Ambulatory Phlebectomy

Ambulatory Phlebectomy is a minimally invasive procedure used to remove varicose veins on the surface of the leg. This procedure involves making very small punctures or incisions in the skin near the affected vein. Veins are very collapsible and are easily removed through these tiny incisions. Phlebectomies can easily be done on an outpatient basis using local anesthetic.

The incisions that are made require no stitches and patients rarely report any pain during the procedure. When the procedure is complete, your leg will be wrapped in a snug compression wrap. You will be instructed to wear prescription strength graduated compression stockings for two to three weeks after the procedure. As long as you wear these stockings, you can resume almost all normal activity the day after the procedure.

The long term results of phlebectomy are excellent when performed for the correct medical reason. Success in greater than 90% of patients has been observed. These procedures are done in our Vein Clinic located at the Blue Ridge facility.

Consutative appointments can be made by calling 919-781-1437 or you can submit your information online – select “Request a Vein Consult” above.

Frequently Asked Questions

  • Is Phlebectomy painful?

    A local anesthetic, usually lidocaine unless the patient is allergic and an alternative takes its place, is used to de-sensitize the treatment area and the procedure itself is not painful. There will be little to no discomfort for the first week after the procedure.

  • Does Phlebectomy leave scars?

    Micro-incision entry points are sufficiently small such that they do not require stitches and merely leave barely noticeable tiny puncture mark scars.

  • What is the recovery time required?

    You may resume normal activities including exercise within 3-4 days of the Ambulatory Phlebectomy. Many patients return to work and normal activity after a day of light activity and keeping the leg elevated. Strenuous and high impact activities should be limited for two weeks, and you will likely be asked to wear a compression stocking during that time to prevent recurrence.

  • Is Phlebectomy safe?

    Compared to traditional vein stripping, the phlebectomy technique is minimally invasive, almost always devoid of significant side effects. Bruising will appear in many cases, but usually dissipates within a month.

Mark H. Knelson, MD

Vascular and Interventional Radiologist
  • BS, MD, University of North Carolina at Chapel Hill
  • Rotating internship, Case Western Reserve University Hospital of Cleveland
  • Chief resident, Case Western Reserve University Hospital of Cleveland
  • Fellowship, vascular and interventional radiology, Duke University Medical Center
  • Certificate of Added Qualifications in Vascular and Interventional Radiology awarded
  • American Board of Radiology Assistant professor of radiology, Duke University Medical Center
  • Member, Society of Interventional Radiology, American College of Radiology
  • Native of North Carolina

Expertise in diagnostic angiography and interventional radiology, nuclear cardiology, and spine intervention
Joined Raleigh Radiology in 1993

Satish Mathan,MD

Vascular and Interventional Radiologist
  • Medical Director for Interventional Services at Rex Hospital & Raleigh Radiology
  • BS, University of California at Santa Barbara
  • MD, Medical College of Wisconsin
  • Internship, Santa Clara Valley Medical Center, San Jose, CA
  • Chief resident, University of North Carolina Hospital, Chapel Hill, NC
  • Fellowship in vascular and interventional radiology, University of North Carolina Hospitals
  • Member, Society of Interventional Radiology, American College of Radiology
  • Native of Raleigh, North Carolina

Expertise in interventional radiology
Joined Raleigh Radiology in 2005

Jason R. Harris, MD

Vascular and Interventional Radiologist
  • BS, Brigham Young University
  • MD, Harvard Medical School
  • Internship, Newton-Wellesley Hospital, Newton, Massachusetts
  • Residency, Massachusetts General Hospital, Boston, Massachusetts
  • Fellowship in vascular and interventional radiology, Duke University Medical Center
  • Member, American College of Radiology, Society of Interventional Radiology
  • Native of California

Expertise in vascular and interventional and musculoskeletal radiology
Joined Raleigh Radiology in 2008

Ambulatory Phlebectomy  requires no preparation except bringing your prescription strength compression stockings with you. Our physician will write you a prescription for these at your consult appointment.

Blue Ridge 919-781-1437 - Cedarhurst 919-877-5400 - Cary 919-781-1437
Clayton 919-877-5400 - Wake Forest 919-877-5400 - Brier Creek 919-877-5400