Dr. Grisoli is now located in Destin and has established his private practice, Destin Vein Center, on the Emerald Coast. He is on staff at the Sacred Heart Emerald Coast Hospital as well as the Destin Surgery Center. He has been performing endovenous laser ablation techniques of the Saphenous Venous System with great success since 2004. . He is extremely conservative with his approach to venous disorders and will always try to do the least invasive procedure possible that has a reasonable chance for success. Patient safety and satisfaction are his highest priorities.
About Richard J. Grisoli, M.D., R.P.V.I.
Dr. Grisoli received his medical degree in 1981 from the Louisiana State University Medical School in New Orleans. Dr. Grisoli completed his medical/surgical internship at the Ochsner Foundation Hospital in New Orleans, Louisiana. He then completed his residency in Anesthesiology at the Ochsner Foundation Hospital. He is board certified in Anesthesiology by the American Board of Anesthesiology. Dr. Grisoli also holds a second board certification in Critical Care Medicine by the American Board of Medical Specialties. After completing his training, he spent time as an attending anesthesiologist teaching physicians in their anesthesiology residency in New Orleans at the Ochsner Foundation Hospital.
Dr. Grisoli holds a third board certification by the American Board of Phlebology. In 2008, the specialty of venous disease (Phlebology) was recognized as a separate specialty by the American Board of Medical Specialties. Dr. Grisoli is one of a very select few to be awarded this certification.
Today many physicians are treating spider veins with sclerotherapy. In this rather simple procedure which is safe and involves minimal discomfort, veins are injected with a sclerosing solution. The sclerosing agents work by irritating the inside of the vein, so that on compression of the vein with firm support hose, the vein closes and becomes fibrosed. Blood can no longer enter the vein, and then the body will slowly dissolve this nonfunctional vessel and over time it fades from view. By eliminating these dilated surface vessels, the circulation is actually improved. The procedure may also correct the symptoms associated with spider veins including aching, burning, swelling, and night cramps. Although this procedure has been used in Europe for more than 50 years, it has only become popular in the United States during the past two decades. The introduction of sclerosing agents that are mild enough to be used in small veins has made sclerotherapy predictable and relatively painless. We use an FDA approved solution called Sotradecol in varying strengths depending on the size of the vein to be treated.
Endovenous laser treatment is a minimally invasive, in-office treatment alternative to surgical stripping of the great saphenous vein. Instead of removing the saphenous vein, it is sealed closed in place. The skin on the inside of the knee is anesthetized and a laser fiber is inserted through a needle stick in to the saphenous vein. As the fiber is withdrawn, the laser is fired causing the vein to collapse and seal shut. Following the procedure, a compression stocking is worn for seven days. Patients are able to walk immediately after the procedure and most individuals are able to return to work the next day. Endovenous laser treatment is FDA approved
Ambulatory phlebectomy is usually performed in a doctor’s office using local anesthesia. The area surrounding the varicose vein clusters is flooded 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. Ambulatory phlebectomy is often performed in conjunction with minimally invasive endovenous catheter procedures.
Ultrasound Guided Foam Sclerotherapy
Echo-Sclerotherapy is an in-office treatment alternative to surgical stripping. Ultrasound imaging is used to guide a needle into the abnormal vein and deliver medication to destroy the lining of the blood vessel and seal it shut. Ultrasound guided sclerotherapy is primarily used to treat large veins beneath the surface of the skin.