street, Ste 101
Brooklyn, NY 11231