Treatment Options

The Vein Center at Iowa Heart offers a number of treatment options for patients with varicose veins. After a thorough consultation with one of our vein experts, we'll be able to make a treatment recommendation. Treatment options include:

Compression Stockings

A prescription-strength compression stocking is often a first line of treatment for patients with varicose veins. The stocking assists in returning blood back to the heart. Although a patient's symptoms may be relieved, stockings will not reverse the condition.

Endovenous Laser Therapy

Endovenous laser therapy is a short, minimally-invasive alternative to more invasive vein stripping procedures. It leaves minimal scarring and is performed under local anesthesia. A thin laser fiber is inserted into the vein and laser energy is applied to the vein. Delivered in short pulses, the laser energy heats the vein from within, causing it to shrink, collapse and seal shut.


Used primarily in the treatment of spider veins and small varicose veins, sclerotherapy involves injecting a “sclerosing” agent into the vein using a very fine needle. This chemical solution irritates the vein tissue, causing the lining of the vein to swell, harden and eventually seal off.

Ambulatory Phlebectomy

This is an office procedure performed to remove large surface varicose veins through tiny skin punctures. It leaves minimal scarring and is performed under local anesthesia. There is very little discomfort and no stitches are required.

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Meet the Physicians

Dr. Robert Zeff

  • Dr. Robert Zeff
  • MD, FACS – Medical Director

Meet the Physicians