Advanced Vein and Vascular Center

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Rylee Olewinski, M.D. | Board Certified Interventional Radiologist Certifications: American Board of Radiology, 2022; Ed...
08/09/2023

Rylee Olewinski, M.D. | Board Certified Interventional Radiologist

Certifications: American Board of Radiology, 2022;
Education: M.D., Chicago Medical School at Rosalind Franklin, Chicago, IL
Residency: Diagnostic Radiology, Presence St. Francis Hospital, Evanston, IL
Fellowship: Vascular and Interventional Radiology, Brown University, Providence, RI

Kevin Keele, M.D. | Board Certified Interventional Radiologist Certifications: American Board of Radiology, 2004; Certif...
08/09/2023

Kevin Keele, M.D. | Board Certified Interventional Radiologist

Certifications: American Board of Radiology, 2004;
Certificate of Added Qualification Vascular & Interventional Radiology, 2007
Education: M.D., University of Wisconsin Medical School, Madison, WI, 1999
Internship: Surgery, St. Joseph’s Hospital, Chicago, IL, 2000
Residency: Diagnostic Radiology, University of Illinois-Chicago, Chicago, IL, 2004
Fellowship: Interventional Radiology, Northwestern Memorial Hospital, Chicago, IL, 2005

Shamit Desai, M.D. | Board Certified Interventional RadiologistCertifications: American Board of Radiology, 2019;Educati...
08/09/2023

Shamit Desai, M.D. | Board Certified Interventional Radiologist

Certifications: American Board of Radiology, 2019;
Education: M.D. Rutgers, Piscataway, NJ
Residency: Diagnostic Radiology, Northwestern University, Chicago, IL
Fellowship: Vascular and Interventional Radiology, Northwestern University, Chicago, IL

Meet our staff:Saud Ahmed, M.D. | Board Certified Interventional Radiologist Certifications: American Board of Radiology...
08/09/2023

Meet our staff:

Saud Ahmed, M.D. | Board Certified Interventional Radiologist

Certifications: American Board of Radiology, 2013
Education: M.D., Rush University, Chicago, IL
Residency: Diagnostic Radiology, Wayne State University School of Medicine, Detroit, MI
Fellowship: Vascular and Interventional Radiology, University of Michigan Health System, Ann Arbor, MI

Ambulatory Phlebectomy for varicose veinsAmbulatory phlebectomy is a minimally invasive surgical technique of removing v...
23/06/2023

Ambulatory Phlebectomy for varicose veins

Ambulatory phlebectomy is a minimally invasive surgical technique of removing varicose veins on the surface of the legs. It is done in the office under local anesthesia. This procedure involves making tiny punctures or incisions through which the varicose veins are removed. The incisions are so small no stitches are required. Veins are very collapsible such that even large veins may be removed through the tiny incisions used in this technique.

-Procedure done under local anesthesia
-Typically takes less than an hour
-Rapid recovery
-Most patients do not need to interrupt regular activities

Below are some actual before and after pictures.

Prevalence of varicose veins and venous insufficiency:Varicose veins and venous insufficiency affect one out of every tw...
14/06/2023

Prevalence of varicose veins and venous insufficiency:

Varicose veins and venous insufficiency affect one out of every two people age 50 and older, and 15 to 25 percent of all adults.

Risk factors:

-Increasing age
-Family history
-Jobs with continuous standing or sitting
-Obesity
-Multiple pregnancies

Symptoms of venous insufficiency:

-Aching
-Throbbing
-Fatigue
-Heaviness
-Burning
-Redness
-Swelling
-Bleeding varicose veins
-Leg ulcers

Diagnosis and assessment:

All patients with suspected venous insufficiency see the Nurse Practitioner and interventional radiologist for consultation regarding their clinical situation. A thorough history and physical exam is obtained as well as a reflux ultrasound of the venous system.

Treatment options:

The decision to treat is made by the Interventional Radiologist after review of the clinical situation and venous reflux ultrasound results.

The treatments that we offer in IR are endovenous laser treatment (EVLT), microphlebectomy, and sclerotherapy. Sometimes, patients need a combination of one or more treatments to achieve the desired result.

Endovenous laser therapy:

Endovenous laser ablation is a minimally invasive treatment that is performed under ultrasound guidance. Patients are pre-medicated with an oral benzodiazepine and local anesthetic is used along the course of the vein.

The interventional radiologist accesses the superficial vein through a small incision in the skin. The catheter is inserted all the way up to the groin and a laser fiber inside the catheter then burns the vein closed.

By closing the abnormal vein, the varicose veins shrink and improve in appearance. In addition, once the diseased vein is closed, the surrounding healthy veins are no longer burdened by the leaking blood flow. Other healthy veins take over to carry blood from the leg, re-establishing normal flow.

Varicose veins and venous insufficiency affect one out of every two people age 50 and older, and 15 to 25 percent of all...
12/06/2023

Varicose veins and venous insufficiency affect one out of every two people age 50 and older, and 15 to 25 percent of all adults.
What is venous insufficiency?

Venous insufficiency is a very common condition that results from incompetent valves in the deep or superficial venous system. The valves become leaky so the blood flows backwards or “refluxes”. The pooling of blood in the legs can cause swelling and discomfort and if left untreated, can result in varicose veins, leg ulcers, or bleeding varicose veins. In the illustration below, you can see how the leaky valves allow the blood to flow in the wrong direction. The backup of blood flow can cause large bulging varicose veins.

07/06/2023

Vein Ablation Treatment

This minimally-invasive treatment is an outpatient procedure performed using ultrasound for imaging guidance. After applying local anesthetic to the vein, the interventional radiologist inserts a thin catheter, about the size of a strand of spaghetti, into the vein and guides it up the greater saphenous vein in the thigh. Then laser energy is applied to the inside of the vein. This heats the vein and seals the vein closed. Once the diseased vein is closed, other healthy veins take over to carry blood from the leg, re-establishing normal flow.

Procedure done under local anesthesia
Typically takes less than an hour
Rapid recovery
Most patients do not need to interrupt regular activities

World Class Facilities

We are conveniently located within the Ingalls Family Care Center medical campus. In addition to the confidence that comes with treatment provided in a medical facility, our patients enjoy free and easy parking, quick registration, and no wait times. All consultations, follow-ups and any necessary imaging are all performed at our location, for the ultimate in service and convenience.

05/06/2023

Varicose Veins

Venous insufficiency is a very common condition resulting from decreased blood flow from the leg veins up to the heart, with pooling of blood in the veins. Normally, one-way valves in the veins keep blood flowing toward the heart, against the force of gravity. When the valves become weak and don’t close properly, they allow blood to flow backward, a condition called reflux. Veins that have lost their valve effectiveness, become elongated, rope-like, bulged, and thickened. These enlarged, swollen vessels are known as varicose veins and are a direct result of increased pressure from reflux. A common cause of varicose veins in the legs is reflux in a thigh vein called the great saphenous, which leads to pooling in the visible varicose vein below.

Chronic venous disease of the legs is one of the most common conditions affecting people of all races.
Approximately half of the U.S. population has venous disease–50 to 55% of women and 40 to 45% of men. Of these, 20 to 25% of the women and 10 to 15% of men will have visible varicose veins.
Varicose veins affect 1 out of 2 people age 50 and older, and 15 to 25% of all adults.
Our interventional radiologists will use duplex ultrasound to assess the venous anatomy, vein valve function, and venous blood flow changes, which can assist in diagnosing venous insufficiency. This will help determine if the patient is a candidate for a minimally invasive treatment, known as vein ablation.

Address

6703 W. 159th St., Suite 110
IL
60477

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