Leg Ulcers

Venous Leg Ulcer

Venous Leg Ulcer

Arterial vs. Venous Leg Ulcers!

Many people have no idea that leg ulcers are a common symptom of circulatory problems such as venous insufficiency and arterial disease. These ulcers vary based on the underlying condition and are classified as either venous or arterial. The following guide will help you understand what a leg ulcer is and the differences between these two types.


What is a leg ulcer?

 A leg ulcer is a patch of skin where the tissue underneath is exposed because the outer layers of skin are gone. Essentially, the skin breaks and allows bacteria and germs to enter the body. Leg ulcers can be either acute or chronic, with the chronic kind lasting more than 4 weeks and often arising from a more complex cause than the acute kind.

Symptoms of Venous Ulcers

Venous ulcers occur below the knee and are most commonly found at the ankles, especially on the insides of the ankles. They usually don’t cause pain unless they become infected. The skin around them may become dry and discolored, and there may also be associated pain or swelling, especially in the calves. The pain often subsides when the legs are elevated. They are frequently accompanied by varicose veins. The sore may produce a foul-smelling discharge. Patients may also suffer inflammation, especially chronic inflammation that damages the lymphatic vessels underneath the skin, which in turn causes
swelling and pressure in the lower part of the leg. They may also experience lipodermatosclerosis, which is a loss of tissue underneath the skin. This can cause that part of the leg to harden.

Symptoms of Arterial Ulcers

Unlike venous ulcers, arterial ulcers typically are painful, especially when the legs are elevated. However, lowering the legs may ease the pain, perhaps because the pull of gravity causes more blood to flow down into the legs. Patients with arterial ulcers might have feet in which the skin is shiny and either white or a bluish color. They may also experience cramping while walking, with the cramping subsiding when they stop walking. Arterial ulcers are most commonly found on the sides of the feet, ankles, toes or heels.

Arterial vs. Venous Leg Ulcers

The majority of leg ulcers — about 80 percent — are venous ulcers. About 15 percent are arterial and the rest are caused by a wide variety of other conditions such as rheumatoid arthritis or diabetes. The two types typically have somewhat different causes. Venous ulcers, for example, are often associated with deep vein thrombosis (blood clots), varicose veins, high blood pressure,
multiple pregnancies, surgeries, fractures or injuries to the leg, excess weight, age, clotting problems, circulatory issues, and being immobile for extended periods. Arterial ulcers are typically associated with high blood pressure, diabetes, smoking, kidney failure, heart or vascular disease, clotting and circulatory problems, and collagen-vascular disorders.


What causes leg ulcers?

The most common underlying problem causing chronic leg ulcers is disease of the veins of the leg. Venous disease is the main reason for over two thirds of all leg ulcers.

  • Venous Disease (caused by veins not working) – about 80 percent of leg ulcers
  • Arterial Disease (caused by the arteries not working) – about 15 percent of leg ulcers
  • Other causes (includes diabetes and rheumatoid arthritis as well as some rare conditions) – about 5 percent of leg ulcers

In some cases two or more conditions may be causing damage at the same time. We will examine you and do some tests to see what sort of ulcer you have. The following advice applies to venous ulcers and may not be appropriate for other sorts of ulcers.


How does venous disease cause ulcers?

The veins in your leg are tubes that carry the blood back from the foot towards your heart. The veins in your legs have one-way valves that make sure the blood flows up the leg and not back down. In some people, these valves are not very effective or can be damaged by thrombosis (clots) in the veins. If the valves are damaged, blood can flow the wrong way down the veins, which results in a very high pressure in the veins when standing up. This abnormally high pressure in the veins damages the skin and leads to the ulcers. Here in Las Vegas at the Alpha Vein Clinic we take pride in helping many people get their sore, tired legs back to great conditions with as least pain as possible. We take time to evaluate your legs and many other aspects of venous disease so we can then fix the underlying issue to treat the problem at the root cause, so you will have the least chance of the problem recurring! Call us today at 702-233-6661. Our caring and dedicated staff will take care of you. Let us take care of all your worries and concerns.


Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128


Dr. Sassan Kaveh

You Can Now Call Us 24/7


Radio Frequency Ablation

Radio Frequency Ablation

Although varicose veins and spider veins can certainly be cosmetic issues, they may also pose a number of medical issues. By understanding the risks and factors that contribute to vein disease, you can be better prepared to take preventative measures towards vein disease.

Although there may be certain factors you simply cannot avoid-including genetics, age, and gender- there are many preventative measures you can take to decrease your risk for damage, vein disease, and unwanted symptoms.



  • Sitting for a long period of time can be a major risk factor! So get up and move around if your job requires sitting for prolonged amount of time.
  • Also standing for a long period of time is not good for your vein health. Raising your legs at the end of the day can help decrease the stress in your leg veins.
  • If your vein specialist diagnose you with early stages of vein disease and he/she prescribes pressure stockings, use them. The pressure stockings can help in pushing the blood back up to the heart.
  • Exercise regularly: daily exercise such as walking, cycling, and others can improve leg strength and circulation, thereby reducing the risk of vein disease!

These lifestyle changes can improve your vein health, but they are not a treatment for vein disease. There are a number of different treatments for vein disease including Veneaseal procedure, The Clarivein Procedure and Radio Frequency Ablation.


Venaseal Procedure:

The VenaSeal™ closure system is the only non-tumescent, non-thermal, non-sclerosant procedure that uses a proprietary medical adhesive delivered endovenously to close the vein.

VenaSeal has some significant advantages over other varicose vein treatments. First, a single VenaSeal treatment may be effective in eradicating varicose veins; other treatment types require multiple treatments before veins disappear completely. Second, VenaSeal does not require patients to wear compression stockings after the treatment is performed. Finally, VenaSeal does not require the use of heat, large surgical incisions, or anesthesia, so recovery from the procedure is typically quick and painless.


The Clarivein Procedure:

The Clarivein procedure is one of the latest minimally invasive techniques for the treatment of varicose veins. This technique is even less invasive than the laser and other closure techniques requiring much less local anaesthetic.

Most all the minimally invasive techniques work by destroying the intima or the “inner coat” of the vein. When the intima is destroyed, the vein seals off and turns into tissue which is then dissolved by the body.

The laser technique uses laser energy to destroy the intima while radiofrequency ablation also known as (RFA) uses radiofrequency energy.

ClariVein uses a combination of mechanical disruption in the inner coat of the vein and chemical injury using sclerosant solution. The combination of these two methods is a very efficient and painless way of sealing the vein.


Radiofrequency Ablation (RFA):

Radiofrequency ablation (RFA) is a procedure to treat varicose veins. It uses heat created from radiofrequency (RF).

During (RFA) treatment radiofrequency heat is sent into your vein through a thin, flexible tube (catheter). This closes off blood flow in the main problem vein.

All three procedures, the Venaseal, clarivein and radiofrequency ablation are very great choices and alternatives to painful vein stripping and surgeries. Here at Alpha Vein Clinic in Las Vegas Nevada we have them all available and may be covered by your insurance.


If you have been thinking of getting your Varicose veins looked at or you have been told you need vein treatment, we would love to help you! Let’s get you showing those beautiful legs off before summer ends. Call us today at (702) 233-6661. Our caring and knowledgeable staff will set you up with an appointment that suits your schedule. Our clinic is conveniently located and ready to get you on the path to healthy legs. Dr. Sassan Kaveh is passionate about helping his patients to live pain free without the constant struggle that is associated with venous insufficiency. Do not hesitate, call us today!


Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 233-6661

Dr. Sassan Kaveh

You Can Now Call Us 24/7


Dr. Sassan Kaveh

We have reasons to believe that, we have the best vein doctor in Las Vegas and way different from the rest! Schedule your appointment today to see for yourself if you feel the same way.


Dr. Kaveh does a comprehensive evaluation of all leg symptoms, not just Varicose Veins.

There may be a lot of other associated symptoms like soft tissue inflammation and super infection that most vein doctors do not treat! But Dr. Sassan Kaveh treats them all here at our Alpha Vein Clinic.


Here are some reasons why we believe our vein doctor is different:

1) Dr. Kaveh makes himself available to you, although he has a very busy schedule.

2) Our doctor makes sure you leave our office with all your questions answered.

3) Dr. Kaveh will check your legs and find out where your problem is, whether it is your nerves or muscles or veins or…

4) He will then give you a plan of care tailored to your needs.

5) Our welcoming office staff also will treat you so well, to the point you would like to come here and hang out:)

6) Dr. Kaveh performs three of the most effective procedures available to treat your leg issues! Everywhere else, you may have a lot more limited options to choose from!


Dr. Sassan Kaveh at the Alpha Vein Clinic of Las Vegas can help you get rid of varicose veins, spider veins, Leg pain and swelling and many other problems. You may already have experience with specialists, but not gotten relieved of your symptoms.

That’s what we see every day. Patients who have been to ER several times, or have been referred to dermatologists numerous times with no good results! They come here to find solutions to their ongoing issues, that can’t seem to be treated. No Every Vein Doctor Is the Same!


You may not know what to expect or what Dr. Kaveh dose at the Alpha Vein Clinic.

Here is some of the things to know before you visit us :


  1. Consultation and Evaluation – to evaluate the signs and symptoms of your leg and vein pain. Dr. Sassan Kaveh being an experienced internist can discuss different potential diagnosis, pathophysiology and treatment options, even if the problem is not vein related.
  2. Venous Ultrasound of the legs – to confirm the diagnosis and to identify the specific veins involved.
  3. If the problem is vein related, Venefit Endovenous RF Ablation or ClariVein Occlusion or Venaseal depending on which procedure is appropriate for your needs– to treat any (CVI) with a team approach using ultrasound guidance.
  4. Utilizing Pressure Stockings for RFA and Clarivein– for two weeks post procedure to optimize healing process.
  5. Serial Venous Ultrasounds – to monitor the progression of the recovery and to watch for potential complications.


Clinical results indicate that these procedures can be effective at closing the vein and significantly reducing patient symptoms.


But if your problem is not vein related, then Doctor Sassan Kaveh would get to the bottom of your issue and treat you with the appropriate treatment.


The choice of methods for your vein treatment can be decided by your physician.

Your health insurance company may cover your expenses for varicose vein removal, if your varicose veins are a medical condition. This can be the case if they are causing your legs to swell, or are burning and itching or in pain.

If you have questions about the alpha vein clinic and how Dr. Kaveh treats varicose veins, or about any other aspect of vein health, make an appointment today with Alpha Vein Clinic!

Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 233 6661

Dr. Sassan Kaveh

You Can Now Call Us 24/7


Before and After RFA

Radio Frequency Ablation

Radio Frequency Ablation May be The Answer to Your Leg Pain!


Leg pain could be a symptom of venous insufficiency or leaky veins, which can now be treated with minimally invasive in-office procedure called Radio Frequency Ablation.

Although there are potentially many reasons for leg pain, it is important to note that none are a normal part of aging and hence, need to be investigated.
Leg pain can be caused by abnormalities in muscles, bones, nerves or blood circulation. Most medical practitioners do a very good job investigating causes that relate to the bones, nerves, muscles and even the arterial circulation. A very common and agonizing cause of leg pain that is not well understood by most doctors is poor circulation of blood in the veins causing Chronic Venous Insufficiency (CVI).
Leg pain caused by (CVI) is typically worse after prolonged standing or sitting. In advanced cases, the pain may be constant and even excruciating, interfering with moving around or walking. This would be in contrast to Peripheral Arterial Disease (PAD). Patients with (PAD) most commonly have calf pain with walking and resolution of the pain after stopping for only a few minutes.


What is CVI?


Chronic Venous insufficiency (CVI), also known as venous reflux, is a condition that develops when the veins in your legs become unhealthy or damaged. This causes blood to reflux or pool in your veins which leads to a number of uncomfortable symptoms such as leg pain, burning, itching, restless leg, heaviness and fatigue. When left untreated, venous reflux can lead to more significant clinical issues such as pain, chronic swelling, skin discoloration, thickening of the skin and ulceration. More than 30 million people in the U.S. are affected by this disease with only 1.9 million seeking treatment annually. This leaves the vast majority undiagnosed and untreated. Without treatment, those with the disease may experience progressive symptoms such as swollen legs, skin damage and/or ulcers that can be debilitating and significantly impact their quality of life.


Minimally invasive approaches:

If you’ve tried self-help without much success, you may want to consider a minimally invasive procedure. If your needs are purely cosmetic, Here at the Alpha Vein Clinic we can still help, Even if you are just experiencing leg pain and swelling. Therapy is considered medically necessary if your symptoms limit your everyday activities, or if the veins have ruptured or caused sores that are difficult to treat.
Vein procedures are performed by many different specialists, including dermatologists, interventional radiologists, vascular surgeons, and plastic surgeons based in hospitals or medical centers. Specialized vein treatment centers like the Alpha Vein Clinic specializes in leg pain and vein disease. We will give you an ultrasound to check for underlying problems in the deeper leg veins. We will also address complications or unexpected findings.



Here at Alpha Vein Clinic we offer a few different methods to treat your leg pain! If we can treat the venous insufficiency, then the symptom that happens because of that will eventually get better and disappear. Those symptoms are leg pain, leg cramps, varicose vein, leg ulcers, itchy legs and swollen ankles. The three main methods we like to use are “Radio Frequency Ablation”, “The VenaSeal” and “Clarivein Occlusion”. These procedures are simple in-office and only minimally invasive procedures. They are all performed under local anesthesia and are covered by most insurance companies. Early treatment is crucial to prevent further complications. Since the valves in the legs cannot be repaired, the only alternative is to reroute the blood flow from the diseased veins to healthy veins. Traditionally, this has been done by surgically removing (stripping) the troublesome vein from your leg. Once the diseased vein is closed, it remains harmless in the body.
If you are experiencing leg pain that doesn’t subside after a few days, it may be time to check it out to make sure your pain isn’t being caused by a larger underlying health issue such as Chronic Venous Insufficiency (CVI).

Radiofrequency Ablation (RFA):


Radiofrequency ablation (RFA) is a procedure to treat CVI. During (RFA) treatment radiofrequency is sent into your vein through a thin, flexible tube (catheter). This closes off blood flow in the main problem vein.
Radiofrequency ablation is a great choice instead of painful vein stripping and surgeries.

The above picture is an actual patient of Alpha Vein Clinic who got treated with Radio Frequency Ablation. He has not received any cosmetic treatments and his before and after picture is only two month apart.

At Alpha Vein Clinic, we accept most insurance plans and we can help you get started on a path to recovery now. You don’t have to suffer anymore. give us a call at (702) 430 7661 and make your appointment today!


Alpha Vein Clinic

Vein Clinic Las Vegas

3150 N. Tenaya Way Ste. 400
Las Vegas, NV, 89128
(702) 430 7661
Call us 24/7



Many people who don’t treat their vein disease will experience continued symptoms of pain, fatigue and swelling of the legs or ankles.

More advanced medical problems can include hyper pigmentation, venous leg ulcers, spontaneous bleeding, superficial thrombus phlebitis, and a potentially life-threatening condition called deep vein thrombosis. If you’re unsure of the severity of your vein disease, you should come in today at the Alpha Vein Clinic Las Vegas so we can determine the severity of your condition and whether treatment is necessary!




Blood that pools in the veins is depleted of oxygen and nutrients. The veins also do not tolerate high pressure well and begin to allow red blood cells and fluid to leak into the tissues of the leg, which causes painful swelling. The red blood cells in the tissues cause chronic inflammation and the skin becomes dark and discolored. The medical term for the dark discoloration is hyper pigmentation. When the skin and the fat under the skin are inflamed for years, the tissues become woody and firm.

A condition that may occur over time, when there is chronic venous insufficiency, is in fact a venous leg ulcer. The ulcers due to varicose veins are painful and difficult to heal. Sometimes the ulcers cannot be healed until the backward blood flow in the veins is corrected.




Another possible consequence of untreated vein disease is spontaneous bleeding from the varicose veins. As the skin over the veins becomes thin, eventually the vein can be exposed to the outside world and be easily injured by clothing, bedding, etc. The blood loss can be significant and is painless.

Superficial thrombus phlebitis (ST) is an inflammation of a vein just below the surface of the skin. The cause of inflammation is not an infection. Rather, inflammation is due to decreased blood flow through the vein, damage to the vein and blood clotting. The features of (ST) include redness to the skin and a firm, tender, warm vein. Localized leg pain and swelling may occur as well.

Deep vein thrombosis (DVT), unlike (ST), can be associated with significant and serious medical problems. (DVT) is often first noticed as a “pulling” sensation in the calf of the lower leg, and it can be quite painful. Symptoms also include associated warmth, redness and swelling. The swelling often extends to above the knee.


 Risk factors for vein disease include:


  • Age
  • Family history of this condition
  • Female gender (related to levels of the hormone progesterone)
  • Obesity
  • Pregnancy
  • Sitting or standing for long periods



  • Dull aching, heaviness, or cramping in legs
  • Itching and tingling
  • Pain that gets worse when standing
  • Pain that gets better when legs are raised
  • Swelling of the legs
  • Irritated or cracked skin if you scratch it
  • Red or swollen, crusty and weepy skin (stasis dermatitis)
  • Varicose veins on the surface
  • Thickening and hardening of the skin on the legs and ankles
  • Wound or ulcer that is slow to heal on the legs or ankles


If any of this sounds familiar or you are having symptoms, it is very necessary for you to be seen so you can find out if treatment is something you need. Here at the Alpha Vein Clinic Las Vegas we specialize in vein treatment in all different forms for all different conditions. Call us today to schedule your appointment at

702- 430-7661. Our dedicated staff is here to answer any questions you may have before scheduling your appointment. Come in today and let us make your vein pain and worries a thing of the past!

Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 430 7661

Dr. Sassan Kaveh



Restless Leg Syndrom

Who Gets Restless Legs Syndrome (RLS)?

Restless legs syndrome or what we refer to as (RLS) may affect up to 10 percent of the U.S. population. It affects both sexes, but is more common in women and may begin at any age, even in young children. Most people who are affected severely are middle-aged or older.
(RLS) is often unrecognized or misdiagnosed. This is especially true if the symptoms are intermittent or mild. Once correctly diagnosed, (RLS) can often be treated successfully. Left untreated it can lead to worse conditions and even be life threatening. Here at the Alpha Vein Clinic Las Vegas it is our speciality to diagnose and treat restless leg syndrome!

What are common signs and symptoms of restless legs?

People with (RLS) feel the irresistible urge to move. This is accompanied by uncomfortable sensations in the lower limbs. The sensations in their legs are often difficult to define but may be described as aching, throbbing, pulling, itching, crawling, or creeping. These sensations less commonly affect the arms, and rarely the chest or head. Although the sensations can occur on just one side of the body, they most often affect both sides. They can also alternate between sides. The sensations range in severity from uncomfortable to irritating to painful.

Because moving the legs relieves the discomfort, people with (RLS) often keep their legs in motion to minimize or prevent the sensations. They may pace the floor constantly, move their legs while sitting, and toss and turn in bed.

Is RLS worse at night?

A classic feature of (RLS) is that the symptoms are worse at night with a distinct symptom-free period in the early morning, allowing for more refreshing sleep at that time. Some people with (RLS) have difficulty falling asleep and staying asleep. They may also note a worsening of symptoms if their sleep is further reduced by events or activity.
(RLS) symptoms may vary from day to day, in severity and frequency, and from person to person. In moderately severe cases, symptoms occur only once or twice a week but often result in significant delay of sleep onset. There would be some disruption of daytime function. In severe cases of (RLS), the symptoms occur more than twice a week and result in burdensome interruption of sleep and impairment of daytime function.

People with (RLS) can sometimes experience remissions. Spontaneous improvement over a period of weeks or months before symptoms re-appear. In general, however, symptoms become more severe over time.

People who have both (RLS) and an associated medical condition tend to develop more severe symptoms rapidly. In contrast, those who have (RLS) that is not related to any other condition show a very slow progression of the disorder, particularly if they experience onset at an early age; many years may pass before symptoms occur regularly.

About RLS:

There are numerous causes for (RLS) such as intake of stimulants (including caffeine), side effects of some medications (i.e. beta blockers and antidepressants), alcohol, pregnancy, drug withdrawal, anemia, and chronic liver or kidney failure. (RLS) is believed to be associated with a number of factors, including iron deficiency, peripheral neuropathy, Parkinson’s disease and other neurological disorders.

In addition, recent studies found that men who were diagnosed with (RLS) were approximately 40 percent more likely to die prematurely compared to men without the condition. There is a great overlap in the symptoms of vein disease and (RLS).

Chronic venous insufficiency and varicose veins can cause symptoms of (RLS). Recent medical research showed that 22 percent of patients with (RLS) also have venous insufficiency. Studies show that the treatment of venous insufficiency can relieve symptoms of (RLS). According to many new studies conducted in patients with (RLS) and venous insufficiency, 98 percent of patients experience relief from (RLS) symptoms by treating their venous insufficiency. Also 80 percent get long-term relief.
At the Alpha Vein Clinic Las Vegas, our experience and state-of-the-art equipment enables you to find out exactly what your condition is in only one appointment, you will receive a complete medical assessment by Dr. Kaveh. Over 90 percent of all treatments here at the Alpha Vein Clinic Las Vegas are covered completely or in part by insurance.

To schedule an appointment or obtain additional information, please call our office at (702-430- 7661). Our staff is waiting for your call, Don’t wait call today!

Alpha Vein Clinic

Vein Clinic Las Vegas

3150 N. Tenaya Way Ste. 400
Las Vegas, NV, 89128
(702) 430 7661
Dr. Sassan Kaveh
You Can Now Call Us 24/7

Lower Extremity Venous Ablation as a Treatment Modality for Refractory Lichen Simplex Chronicus and Generalized Pruritus

Robert Wills DO, James Kleist, Hossein Akhondi* and Sassan Kaveh

Introduction: Lichen simplex chronicus (LSC) is a skin condition characterized by thick, leathery, scaly and extremely itchy patches of skin. It is a common pathology (up to 12% of population) with significant effect on quality of life without any established clear etiology or treatment.

Chronic venous insufficiency (CVI) is a progressive disease of the legs that occurs when the delicate bicuspid valves in the veins become weakened and develop reflux. CVI has been associated with many complications including local or generalized pruritus that may lead to intractable itch-scratch cycle, leading to LSC lesions on various parts of the body.

Cases: Recent development of multiple in-office ablation techniques for treatment of CVI have led to the added benefit of resolving the itch-scratch cycle, which in turn become the cure for LSC lesions. We present 6 cases with typical refractory LSC lesions whom we were able to cure after treatment of CVI using Radiofrequency ablation or Clarivein techniques.

Conclusion: We recommend all primary care physicians and dermatologists to consider an underlying CVI as a potential cause for any LSC lesions or even intractable pruritus.

Lichen simplex chronicus (LSC) is essentially lichenified skin caused by repeated rubbing or scratching. Chronic scratching causes further itching through several mechanisms, creating a vicious cycle. LSC is commonly diagnosed by clinical presentation: thickened, leathery, scaly, hyperpigmented and excoriated. LSC lesions can involve any part of the body but typically starts in the medial aspects of the distal legs before spreading to the other parts. The itch usually starts in the evenings, but scratching happens in the middle of sleep and then progresses to a constant intractable itch that can very negatively impact quality of life.

The underlying etiology of LSC has been attributed to pruritic sequela of focal trauma. This lack of understanding and objective rational for the itch has led to the neurotic behavior hypotheses which implies anxiety and obsessive-compulsive disorder as the underlying cause. Hence the term Neurodermatitis is often used.

Treatment is commonly focused on relieving pruritus and skin manifestations, with the perception that LSC is a primary skin condition. Treatment recommendations vary from topical corticosteroids, injected corticosteroids, topical calcineurin inhibitors, antihistamines, gabapentin, Ultra Violate B, colloid baths, coal tar and behavioral modifications.

Chronic venous insufficiency (CVI) is a systemic disease that can have grave skin manifestations. These include not only LSC lesions but also stasis dermatitis and venous stasis ulcers. CVI can increase hydrostatic pressure, causing skin compromise and progression to local reaction due to release of inflammatory mediators. Other non-dermatological symptoms of CVI include leg ache, refractory edema, muscle cramps and restless legs. Physicians have recently been more aware of these non-dermatological symptoms of CVI, but the dermatological complications remain very unrecognized.

Cases and Methods

Six patients aging 33 to 84 years old with symptomatic chronic venous insufficiency (CVI) were referred to Alpha Vein Clinic in Las Vegas. Patients were found to also have overlain refractory LSC that were affecting their quality of life significantly, in average for the past 6 months. All the 6 had lesions compatible with CEAP classification C4 a/b and there were no ulceration present.

Skin biopsy was done in three that was compatible with LSC. Pathology showed hyperkeratosis, acanthosis, spongiosis, and patches of parakeratosis in the epidermis. All layers of the epidermis were thickened and there was elongation of rete ridges with pseudo-epithelium hyperplasia. patch test was performed in 2 that was negative. Fungal cultures were not done since the lesions did not resemble fungal infections as confirmed by dermatology.

These patients were followed and treated with either Radio Frequency ablation (RFA) (using Venefit Catheter), or Clarivein ablation (Mechanochemical endovenous ablation or MOCA) to treat their CVI, depending on the insurance preference (Figures 1,2).

Venefit™ targeted endovenous therapy is the only minimally invasive procedure to use segmental radiofrequency (RF) energy to provide an even and uniform heat to contract the collagen in the vein walls, causing them to collapse and seal the vein closed. After each segment is treated, the catheter is re-positioned to the next segment, and the process is repeated.

Mechanochemical endovenous ablation (MOCA), using the ClariVein® device (Vascular Insights, Madison, CT, United States), uses a rotating wire in a catheter to create mechanical damage to the endothelium of the vessel. At the same time, a sclerosant is infused at the end of the catheter.

Venous ultrasound was used to look for residual reflux, deep venous thrombosis (DVT), or other potential complications at 3 days, 1 month, and 6 months. Patients were compared using descriptive analysis; looking at age, sex, clinical site, veins treated, ablation type, ultrasound findings, recurrence, clinical resolution of LSC and CVI as well as complications.

Findings and results are summarized in table 1.


In our Clinic, we have observed a very strong correlation between LSC and underlying CVI. In fact, we have seen the following typical progression: CVI, local itch, local lesion, general pruritus, generalized LSC lesions, venous ulcer and super infections (especially of legs, arms and hands). The reflux of the perforator veins above the medial aspects of the ankles are of special importance because they are quite often the primary cause of the venous ulcers. The surrounding edematous, indurated and friable skin is vulnerable to cellulites which can further complicate the LSC lesions.

While the pathophysiology of LSC is attributed to a secondary reaction from the itch-scratch cycle and the subsequent local inflammatory reaction, the primary etiology has not been clearly elucidated in the literature [1, 2]. Some authors currently claim a relationship between underlying psychiatric pathology and a predilection to compulsively scratch as seen in cross-sectional [3], retrospective cohort [4], and case-control [5] studies. Recent studies postulate a correlation between LSC and peripheral neuropathy [4,6]. Increased frequency of degenerative spine conditions on MRI and radiculopathy on electrophysiological studies were observed in LSC patients compared to public. Case reports exist for instigation of LSC from herpes zoster [7], atopic dermatitis from hair dye [8], and nocturnal scratching [9]. A review of PubMed yielded zero results for LSC correlation with chronic venous insufficiency.

Chronic venous insufficiency most commonly presents with pruritus, with additional findings of leg heaviness and tightness according to the Bonn Vein study of 2,624 subjects [10]. Pruritus was not associated with age, gender, body mass index or region of living, with 95% confidence interval crossing one for all subsets. Stasis dermatitis which is a similar clinical entity has demonstrable correlation with venous insufficiency [11] as well. Recent histologic studies indicate utility of Gomori iron studies to differentiate stasis dermatitis from LSC, in addition to other common dermatoses, based on degree of iron staining [12].

Treatment for LSC remains controversial. Topical glucocorticoids remain a common initial treatment to reduce scratching [13]. Double-blind, multicenter, head-to-head trials of topical corticosteroids have been pursued in small study samples, with higher treatment success and quicker healing rates of halobetasol propionate ointment compared to diflucortolone valerate [14]. Case reports of treatment with gabapentin, topical tacrolimus, alitretinoin, and UVB exist and require confirmation but overall this has been an extremely hard to treat disease.

Our focus in vein clinic has been to address the CVI but somewhat accidently we noted the therapeutic effect on LSC. This was repeated in another 5 cases, as described. In one case, both upper and lower extremity severe pruritus and LSC resolved after lower extremity venous ablation. This can probably be a causal relationship explained by resolving circulating histamines in the entire body while treating the local CVI. All the cases were CEAP classification C4 a/b with no ulceration present and there might be a possibility that this category specifically brings the patients in (less symptoms with lower categories) and that our treatments overlap with it.

This incidental finding could provide a modality of therapy for a traditionally hard to treat entity with excellent success rate.


With the likely attribution of disseminated LSC lesions to local inflammatory mediators from CVI, we suggest an evaluation for venous vascular insufficiency for curative endovascular venous ablation in all patients with LSC. Further prospective randomized trials are recommended to further evaluate this.

We all know what time it is! The Holidays are here. So often we get caught up in giving to others and we forget about ourselves. This holiday season do something for you and give yourself the gift of vein treatment!  Here at the Alpha Vein Clinic Las Vegas we can get you in and on the road to recovery. In as little as one appointment, we can figure out the cause of your leg issues and get you a treatment plan to fit your needs. Venous Reflux is a progressive condition and if you don’t seek treatment it can get worse.

Venous Reflux Treatment:

The Alpha Vein Clinic offers specialized treatments for leg vein conditions, such as varicose veins, spider veins, venous reflux, lymphedema and cellulitis. Dr. Sassan Kaveh is trained in venous disease treatments, with extensive knowledge on the diagnosis, and other related conditions, including deep vein thrombosis, lymphedema, thrombophilia, lipodermosclerosis, scarring and wound care. Venous reflux can make deep infection, which is for the most part missed by the dermatologists! Some patients would be put on antibiotics for a year with no progression. That’s because the underlying problem had not been treated!

At the Alpha Vein Clinic Las Vegas, we treat the root cause of your symptoms, which means sealing off veins with unhealthy valves. There are a few recommended procedures that are designed to go beyond the surface, treat the underlying cause, and focus on overall health. Treatment options include venous ablation with Radio Frequency, Clarivein or Venaseal. The specifics of each spider vein or varicose vein treatment differs according to each patients specific situation, but our vein clinic works directly with each patient to design a customized plan to get people back on their feet sooner and have a better all around quality of life.

What to Expect when visiting a vein clinic:

  1. Consultation and Evaluation – to evaluate the signs and symptoms of a  potential candidate. Dr. Sassan Kaveh being an experienced internist can discuss different potential diagnosis, pathophysiology and treatment options, even if the problem is not vein related.
  2. Venous Ultrasound of the legs – to confirm the diagnosis and to identify the specific veins involved.
  3. Venefit Endovenous (RF) Ablation or ClariVein Ablation or Venaseal – to treat the (CVI) with a team approach using ultrasound guidance.
  4. Utilizing Pressure Stockings – for two weeks post procedure to optimize healing process. (Venaseal dose not need Pressure Stockings)
  5. Serial Venous Ultrasounds – to monitor the progression of the recovery and to watch for potential complications.

Clinical results indicate that these procedures can be effective at closing the vein and significantly reducing patient symptoms.

The (RF) Ablation procedure has proven to be highly effective, with 87% of veins treated remaining closed at 5 years. MOCA technique would be equally good. These procedures are highly effective. In our experience, there is rarely any recurrence of venous reflux or any of the symptoms in the treated veins. The newest technique is called Venaseal and is so convenient for the patients, since it doesn’t need the Pressure Stockings to be worn after the procedure.

Almost all procedures done at our office are covered by insurance. If your leg veins are a medical condition meaning that you have leg pain, swelling, burning and itching then it will be covered by health insurance.

If you have any questions about the Alpha Vein Clinic, or about any other aspects of vein health, make an appointment today here at the Alpha Vein Clinic Las Vegas! Go ahead and give us a call at (702) 430 7661 our staff will be excited to answer any questions for you! Stop guessing and get treatment today.

Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 430 7661

Dr. Sassan Kaveh

You Can Now Call Us 24/7

Insurance Coverage



If you suffer from Chronic Venous Insufficiency, varicose veins, or other vein-related problems, you may worry not only about the type of vein treatment you’ll need, but also the cost. In fact, for many patients, the financial aspect is a serious issue. They must consider the cost, before obtaining any kind of treatment. Whether you have health insurance or you’re uninsured, you may be questioning if vein treatment is affordable, or if relief from your symptoms is simply beyond your reach!





The cost of vein treatment varies greatly depending on your treatment options. Most insurance companies cover vein treatments as long as it’s medically necessary. Treatment of venous insufficiency resulting in pain and suffering is a medical condition. This treatment is recognized by most insurance companies. Therefore, almost all Non-HMO insurance companies cover the cost of the treatment.




While some people view varicose veins as primarily a cosmetic issue, they can also cause serious health complications, which is why most insurance companies cover the cost of a medically necessary treatment. For example, varicose veins can cause leg ulcers or stasis dermatitis, which is why it’s crucial to seek treatment for any vein problems you suffer from even if you’re worried about the cost. Chances are, your doctor can help you obtain the insurance coverage you need for the procedures to be accessible.




What we offer here at Alpha Vein Clinic is covered by your insurance, Medicare and several insurance companies cover the newest treatment option called Venaseal! We also have the Clarivein, a Mechanical Occlusion Chemically Assisted, or MOCA, form of treatment. Radiofrequency Ablation is also covered by most major insurance companies. Of course depending on your plan you may have some out of pocket for covering your deductible or co-insurance.

At Alpha Vein Clinic, we accept most insurance plans and we can help you understand your treatment options, including the cost for each and how you can afford them. Call us today for an appointment so we can help you find relief from your leg and vein-related problems.





Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 430 7661

Call us 24/7




Leg Vein


You may often hear vein disease, leg veins, varicose veins and other vein-related terms, but you may not realize that all veins are not created equal. While they may all look the same to you underneath your skin, they’re actually very different. In fact, there are three main types of leg veins, with some being more prone to weakening and damage than others.





The first category of veins, deep leg veins, is located in the muscles and is found in the center of the leg near the bones. They carry blood directly from the bottom of the body to the heart. They have one-way valves that percent the backward flow of blood to ensure it reaches the heart, thanks to the surrounding muscles, which compress the veins to direct the blood in the proper direction. They are responsible for most of the blood flow to the heart, transporting 90 percent of the blood that travels from the legs to heart. They are called Femoral Vein.




The second group, superficial veins, is located just beneath the surface of the skin. Unlike the deep veins, they don’t receive as much support from the nearby muscle and bone, and because of this they are susceptible to weakness in the wall. If the wall becomes weak, the vein can balloon out, thus creating a varicose vein. Because superficial veins aren’t compressed by the muscles the way the deep veins are, the blood they carry travels more slowly. They primarily direct blood to the deep leg veins instead of to the heart via connecting valves. They are called Great Saphenous vein and Small Saphenous vein.




The third category, perforator veins, connects the superficial leg veins to the deep leg veins, and allows blood from the former to flow into the latter. Their valves prevent blood from flowing from the deep leg veins to the superficial leg veins so that blood maintains its proper direction of flow. They run up and down the legs, with more of them located in the calves instead of the thighs.

At Alpha Vein Clinic, we’re the experts in diagnosing and treating vein-related diseases. If you want to learn more about vein health and protect your veins for years to come, book an appointment with our knowledgeable and caring staff today for a complete evaluation and a treatment plan designed just for you.

Femoral Vein



Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128

(702) 430 7661

Dr. Sassan Kaveh

You Can Now Call Us 24/7


Travel & Veins




With FALL approaching, which is also travel and vacation season, more people will be spending their time on planes and sitting in cars, buses and other modes of travel. Being immobile for long periods – especially 4 hours or more – can exacerbate existing vein problems such as varicose veins, and even cause other serious health issues. If you plan on traveling this vacation season and anticipate it being 4 hours or more, plan to take steps to protect your legs and veins during these long journeys. The following tips will show you how to travel with defected veins.


Can I fly with Varicose Veins?


The question comes up regularly, probably because of the rare occurrence of blood clotting called deep vein thrombosis (DVT) that is seen in some people after a long flight. (DVT) during air travel is a threat during long flights over more than three or four hours – especially if you stay in your seat the whole time. If you walk the aisles a few times this will help greatly. People at risk of (DVT) and other vein problems can suffer from these issues if they sit too long anywhere, including in front of the television or while driving. But varicose veins by themselves won’t prevent you from flying!


Can I fly after Varicose Vein Treatments?


After your varicose veins are treated, you should be able to do any normal activity within a few days, including flying. .

Tips for flying with varicose veins:

If you are planning to travel by air after vein treatments, you should of course walk up and down the aisles every so often. Drink plenty of water to stay hydrated. Consider wearing compression hose to further prevent blood from pooling in your lower legs. For those whose vein procedure was extensive, you might postpone a flight for two to four weeks after the treatment. If you have concerns, you can schedule an ultrasound after varicose vein removal to make sure your legs are in good shape. And come talk to us here at Alpha Vein Clinic about your travel schedule especially if you have any history or other risk factors for clotting. To schedule an appointment with Dr. Sassan Kaveh and his dedicated team, please call our office at (702)-430-7661.




Alpha Vein Clinic

3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128


Dr. Sassan Kaveh

You Can Now Call Us 24/7



Varicose veins are difficult to prevent, and can also be difficult to treat once they’ve formed. However, there are many lifestyle changes you can make to minimize the appearance of varicose veins as well as reduce any pain or discomfort associated with them. Among these is something as simple as walking, which you can easily incorporate into your daily routine.


Why Varicose Veins Form:


Several factors lead to the formation of varicose veins. This includes genetics, weight, diet and even simply being sedentary. The direct cause is a lack of adequate circulation in the veins. In addition, the valves in the veins sometimes become weakened. Because of this, the blood might not flow through them properly. If this happens, the blood can pool in the vein, causing it to bulge. This creates what is referred to as chronic venous insufficiency. You can get more information on our website: http://alphaveinclinic.com/varicose-veins-treatment/


The Connection Between Walking and Varicose Veins:


Walking, especially a brisk walk every day, benefits the entire body. It affects varicose veins because it creates the contraction necessary to push blood through the vein so the blood doesn’t pool and create a varicose vein. The veins rely on muscle contraction to keep the blood moving properly, and walking stimulates this contraction. Walking also improves the overall health of the veins. Because the veins are in better shape and more toned as a result of this regular physical activity, they perform their job much more efficiently.


Other Ways Walking Benefits Veins:


Walking improves overall circulation by getting the body’s heart rate up. The better your circulation is, the less likely varicose veins are to form. Plus, you’ll see fewer adverse effects of any varicose veins that have already formed. In addition, walking strengthens the heart. This in turn boosts the heart’s ability to pump blood throughout the body, again benefitting overall circulation, which has a direct impact on varicose veins.


How to Walk for Varicose Veins:


Walking is a low ­impact activity, which makes it ideal for people suffering from health conditions such as varicose veins. You don’t have to worry about it making your varicose veins worse. For best results, walk 30 minutes a day five days a week. However, any amount of physical activity is beneficial both for your general health and for varicose veins. If you’re worried about overdoing it, or if you don’t have time to commit to a major exercise program, start small. For example, park farther away from the building every day at work. Or, take the stairs instead of the elevator at work or when shopping. Both of these increase the amount of time you spend walking.

If you’re suffering from varicose veins, find both medical and cosmetic relief at Alpha Vein Clinic. We provide a wide array of varicose vein treatment services in the Las Vegas area, such as venaseal, clarivein and RFA procedures. We can help you find the best treatment that best meets your needs.

Alpha Vein Clinic


3150 N. Tenaya Way Ste. 400

Las Vegas, NV, 89128


Dr. Sassan Kaveh

You Can Now Call Us 24/7