Ask the Doctor: Treating Venous Disease with Interventional Radiology

What is venous disease and how can interventional radiologists treat it with next to no down time and tiny incisions?

Venous disease is more common than many people realize and it can have a serious impact on comfort, mobility and overall health. At CU Medicine Interventional Radiology – Ridgeline Medical Campus, interventional radiologists like Dr. Michael Sassman offer advanced, image-guided treatments that help patients find relief from chronic venous issues without the need for traditional surgery.

“Many patients don’t know that their leg pain, swelling or skin changes could be signs of venous insufficiency,” says Dr. Sassman. “By the time they come to us, they’ve often been dealing with symptoms for years.”

Understanding Venous Disease

Venous disease occurs when the veins, usually in the legs, fail to return blood efficiently to the heart. This can lead to blood pooling, varicose veins and in more advanced cases, skin ulcers or deep vein thrombosis (DVT). Risk factors include age, family history, obesity, pregnancy and prolonged standing or sitting.

While conservative management like compression stockings or leg elevation can help in early stages, many patients benefit from targeted interventions to improve blood flow and reduce symptoms.

What is Interventional Radiology?

Interventional radiology (IR) uses imaging tools like ultrasound or X-ray to guide small instruments through the blood vessels. These procedures are performed through tiny incisions and are typically done on an outpatient basis.

“Interventional radiology allows us to treat the root cause of venous disease without open surgery,” Dr. Sassman explains. “That means less risk, faster recovery and excellent results.”

Common IR Treatments for Venous Disease

Interventional radiologists use several techniques to treat venous conditions. The most common include:

  • Endovenous ablation: A thin catheter is guided into the affected vein and heat or adhesive is used to seal it shut. Blood is then naturally rerouted to healthier veins.
  • Sclerotherapy: A solution is injected directly into small varicose or spider veins causing them to collapse and be reabsorbed by the body.
  • Venous stenting: For patients with blockages or narrowing of the pelvic veins, a small metal mesh stent may be placed to keep the vein open.

“These treatments are highly effective,” says Dr. Sassman. “Many patients notice improvement in their symptoms within days and are back to normal activity shortly after the procedure.”

When to See a Specialist

If you experience aching or heavy legs, visible veins, skin discoloration or leg swelling that worsens throughout the day, it may be time to consult a vein specialist.

“Early intervention can prevent more serious complications,” Dr. Sassman notes. “And for patients who’ve been living with chronic symptoms, we’re often able to provide long-overdue relief.”

A Team-Based Approach to Care

At CU Medicine, interventional radiologists work closely with primary care and other specialty care providers to create personalized care plans for each patient. Our goal is to improve function and quality of life with the least invasive option possible.

“Patients are often amazed to learn how simple and effective these treatments can be,” says Dr. Sassman. “We’re proud to offer solutions that get people back to living their lives.”

Visit CU Medicine Interventional Radiology – Ridgeline Medical Campus to make an appointment with Dr. Michael Sassman if you or a loved one is concerned about venous disease. 

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CATEGORIES: Ask the Doctor, Specialty Care


This post was originally posted on 7/29/2025