Deep vein problems, like clots or narrowed veins in the legs, pelvis or belly, need tools that look inside the vein. First Coast Cardiovascular Institute (FCCI) uses intravascular ultrasound (IVUS) and venography to see the problem, then venoplasty and stents to improve blood flow. FCCI says it is the only freestanding catheterization lab to focus on treating and managing clotted veins.
IVUS: ultrasound from inside
IVUS is a minimally invasive procedure that uses a specially designed ultrasound probe to image the deep veins in the legs, pelvis and abdomen from inside the vein. FCCI explains it gives an expanded view that helps tell apart deep vein thrombosis, compression and other problems.
Venography: a map of flow
Venography is an x-ray exam that shows how blood is flowing through your veins. FCCI uses it to check for clots or to identify a vein for a procedure.
Venoplasty and stents
- Venoplasty widens a vein using an inflatable balloon, which improves blood flow.
- Stents help keep veins open for adequate blood flow.
Your vein doctor will explain if either fits your situation, and what recovery may look like.
Who might need deep vein care
FCCI's list of deep vein signs includes pain when standing that eases with elevation, leg ulcers, unexplained swelling, lower pelvic pain in women, veins across the belly or pelvis, and a prior or current deep vein thrombosis, including IVC stent placement. These signs do not mean you need a procedure, but they are worth a visit.
An outpatient setting
FCCI opened the first freestanding outpatient cardiac and peripheral vascular cath lab in Jacksonville in 2007, and its cath labs are accredited by the Accreditation Association for Ambulatory Health Care. FCCI says outpatient care lowers out-of-pocket costs and offers a comfortable, convenient setting.
Sudden leg swelling with chest pain or shortness of breath is an emergency. Call 911.
What to ask about a deep vein procedure
- What did IVUS or venography show?
- Is the problem a clot, compression or something else?
- Would venoplasty or a stent help, and why?
- What will recovery and follow-up look like?
Your doctor will explain your choices in plain words. It is fine to take time to decide.
About the Vein Clinic at FCCI
Deep vein procedures like IVUS and stenting call for endovascular training, and FCCI's Vein Clinic is built around it. Since 2002 the practice has served Northeast Florida with board certified endovascular and vascular physicians, and cardiology, sleep, wound care and pulmonary specialists work in the same building.
Before any deep vein procedure, your veins are mapped by registered vascular technologists in a lab accredited by the Intersocietal Accreditation Commission. FCCI performs vein procedures in an outpatient setting.
Getting ready for your visit
- Call 904.493.3333 to book, Monday to Friday, 8 a.m. to 5 p.m.
- Fill out the New Patient Registration form from Patient Resources before your deep vein consult
- Bring your ID, insurance card and a list of your medicines
- Wear shorts or loose pants so your legs are easy to check
- Write down when symptoms started and what makes them better or worse
- Need to reschedule? FCCI asks for at least 24 hours' notice
Talk through past clots, procedures and medicines with your care team in person or by phone. Keep them out of online forms.
Wondering if a deep vein problem is behind your symptoms? Call FCCI at 904.493.3333, weekdays 8 a.m. to 5 p.m., or request a visit on our Book page. Ask about the free 20-minute vein screening at 7011 AC Skinner Parkway, Ste 160 on the Southside. Sudden leg swelling with chest pain or shortness of breath can mean a clot: call 911.
