The Advanced Vein & Vascular Center is a 3,000 square-foot, state-of-the-art facility located on the Main Line, which is the first of its kind in the Philadelphia region. It is the only full time vein center in a 75 mile radius. As a full time center concentrating on varicose veins and other venous problems, we are able to accommodate the most difficult schedules with expertise and unsurpassed convenience. We provide expert medical evaluation and innovative techniques to improve your legs and vascular health, without invasive surgery. We are proud to have been awarded "Top Doc” consistently since 1994 by Philadelphia Magazine and by Castle Connelly, for our vascular surgery and vein treatments.
WE PARTICIPATE WITH THE FOLLOWING INSURANCE CARRIERS:
Aetna US Healthcare HMO / Aetna Managed Choice / AmeriChoice HMO / AmeriHealth HMO-IBC / Blue Shield – Blue Choice / Independence Blue Cross / Keystone Health Plan East / Personal Choice-IBC, Horizon of NJ’s Managed Care, PPO/traditional, Horizon Medicare Blue, MEDICARE Part B, OneNet PPO, First Health Network PPO, Clear care PPO, Devon PPO, Evolutions Healthcare PPO, Coventry Health Care National Network, HealthAssurance, Galaxy health Network PPO, Great West Healthcare, Health America of PA/Coventry of DE, Fortified Provider Network, InterGroup PPO, JeffPLUS, Medical Resource, Inc./NPPN, Multiplan, PPO Next, Preferred Care PPO, PHCS.
If you do not see your carrier here, please ask us.
R. Anthony Carabasi III, M. D.
Dr. Carabasi is a board certified vascular surgeon who practiced for over 20 years at the prestigious Thomas Jefferson University Hospital and Medical school in Philadelphia, serving as Chief of Vascular Surgery for 16 years before opening his own private practice on the main line. He has been listed as a "Top Doc" in Philadelphia Magazine or as a "Top Doc" for Castle Connelly Medical, consistently since 1994. He is also listed in Castle Connelly's "Americas Top Doctors". He is committed to providing the highest quality care for your vein problems.
Dr. Carabasi is a member of the "Best Doctors" network, having been peer elected and chosen for this honor. As a member of this elite group of physicians, Dr. Carabasi has been recognized by his peers as one of the leading specialists in his field. We have received referrals from physicians around the country who rely on this network to help them find the best physicians for their patients in any given area.
After graduating Summa Cum Laude from Villanova University, Dr. Carabasi completed his general surgery internship at Jefferson Medical College, and Columbia University College of Physicians And Surgeons, Presbyterian Hospital in New York. Following his general surgery residency at Thomas Jefferson University in Philadelphia, he went on to study at Pennsylvania Hospital and completed his Vascular Fellowship program. He then went into academic practice, where he has been until recently, when he opened the private practice of "The Advanced Vein & Vascular Center Center, Inc", to concentrate on his vein practice.
Dr. Carabasi has been very active in the Vascular community over the years.
VNUS Closure (Radio Frequency Vein Ablation)
The VNUS® Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease.
The Closure procedure is performed on an outpatient basis. Using ultrasound, your physician will position the Closure catheter into the diseased vein, through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.
Following the procedure, a simple bandage is placed over the insertion site, and additional compression may be provided to aid healing. Your doctor may encourage you to walk, and to refrain from extended standing and strenuous activities for a period of time.
Patients who undergo the Closure procedure typically resume normal activities within a day.
EVLT (Endovenous Laser Treatment)
Endovenous laser therapy is one of the newest techniques for the treatment of varicose veins as the result of superficial venous insufficiency. A tiny laser fiber is inserted into the vein, with ultrasound guidance, to the exact source of the venous problem. Laser pulses are then used to close the vein. It requires a small non-scarring incision in the skin, local anesthesia, no hospitalization and short recovery. In some cases, other treatments including sclerotherapy, ultrasound guided sclerotherapy, foam sclerotherapy, and or ambulatory phlebectomy, are used in combination with endovenous laser therapy.
The procedure is minimally invasive and less traumatic than traditional surgery It involves only a tiny non-scarring incision
- Recovery time is short allowing return to normal activities usually within a day. The treatment is in-office. The procedure is performed under local anesthesia
Ambulatory phlebectomy or “hook” phlebectomy is a micro-extraction procedure which allows for the removal of large and small surface varicose veins through very small incisions that need no stitches.
Skin incisions or needle punctures as small as 1 mm are used to extract veins with a phlebectomy hook. A hook is inserted into a micro-incision in the leg. A section of the vein is hooked and then removed through the incision. With this procedure, a compression bandage is worn for two weeks. This minimizes swelling and discomfort and allows for proper healing.
What is Compression and why is my doctor recommending it? Compression is the most commonly prescribed treatment for venous disease issues and with good reason – it works! Unfortunately, it works only temporarily. Compression is applied to the venous system from the ankle and then moving upward, compressing the veins at that point, and transferring the compression up the leg, thereby hoping to keep the valves in your leg in close proximity to each other. This in turn allows the valves to push blood upward to the heart, which is just what you want.
What is exactly is “sclerotherapy” or “injections”? Sclerotherapy, also referred to as injections, are injections of a solution, called a “sclerosing agent” with a super fine needle. Most patients feel little and tell us it does not hurt at all, although this will depend on what solution is used. The solution injected damages the inner wall of your spider veins, causing the shrinkage and destruction of the collagen, thereby causing them to shrivel up and eventually be absorbed by the body. This process takes several weeks to months, and requires pressure applied immediately after, and the wearing of compression socks or stockings for several days following treatment, and in order to achieve the best result. As the veins close off, the blood flow is interrupted and halted, thereby removing the unsightly spidery lines on your legs or other areas of the body. Before treating a patient for the first time with sclerotherapy, we will conduct a thorough exam to make sure there are no reasons you should not have this treatment. Depending on the outcome of that exam, we may be able to treat you the same day, or we may require you to have an ultrasound to determine the likelihood of success for you with this technique. If you are found to have larger underlying veins with faulty valves, or deep venous concerns, we will need to address those before wasting your time and money on injections – if you are found to have underlying problems which are not resolved, you will likely be unhappy with your result, as the spider veins will soon re-appear.
Superficial laser treatments can be very effective, and are often used for veins too small to inject. New technology in laser treatments can effectively treat spider veins in the legs. Laser surgery sends bursts of light energy into the vein. Different wavelengths of laser energy are attracted to different mediums, and we prefer a laser frequency that has good affinity for blood. As the light energy traverses the vein, it causes the same kind of damage to the vein walls as injections, and causes the vein to slowly shrivel and disappear over time. Lasers are very direct and accurate when used by a skilled operator. Most skin types and colors can be safely treated with lasers.
Laser surgery is more appealing to some patients because it does not use needles or incisions. Still, when the laser hits the skin, the patient feels a heat sensation that can be quite painful. Cooling helps reduce the pain. Laser treatments last for 15 to 20 minutes. Depending on the severity of the veins, two to five treatments are generally needed to remove spider veins in the legs. Patients can return to normal activity after treatment, just as with sclerotherapy. Some form of compression (compression stockings) is required for the first week following spider vein treatment. Stockings are also available at The Advanced Vein & Vascular Center, Inc. For spider veins larger than 3 mm, laser therapy is not very practical.
Advanced Vein & Vascular Center offers a wide variety of spider vein treatments
and varicose vein treatments
in Wayne, Pennsylvania.