The Jacksonville Vein Center at Cardiothoracic and Vascular Surgical Associates is a world-class center for comprehensive, state-of -the art treatment of diseases and disorders of the veins and arteries. We are the oldest sustained providers of care in cardiovascular diseases in Jacksonville and are the largest provider of cardiac and peripheral vascular services in Northeast Florida. We have 11 board-certified vascular specialists with offices at St. Vincent's Medical Center, Baptist Medical Center- Downtown, Memorial Hospital, St. Luke's Hospital and Flagler Hospital.
Our new office opened in January 2007 at the Gary and Nancy Charter and Heart and Vascular Center at St. Vincent's Hospital and houses the Jacksonville Vein Center offering comprehensive, cutting-edge care of all aspects of venous disease. We have the busiest vascular laboratory in the area and are one of first ICAVL- accredited facilities in the region. Our facility combines the quality and safety of a hospital setting with convenience and efficiency of an office setting.
We remain on the cutting-edge of the revolution that is occurring in the care of patients with cardiovascular problems. This represents a tremendous shift from conventional surgical treatment to the latest innovations in non-surgical and minimally invasive procedures.
All of our doctors are certified by the American Board of Surgery in Vascular Surgery or Cardiothoracic Surgery. Each physician has undergone additional vascular training at centers of excellence throughout the United States including the University of North Carolina-Chapel Hill, the University of Missouri, Massachusetts General Hospital, the Texas Heart Institute, the Cleveland Clinic and the University of Michigan. We pride ourselves on our reputation as the region's specialists in the comprehensive management of disorders of the heart, arteries and veins.
Our doctors are Fellows of the American College of Surgeons and members of the Society for Vascular Surgery, the Southern Association for Vascular Surgery and the Florida Vascular Society. The physicians are recognized leaders in their fields having trained physicians throughout the nation in minimally- invasive techniques and endovascular surgery such as endovascular abdominal aneurysm repair, VNUS radiofrequency ablation of the greater saphenous vein, Fox hollow Silver hawk atherectomy, outpatient dialysis-access techniques, use of Vascular anastomotic clips and minimally- invasive MAZE procedures. Our physicians remain committed to providing the most innovative care for our patients and are active in ongoing clinical research trials.
Geoffrey L. Risley, M.D., F.A.C.S.
Geoffrey L. Risley, M.D., F.A.C.S. received his undergraduate degree from the University of Florida and completed medical school at the University of Florida College of Medicine. Dr. Risley completed his general surgery and vascular fellowship at the University of North Carolina at Chapel Hill. He then practiced with the world-renowned vein surgeon, Dr. John Bergan, at the Scripps Memorial Hospital and the Vein Institute of La Jolla in San Diego, CA for 4 years before returning to Florida. Dr. Risley is a fellow of the American College of Surgeons and is Board-Certified in Vascular Surgery. He is a member of multiple specialty societies including: the Society for Vascular Surgery, the Southern Association for Vascular Surgery, the Florida Vascular Society, the Vascular Access Society, the International Society of Endovascular Specialists, the American College of Phlebology, the Florida Medical Society and the Duval and Clay County Medical Societies.
Serving as the medical director of the Jacksonville Vein Center, Dr. Risley is the only Board-Certified physician in vascular surgery, in Jacksonville to provide endovenous laser treatment (EVLT), radiofrequency ablation (VNUS Closure), US guide foam- sclerotherapy , standard sclerotherapy, venous thrombolysis, venous stenting as well as minimally-invasive phlebectomy and conventional vein stripping.
Alfred D. Harding, Jr., M.D., F.A.C.S.
Alfred D. Harding, Jr., M.D., F.A.C.S. Received his undergraduate degree and a doctorate in medicine from the University of Missouri. He completed his general surgery and vascular fellowship under the tutelage of Dr. Donald Silver at the University of Missouri. Dr. Harding is a fellow of the American College of Surgeons and is board-certified in Vascular Surgery. He is a member of the Society for Vascular Surgery, the Society for Clinical Vascular Surgery, the Florida Vascular Society, the Jacksonville Vascular Society, and the Florida and Duval County Medical Societies.
Dr. Harding has practiced vascular surgery in Jacksonville since 1990. He was the first fellowship trained Board-Certified vascular surgeon to enter private practice in Jacksonville and is the medical director of our peripheral vascular lab. For the last 17 years Dr. Harding has cared for the arterial and venous problems of the people in Northeast Florida. He is an accomplished musician and is a recognized leader in the community.
Your physician will develop a treatment plan for your individual case. Spider veins can be successfully
treated with injection sclerotherapy. Sclerotherapy is the most popular method of eliminating spider veins.
This is the “gold standard” and is more effective and less expensive than lasers (for spider veins, not
varicose veins). Sotradecol is injected into the veins using very tiny
The latest non-surgical treatment of varicose veins is the use of ultrasound-guided foam sclerotherapy injections.
The use of foam in the treatment of varicose veins started in 1944, but did not gain popularity until the early 1990's.
A report from Europe in 2001 with five-year follow-up showed that 80% of the treated veins were obliterated and all
superficial branches had vanished in 95% of the treated legs. The largest experience comes from a study from France
where 10,263 treatments were performed; 80% of the injected veins were reticular varicosities or truncal varicosities.
The other 20% were directly into the saphenous veins. In over 10,000 treatments only 20 adverse events were reported,
an incidence of only 0.19%
Treatment is performed in the office with no need for sedation or anesthesia. The
technique is to place a needle into the varicose vein and the agent is injected. Ultrasound easily images the agent
in the veins and is used for monitoring the treatment. The foam is observed flowing into the veins to be treated and
is stopped by pressure from the ultrasound probe and re-directed by massage and elevation. This selective treatment
of varicosities is more selective and complete than surgical removal. Patients treated in this manner wear an elastic
bandage for 48 hours and may drive home alone or with a companion. There are minimal activity limitations and no
supplemental treatments are needed.
Treatment of varicose veins by foam injection consists of several
appointments. While only a single injection session may be sufficient, touch-up sessions are advised to ensure
the completeness of the treatment. If recurrences or new veins appear, they can be treated as they appear as necessary.
The long-term success of foam sclerotherapy beyond five years is yet to be determined. But the short-term
efficiency is close to 90%. We feel that the use of ultrasound-guided foam sclerotherapy will decrease our need to
perform surgery and this 5-year efficacy justifies the introduction of this technique into clinical practice.Laser / Closure Procedure
(Endovenous Saphenous Vein Ablation)
Your physician will develop a treatment plan for your individual case. Varicose veins caused by reflux
in the superficial saphenous vein can be successfully treated with endovenous ablation. Lasers and
radiofrequency ablation (high energy ultrasound) have been used safely for many different medical
applications throughout the body. In recent years, small fibers have been used successfully to deliver
heat energy to treat varicose veins. These methods allow your doctor to close off the diseased superficial
vein that contains leaking valves, thus preventing any further reflux (backwards flow of blood) into your
The procedure is usually performed in the doctor’s office with numbing medicine and Lorazepam, thus eliminating
the need for hospitalization and general anesthesia. A laser catheter is placed into the diseased vein.
Laser energy is delivered to close off the diseased vein. Recovery is quick. Patients are encouraged to
return to normal activities the day after the procedure. The vast majority of patients have very satisfying
results and little discomfort.Ambulatory phlebectomy
Often used after endovenous laser ablation, phlebectomy involves the actual removal of branches of varicose veins
through tiny incisions in your skin that are usually closed with only tape strips. The skin is numbed with a local
injection and special instruments are used to remove the veins through tiny incisions. In most cases, you can resume
normal activities the following day. When you leave the office after phlebectomy, those big bulging veins that have
bothered you for years will be gone!! Tiny spider veins may persist and can be treated with sclerotherapy if they do
not go away.
The Jacksonville Vein Center provides vein treatments
for varicose veins
and spider veins
in Jacksonville, Florida.