An approach to Venous Disease – From the patient’s perspective

  • Initially you will be identified as a potential patient during an office visit, through a referral, your visit to our web site and review of the Venous History Form, Screening, etc.


  • After having seen the health care giver you will be scheduled for a Venous Ultrasound Insufficiency Study


  • If the study is positive, it will be determined if you have worn compression stockings (20-30 mm Hg) in the past. 

    • If YES, and you failed, you can proceed to ClosureFAST procedure consultation and insurance pre-certification for treatment

    • If NO, compression stocking will be ordered on your behalf, in which case we may need to use another pharmacy than the one you are accustomed to and will document insurance requirement for conservative therapy (6 weeks-12 weeks).  You will be scheduled for a follow-up visit/phone call toward the end of your specific conservative therapy requirement.


  • Following conservative therapy/consultation, you will be scheduled for ClosureFAST RF ablation.


  • You will be scheduled for a procedure lasting 60 or 90 minutes.


  • You will need a pre-operative vein mapping (10 min with ultrasound) followed immediately by the procedure. In the meanwhile, you will continue to wear your stockings and follow the provided post-op orders


  • You will return in 72 hrs for a post-operative, limited study, ultrasound scan by the imaging department.


  • You will leave the follow-up scan wearing your compression hose for 2 weeks.


  • Most of you will return to see the physician in 30 days for a follow-up, or will be seen in a week or so if there are additional veins to treat.


  • Once again, I take this opportunity to thank you from all of us at Advanced CardioVascular Care for allowing us to take care of you and/or your loved ones.




Anil H. Jhangiani, MD FSCAI

Your entire team at Advanced CardioVascular Care