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Interventional & Vascular Care (IVC) provides minimally invasive image-guided procedures (MIIPs) to patients in the Dallas metroplex. Specializing in peripheral artery disease, venous insufficiency, uterine fibroids, and other conditions.

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Venous insufficiency develops when healthy blood flow is impaired in the veins of the legs. Vein disease is usually recognized by visible varicose veins or spider veins, but serious leg pain, swelling, and skin changes can develop as venous insufficiency progresses into its later stages.

The goal of venous insufficiency treatment is to close down diseased veins, allowing blood flow to reroute through nearby healthy veins. This is done with a quick, minimally invasive procedure in which thermal energy or a special chemical compound is applied to the inside of the veins. Interventional and Vascular Care is an experienced provider of venous insufficiency treatment in Dallas, TX, and is currently accepting new patients.


If you suspect that you have venous insufficiency, but haven't received a formal diagnosis, you can review your symptoms and risk factors here.

Vein Treatment

We use minimally invasive treatments to heal your legs. Learn more about our approach to venous insufficiency.

Treatment Options

There are also more conservative and surgical alternatives available for venous insufficiency. Learn more about your options.

"Dr. Fritts gave me all the time I needed to understand & feel comfortable with the procedure. I am extremely grateful for his caring, gentle and highly competent care in a situation that has felt frightening and anonymous. He has a healer’s way about him. Highest recommendation."

-- Rod in Dallas, TX

Venous Insufficiency Treatment in Dallas, TX

Dr. Aaron Fritts, MD

Interventional & Vascular Specialist

Dr. Aaron Fritts is a board-certified Vascular & Interventional Radiologist that specializes in minimally invasive treatment for venous insufficiency in Dallas, TX. Dr. Fritts is well-versed in vascular conditions, and has found his passion in providing minimally invasive treatment for individuals suffering from venous disease. He was recently selected as a SuperDoctors Rising Star and has been voted one of D-Magazine's best doctors in Dallas.

Your veins could be the source of your swelling and pain.


Find relief with a Vascular Specialist in Dallas, Texas!

Heal Your Legs

Reduce Swelling

Relieve Your Pain

Venous Insufficiency Treatment Dallas Texas

Venous Insufficiency Treatment in Dallas, TX

Living With Venous Insufficiency

Venous insufficiency is a broad term in medicine that is used to describe any vein abnormality that causes insufficient blood flow through the veins of the leg. The underlying cause of venous insufficiency is a phenomenon called vein reflux. Vein reflux is a phrase in medicine that is used to describe when blood flows backwards in a vein. Healthy veins have one-way valves that prevent back flow, but when these valves fail, blood accumulates in the affected vein, increasing pressure and stifling blood flow.

In its least severe form, venous insufficiency can cause medically insignificant spider veins, but as the disease progresses, varicose veins may develop and the affected leg(s) may become swollen and painful. 

As more veins are affected and blood flow is further compromised, the lower half of the leg can undergo major changes in texture and appearance. In most individuals with venous insufficiency this disease process takes place over several years, and aren't symptomatic until later stages of disease.

Venous insufficiency can worsen if left untreated, and in the most severe cases, venous ulcers can develop.

While many cases of venous insufficiency only pose cosmetic challenges, the physical symptom of venous insufficiency can be a major drag on quality of life. Individuals with venous insufficiency describe moderate to severe pain in their ankles and legs, difficulty standing for long periods of time, and difficulty crouching or kneeling. It's also common to hear that individuals with venous insufficiency experience sleep disruption because of discomfort in their legs.

Venous Insufficiency Symptoms

Varicose Or Spider Veins

Venous insufficiency is usually identified by cosmetic vein changes. These include:

  • Varicose veins - swollen, bulging veins coursing along the surface of the leg

  • Spider veins - clusters of small red, blue, or purple colored capillary veins

Skin Changes

Venous insufficiency causes blood to pool in the veins and leak into surrounding tissues, causing:


  • Eczema - parts of the skin become red and itchy

  • Skin color changes - red-brown coloration or whitening of the leg can occur

  • Lipodermatosclerosis - the skin becomes tough and inflexible

Leg Swelling

Venous insufficiency causes blood to pool in the veins and leak into surrounding tissues, causing:

  • Edema - the leg becomes swollen with fluid

  • Fatigue, especially when active

  • Heaviness - swelling can make the legs feel heavy

Leg Pain

Venous insufficiency can cause a variety of pain patterns:

  • Aching, soreness, restless legs, or burning throughout the leg

  • Claudication - thigh / leg pain and tightness when exercising

  • Leg cramps, especially at night

Venous Insufficiency Risk Factors

  • Age  |  the older you get, the more likely you are to develop venous insufficiency

  • Gender  |  women are more likely than men to be diagnosed with venous insufficiency

  • Lifestyle or Occupation  |  extended periods of sitting, standing, or low mobility are thought to contribute to venous insufficiency

  • Obesity  |  vein compression in the abdomen may increase your risk of venous insufficiency

  • Family History  |  venous insufficiency may run in your family

  • Smoking  |  smoking has been shown to increase the risk of venous insufficiency


A simple ultrasound exam is the first step to verify if you’re living with venous insufficiency. More advanced imaging techniques, such as venogram and intravascular ultrasound, may be necessary to assess more complex vein pathologies.

IVC is a fully staffed medical imaging and treatment center that can help you confirm if you're living with venous insufficiency. Give us a call to book your consultation!


Venous Insufficiency Treatment in Dallas, TX

Venous Insufficiency Treatment

Vein closure is the ‘gold standard’ treatment for venous insufficiency. The phrase 'vein closure' describes a variety of minimally invasive treatments that are used to close down varicose veins. This can be done by applying thermal energy, a specially formulated chemical irritant, or glue to the inside of the vein. Regardless of which treatment is used, vein closure is a quick catheter-based outpatient procedure that is performed through a single tiny puncture in the leg.

At Interventional and Vascular Care, we provide:

  • Thermal Vein Closure  |  also called vein ablation, this is the most common approach to vein closure, and can be used in most cases of venous insufficiency. A catheter equipped with a heating element is inserted into the diseased vein. Application of heat to the inside of the vein causes the vein to collapse and close down, allowing blood flow to reroute to healthy veins.

  • Ultrasound Guided Foam Sclerotherapy (UGFS)  |  may be used to treat larger and more tortuous veins. A chemical irritant called sclerosant is injected into the vein, causing the vein to collapse similar to thermal vein closure.

  • Microphlebectomy  |  sometimes used as an add-on treatment to get rid of short segments of varicose veins after thermal vein closure or foam sclerotherapy. Microphlebectomy is a technique in which very small incisions are made in the skin and varicose veins are removed with a small hook device. Once healed, incision points are virtually undetectable.

Advantages of Vein Closure Procedure

Quick Procedure

The vein closure procedure typically takes less than an hour, and you're able to resume most of your normal activities immediately afterwards.

Minimally Invasive

Vein closure is performed through a single puncture in the leg. Unlike major surgery, there's no cutting, which means minimal trauma and faster recovery.


Treatment is performed under the guidance of imaging. This allows your doctor to safely provide therapy directly to the veins that need it with minimal risk of side effects.

Heal Your Legs

Treatment restores healthy blood flow throughout the veins of the leg, allowing the legs to heal.

Reduce Swelling

Restoring healthy circulation takes the fluid off of your leg, so you can get back on your feet.

Pain Relief

Treatment can help relieve cramps, claudication, and soreness in the leg caused by insufficient blood flow.


Compare Venous Insufficiency Treatment Options

Compression Stockings

Compression stockings are usually prescribed by general practitioners as a conservative, first-line therapy for venous insufficiency. They can help relieve symptoms by improving blood flow through the veins. However, this improvement in blood flow does not address the underlying pathologies involved in venous insufficiency, so continuous long-term use is required for stockings to be effective. Many patients have trouble staying compliant with their stocking prescription, which can render them ineffective.

Vein Stripping Surgery

Vein stripping is a more invasive surgical alternative to superficial vein closure. This procedure is used to remove a superficial vein by threading a wire device through it and ripping the vein out. Vein stripping typically requires a major incisions at each end of the vein to access it and prep it for removal.

Unlike surgery, vein closure does not require any major incisions. This procedures is done by an Interventional & Vascular Specialist using small tubes and wires under the guidance of real-time imaging.

Vein Treatment Options

Compression Stockings

Vein Stripping Surgery

Vein Closure Treatment

Minimally invasive procedure; recommended treatment for symptomatic superficial varicose veins contributing to venous ulcers.

Usually prescribed as a first-line therapy for venous insufficiency; stockings can help improve venous ulcer symptoms but require continuous use to be effective.

More invasive surgical alternative to superficial vein closure; vein stripping has been shown to require longer recovery time and has a higher risk of procedural complications than superficial vein closure.


May be used as an add-on treatment to get rid of short segments of varicose veins after thermal vein closure or foam sclerotherapy.

Your veins could be the source of your pain and swelling. Find relief with a Vascular Specialist.

Give us a call to book your consultation today! We look forward to hearing from you.



[1] Eberhardt (2014). Contemporary Views in Cardiovascular Medicine: Chronic Venous Insufficiency. Circulation. 2014;130:333-346.

[2] Meissner (2005). Lower Extremity Venous Anatomy. Seminars in Interventional Radiology. 2005;22(3):147-156.

[3] Cesarone (2002). ‘Real’ epidemiology of varicose veins and chronic venous diseases: the San Valentino Vascular Screening Project. Angiology 2002; 53: 119–130.

[4] McLafferty, R. B., Passman, M. A., Caprini, J. A., Rooke, T. W., Markwell, S. A., Lohr, J. M., … Dalsing, M. C. (2008). Increasing awareness about venous disease: The American Venous Forum expands the National Venous Screening Program. Journal of Vascular Surgery, 48(2), 394–399.

[5] Meissner (2016). What is effective care for varicose veins? Phlebology, 31(1_suppl), 80–87.

[6] Kankam (2017). A summation analysis of compliance and complications of compression hosiery for patients with chronic venous disease or post-thrombotic syndrome. European Journal of Vascular and Endovascular Surgery, 55:406-416.

[7] Lohr (2010). Radiofrequency Ablation: Evolution of a Treatment. Seminars in Vascular Surgery, 23(2), 90–100.

Medical Disclaimer

The Materials available on are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients.