VARICOSE VEINS

About Us

Because of medical advancements and laser technology, the treatment and removal of varicose veins has never been as simple and quick.

  • Board-certified physicians offering the latest treatment option.
  • State-of-the-art solutions for varicose and spider veins
  • Covered by most insurance companies
  • Complimentary screening exams

Varicose Vein Clinic at Inland Imaging was created to provide the best medical and cosmetic treatment of varicose veins in Spokane and the surrounding region. The physicians of the Varicose Vein Clinic have more than a decade experience using the most modern techniques and treatments available. Our physicians are recognized as international leaders in this field and are educators across the world.

Our physicians are currently developing the latest new varicose vein treatment technology. They are working on a groundbreaking technique which is currently only available in Europe. We hope to bring this to the United States in the near future. We welcome you to visit us at Varicose Vein Clinic at Inland Imaging.

Frequently Answered Questions

What happens to the treated vein that is left behind in the leg?

Following ablation, there is a period of vein inflammation after which it becomes fibrous tissue. Over time, the vein will gradually be incorporated into surrounding tissue. One study reported that 89% of treated veins are indistinguishable from other body tissue one year after the closure procedure was performed.

Pichot O, Sessa C, Chandler JG, Nuta M, Perrin M. Role of duplex imaging in endovenous obliteration for primary venous insufficiency. J. Endovasc Ther 2000;7:451-9.

Will the loss of this vein create problems?

No. The vein is already a problem, contributing do decreased efficacy of venous outflow from the leg. There are many veins present in the leg and after treatment the blood in the faulty veins will simply be diverted into normal veins with functional valves. The resulting increase in circulation will significantly relieve symptoms and improve appearance.

Occasionally, the great saphenous vein is needed for coronary bypass surgery, what happens if I undergo ablation of this vein?

It is true that many times the great saphenous vein is used in cardiac surgery; however if the vein is diseased, marked by enlargement of the vein and wall thickening, as is the case with varicose veins and chronic venous insufficiency, it is typically unusable for heart surgery. In addition, there are conduits that can be and are routinely used in lieu of the great saphenous vein such as the internal mammary artery, the radial arteries of the arm, and even other veins in the legs.

Why is a Venous Duplex ultrasound necessary?

Deep and superficial venous insufficiency is a complex and often misdiagnosed disease. Due to the complex nature of venous pathways, radiographic imaging, such as MRI, CT and X-ray are incapable of providing the diagnostic information necessary to completely and effectively treat venous disease. Venography, while providing an accurate assessment of overall vein function, is also unable to provide details of venous hemnodynamics or flow. It is also an invasive procedure requiring the injection of a chemical dye. For these reasons, duplex ultrasound is considered to be the "gold standard" in testing, providing a complete picture of the patient's venous problems as well as the details necessary for the physician to completely treat the disease.

Min RJ, Khilnani NM, Golia P. Duplex ultrasound evaluation of lower extremity venous insufficiency. J Vasc Interv Radiol. 2003 Oct; 14(10):1233-41.

Meet our Vein Clinic Team

Jayson Brower, MD

Jayson Brower, MD
Speciality:
Interventional Radiology, Vein Team
College:

University of California, San Diego-Revelle College, San Diego, CA

Medical School:

St. Louis University, School of Medicine, Saint Louis, MO

Internship:

University of California, San Francisco, CA

Residency:

University of California-Davis, Davis, CA

Fellowship:

Vascular and Interventional Radiology, Brigham and Women’s Hospital, Boston, MA

Cameron Seibold, MD

Cameron Seibold, MD
Speciality:
Interventional Radiology, Vein Team
College:

Occidental College, Los Angeles, CA

Medical School:

University of Washington School of Medicine, Seattle, WA

Internship:

St. Joseph Mercy Hospital, Ann Arbor, MI

Residency:

Medical college of Wisconsin Affiliated Hospital, Milwaukee, WI

Fellowship:

Angiography/Interventional Radiology, University of VA Health Science Center, Charlottesville, VA

Marilee Walker, ARNP

Marilee Walker, ARNP
Speciality:
ARNP, Vein Team

Christopher Zylak, MD

Christopher Zylak, MD
Speciality:
Interventional Radiology, Neurointerventional Radiology, Vein Team
College:

Queen’s University at Kingston, Canada

Medical School:

Queen’s University at Kingston, Canada

Internship:

Kino Community Hospital - Tucson Medical Center, Tuscon, AZ

Residency:

University Medical Center & Affiliated Hospitals, Tuscon, AZ

Fellowship:

Vascular & Interventional Radiology, Miami Cardiac & Vascular Institute, Miami, FL
Radiology/Interventional, Oregon Health Sciences University, Portland, OR