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Phlebitis & DVT Milford Vascular Institute specializes in the diagnosis and treatment of phlebitis and blood clots. What is phlebitis? What is DVT? Phlebitis means inflammation of the vein. Phlebitis can occur in superficial, varicose veins or in deep veins. Patients typically get phlebitis in their legs. The inflamed vein may cause blood clots to form. This is called thrombophlebitis. When phlebitis occurs in deep veins, it is called deep vein thrombophlebitis. Deep vein thrombophlebitis is dangerous and potentially life threatening because the blood clots in the deep veins, called deep vein thrombosis (DVT), could end up breaking off and traveling to the lungs. While superficial phlebitis is rarely dangerous, if left untreated, it could lead to the development of dangerous deep vein thrombophlebitis and DVT. What causes phlebitis? What causes DVT? The cause of superficial phlebitis is unclear. Patients may develop phlebitis after a procedure. It can also develop from a trauma to a preexisting varicose vein.DVT may be caused by prolonged inactivity, paralysis, some types of cancer, birth control containing estrogen, genetics, trauma to the inner wall of a vein, or any condition that slows blood flow. Call Now Call Now What are the symptoms of phlebitis? What are the symptoms of DVT? Superficial phlebitis tends to present as redness along the path of a vein. Patients tend to experience tenderness at the site of the inflammation. The affected area may feel warm to the touch or the patient may have a low grade fever. The patient may experience itching or burning. Finally, if clots have formed, the vein may feel hard. Symptoms of DVT are swelling of the affected extremity, warmth, or redness. However, DVT may sometimes be present without any symptoms at all. How is phlebitis/DVT diagnosed? Superficial phlebitis is diagnosed by a physical examination. DVT is diagnosed with an ultrasound or CT scan. How do you treat phlebitis? How do you treat DVT? Superficial phlebitis typically resolves quickly. The providers will tell you to elevate your leg when possible and to use warm compresses on the affected area to ease discomfort. If you have compression stockings, your provider will recommend wearing them. Also, if you are able, your provider will recommend taking an over the counter anti inflammatory, like ibuprofen, to alleviate pain. DVT requires medical diagnosis and treatment. When diagnosed, your physician will start you on an anticoagulant, more commonly called a blood thinner. Depending on the size and location of the blood clot, your doctor may have to intervene surgically to break up the clot. Never hesitate to contact the office if you believe you may be suffering from either of these ailments. The symptoms for these conditions may present very similarly. It is always better to have an ultrasound diagnose superficial phlebitis than to misdiagnose a potentially fatal blood clot. Call (203)882-Vein

MVI is a private vascular practice located in Milford, Connecticut specializing in the treatment of varicose veins, leg swelling, and vascular disease. Vascular Specialists We at Milford Vascular Institute are a group of individuals who come together as a team to provide comprehensive, state-of-the-art care for patients suffering from all aspects of vascular disease. Meet our Providers Varicose Vein Treatments Our procedures for treating venous insufficiency, the condition which causes varicose veins, are quick and easy. They require little to no downtime and are performed in our office located in Milford, CT. Learn More State-of-the-Art Technology Our team is always looking for ways to improve our services. We stay up-to-date on cutting edge procedures and technologies with the intent of always improving our patient experience. Our Services About MVI About MVI Milford Vascular Institute provides multidisciplinary care for all aspects of vascular disease. We are located in the lively seaside town, Milford, CT. Milford is located between New Haven and Bridgeport. Our office is easily accessed from I-95 and the Merritt Parkway. The team of specialists at Milford Vascular have more than 70 years of combined experience in the treatment and prevention of vascular disease. Led by our Cardiac, Thoracic and Vascular surgeon, Dr. David Esposito, and Interventional Radiologist, Dr. Paul Davis, MVI is able to provide a vast array of surgical treatments in office. The initial consultation, diagnostic tests, and definitive treatments are all coordinated and performed through one office. We believe that this streamlined approach offers the patient the most efficient and thorough care with a much higher likelihood of successful outcome. The on-site vascular laboratory provides immediate diagnostic input and allows for close, long-term surveillance. The physicians are trained and skilled in vascular diagnostics and imaging and all the latest vascular therapeutic techniques, ranging from minimally invasive office procedures to complex endovascular and open surgical repairs. Our vascular specialists are easily accessible and provide continuing educational support throughout the entire healing process. We believe that this model of patient care provides a level of service that is unmatched anywhere in southern Connecticut. Read More Do you have venous insufficiency? Take Our Quiz Patient Education Patient Education Resources Click on the links below to learn more about Milford Vascular Institute. SERVICES WE OFFER Our Providers Educational Videos Patient Glossary What to Expect New Patients What to expect at your first visit. ​ Insurance & Cost Estimating your expenses. ​ ​ Before & After's Pre- and post-operative procedure instructions. ​ FAQ's You have questions... We have answers. ​ What to Expect Testimonials WHAT PEOPLE SAY READ REVIEWS & SUBMIT YOUR OWN Rate Us Don’t love it Not great Good Great Love it Rate Us ROBIN Karen and the staff at Milford Vascular were wonderful! Very caring, considerate and did a wonderful job with minimal pain. I am very pleased with all aspects of my care and would definitely recommend them for any vascular concerns. KATHY Karin is professional, knowledgeable and very gentle when administering her procedures. The office staff is very courteous and efficient. Also, patients are seen on time. I highly recommend MVI-you will not be disappointed! MARSHA While I Haven't finished with my treatments yet I can say that I have been treated very well and the staff does everything to make you comfortable and welcome. SUE All of the staff are amazing and truly care about you. I have referred at least 6 if not more people here and they all are very pleased. I only choose the best doctors to go to and this office is one of them! Contact Us You have questions... We have answers. Message us 24/7/365 and one of our team members will get back to you as soon as possible or the next business day. Submit 20 Commerce Park, Milford CT 06460 (203)882-VEIN(8346) (203)876-9720 FAX (203)882-0384 Monday 7:30 AM - 5:00 PM Tuesday 7:30 AM - 5:00 PM Wednesday 7:30 AM - 5:00 PM Thursday 7:30 AM - 5:00 PM Friday 7:30 AM - 5:00 PM Contact

Venous Insufficiency Venous insufficiency is the underlying condition which causes the formation of varicose and spider veins. What is Venous Insufficiency? The veins job is to bring blood back to the heart. The problem is that veins are fighting against gravity, which is trying to pull the blood to your feet. The way the veins counteract this is that they have one-way valves in them. The valves close as the blood passes toward the heart and they do not allow blood to back up toward the feet. In some people, the valves wear out over time and this allows for blood to stay in your legs longer than normal. Over time, this leads to a buildup of pressure in the veins. This increased venous pressure causes a feeling of heaviness and tiredness in the legs. As the pressure increases, abnormal superficial veins arise and can be seen on the skin. These can be large bulging veins or smaller veins looking like spiderwebs, called telangiectasias. These veins are called varicose veins and they can be painful or cause itching. Eventually, the increased venous pressure can lead to swelling and discoloration of the legs and if left untreated, can predispose you to developing venous ulceration and venous inflammation, called phlebitis. ​ Do you have venous insufficiency? Take our Quiz Who is at greatest risk for developing venous insufficiency? There are some common risk factors that lead to a higher chance of developing venous insufficiency and varicose veins. Patients with these risk factors that begin to develop any symptoms, such as achy, restless, swollen legs or varicose veins, should call to schedule a consultation immediately. People that spend most of their time in the seated or standing position. ​ Excess weight will also put stress on the veins and increases risk for venous insufficiency. Females have a greater risk than males due to the female hormones that circulate through the bloodstream. Prior history of blood clots can damage the valves and lead to venous insufficiency. Pregnancy and childbirth put excess stress on the veins. ​ ​ If your relatives have venous insufficiency, you are at a higher risk for developing the disease. If left untreated, venous insufficiency can have severe side effects. New patient appointments to diagnose venous insufficiency are quick and easy. If you or someone you love are experiencing any of the risk factors listed above, call the Milford Vascular Institute today to schedule your new patient consultation. Call Now

Sylvia VanSuch APRN Nurse Practitioner located in Milford, CT. Sylvia is a Nurse Practitioner at Milford Vascular Institute. ​ Sylvia attended Duquesne University in Pittsburgh, PA and graduated in 2016 with a Bachelor of Science in Nursing degree. She began her career as a registered nurse working at the Cleveland Clinic Heart and Vascular Institute. At the Cleveland Clinic, she cared for patients following Cardiovascular surgery. Subsequently, she worked as a travel ICU nurse for several years before deciding to return to school to obtain her Master of Science in Nursing degree as a Family Nurse Practitioner from the University of Cincinnati in 2021. ​ Sylvia is board certified by the American Academy of Nurse Practitioners (AANP) and she also holds her CCRN certification for critical care nursing. ​ Sylvia is originally from Youngstown, Ohio but currently resides in Milford with her husband and loves life in Connecticut! CALL NOW

Do You Have Venous Insufficiency? Milford Vascular Institute specializes in the diagnosis and treatment of venous insufficiency & varicose veins. Take Our Quiz Do your legs ache after standing or sitting for extended periods of time? * Yes No Do you experience cramping or restless legs at night? * Yes No Do your legs feel tired and heavy throughout the day? * Yes No Do your legs swell and become red? * Yes No Do you have bulging veins or spider veins? * Yes No Check all of the following which apply to you: Over the age 35 Female gender Pregnancies Sit or stand for extended periods of time at work Sustained a leg injury Family history of venous insufficiency Submit Answers

Erin Orozco, APRN Nurse Practitioner located in Milford, CT. Erin is the nurse practitioner at Milford Vascular Institute. Erin attended Fairfield University in Fairfield, CT and graduated in 2001 with a Bachelor of Science in Nursing degree. She worked as a bedside nurse for many years, primarily in critical care at the Hospital of St Raphael’s as well as interventional radiology at Milford Hospital. She joined Milford Vascular in 2017 as the director of nursing of our outpatient based surgical lab. She returned to Fairfield University where she obtained her Doctorate of Nursing Practice degree as a Family Nurse Practitioner in 2019. She is board certified by the American Nurses Credentialing Center. Additionally, she received her CCRN certification for critical care nursing. She is a member of the American Nurses Association, the American Association of Critical Care Nurses, the American Association of Nurse Practitioners, Sigma Theta Tau International Honor Society of Nursing, and Alpha Sigma Nu National Jesuit Honor Society. Erin is a lifelong Connecticut resident and lives locally with her son. CALL NOW

After Care instructions Varicose Vein Procedures After your procedure, your leg will be wrapped from the foot to the upper thigh with an Ace bandage or stocking. This bandage should remain in place until the following morning. If it feels too tight, you may loosen it. In the morning, remove the bandage/stocking and all the dressings and take a shower. Do not take a bath for at least 3 days, but showering is OK. After showering, place the fitted stocking that you purchased on the leg and wear it during waking hours for the next 10-14 days. This is extremely important in aiding recovery and preventing recurrence. It will also help ease any post procedure discomfort. If you wish, you can remove the stocking to sleep, but otherwise it should only be removed to shower. Other things of importance are as follows: ​ There should not be any significant pain. If there is, contact the office immediately. If it is after hours, contact the office and you will be directed to our night service who will be able to page the doctor on call. On the night after the procedure, you can walk and use stairs but avoid any other strenuous activity. For the 7-10 days after the procedure, walk as much as possible. When not walking, sit with your leg elevated or lie down. Avoid sitting in the seated position with your leg bent for any period of 20 minutes or longer. You can return to work and normal activities including the gym after 3 days. Listen to your body. If you do something that doesn't feel right, stop doing it and rest. After 14 days you can stop wearing the stocking. Some people continue to wear it because it feels good. This is OK. If at any time during the 6 months following the procedure you need to fly in an airplane or travel in a car for longer than one hour, wear the stocking on the trip. Knee-high stockings are acceptable. If you have had an Ambulatory Phlebectomy procedure, you may experience some bleeding or drainage of fluid from the incisions the first time you remove the dressing. This is not uncommon and although it can seem frightening, this is not dangerous or a sign that something is wrong. Simply hold pressure on the site for 5 minutes, cover it with gauze, and rewrap the leg with the Ace bandage. Leave the Ave bandage in place for another 24 hours and remove it the next morning and follow the same instructions. If at any time in your recovery you have questions or concerns, do not hesitate to call the office. Someone will be available to address your concerns 24 hours a day. OBL Procedures After your procedure, once you get home, rest for the remainder of the day. Continue to drink plenty of fluids. Avoid excessive lifting and bending. If bleeding occurs at the puncture site, apply firm direct pressure to the site. If bleeding continues, call our office or go to the Emergency Department. Resume your normal activities tomorrow. There is a bandage at the incision site. Leave it in place for 24 hours. In 24 hours, you may remove the dressing and shower. Do not scrub site. Gently cleanse and pat dry. Cover with bandaid. Repeat daily until fully healed. Do not drive today. A responsible adult should remain with you at home for the first 12-24 hours after your procedure. ​ Call your physician if you develop any of the following: Redness or increasing tenderness at the puncture site. Bleeding from the site that will not stop with direct firm pressure. Fever or chills. Coolness, numbness, pain or swelling in the affected extremity. ​ Follow-up with your physician in 3 weeks. ​ Instructions may vary depending on the type of procedure preformed at the outpatient based laboratory. Hospital Procedures The hospital will contact you a few days before you procedures to go over pre-op and post-op instructions. Results Real Results from Real Patients *Results may vary*

Meet the providers Our team of clinicians has extensive and multidisciplinary experience treating all aspects of vascular, thoracic, and lymphatic disease. David J. Esposito, M.D., FCCP, FACS Cardiac, Thoracic, & Vascular Surgery Erin Orozco, APRN Vascular Specialist PAUL S. DAVIS, M.D., FASA Interventional Radiology Sylvia VanSuch, APRN Vascular Specialist Karin Augur, PA-C Vascular Specialist Call to schedule an appointment with the leading vascular specialists in Connecticut. CALL NOW

Patient Testimonials Milford Vascular Institute has the best patients in the world! Read more about what they have to say about us.

Aneurysm Milford Vascular Institute specializes in the diagnosis and treatment of aneurysms. What is an aneurysm? An aneurysm refers to a weakening of an artery wall that creates a bulge, or distention, of the artery. What causes an aneurysm to form? The causes of aneurysms are sometimes unknown. Some may be congenital, meaning a person is born with them. Aortic disease or an injury may also cause an aneurysm. A family history of aneurysm may increase your risk for developing an aneurysm. Other risk factors include high blood pressure, high cholesterol, diabetes, and smoking. What are the symptoms of aneurysm? Aneurysms often have no symptoms. If an aneurysm expands quickly or ruptures, symptoms may ​develop suddenly and include: Pain Clammy skin Dizziness Nausea and vomiting Rapid heart rate Shock Low blood pressure Where can aneurysms form? Aneurysms can occur in any artery in the body. The most common aneurysms are: Abdominal aortic aneurysm occurs in the stomach Cerebral aneurysm occurs in the brain Mesenteric artery aneurysm occurs in the intestines Popliteal artery aneurysm occurs in the artery behind the knee Splenic artery aneurysm occurs in an artery in the spleen How are aneurysms diagnosed? Aneurysms are diagnosed with ultrasound, CT scan, or angiogram. If you’ve been diagnosed with an aneurysm, work closely with your doctor to monitor any changes to the aneurysm. Your condition may require regular check ups depending on the aneurysm’s size and location.

Services Milford Vascular Institute offers a variety of services to treat varicose veins, leg swelling, or other forms of vascular disease. Radiofrequency Vein Treatment In the past, the only treatment available was to surgically remove the incompetent superficial veins with a procedure called vein stripping. With the advent of new technology, this surgery is rarely needed. The veins can now be closed with a simple procedure in the office, eliminating the venous insufficiency and returning the venous pressure back to normal. This procedure can be done in multiple ways using different methods of closure of the veins. Follow the button below to learn more about radiofrequency vein treatments. Learn More Laser Vein THerapy Similar to radiofrequency vein treatments, laser vein treatments use minimally invasive methods to close off incompetent veins. The difference lies with the type of energy used to close the vein. Follow the link below to learn more about laser vein treatments. Learn More Spider Vein Treatments While the treatment of spider veins is often considered a cosmetic treatment, we at Milford Vascular know the truth about failure to treat smaller varicose and spider veins. We often relate the treatment of spider veins to weeding a garden. In a garden, we first spend time removing the large weeds. Often, once the larger weeds have been removed, we see smaller weeds that were not apparent in the beginning. We then take the time to remove even the smallest of weeds so that they do not grow larger in time. If we ignore the small weeds, they will grow into large weeds and we will have to stat all over again. Click the button below to learn more about the importance of treating spider veins and how we at Milford Vascular approach treating this problem. Learn More Varithena Varithena® is a prescription medicine used to treat varicose veins caused by problems with the greater saphenous vein (GSV) and other related veins in the leg's GSV system. Varithena® improves symptoms related to or caused by varicose veins. Click below to learn more about this minimally invasive, non-surgical option for treating unsightly, varicose veins. Learn More Venaseal Closure System Varicose veins are a typical sign of venous insufficiency, which can become a serious problem if not treated. The experts at Milford Vascular Institute are some of the first providers in Connecticut to offer the new VenaSeal™ Closure System for treating chronic venous insufficiency. Click the link below to learn more about the VenaSeal Closure System. Learn More Vascular Screenings Milford Vascular Institute offers in house vascular screenings the same day as your appointment. Our highly skilled ultrasound staff specializes in the diagnosis of vascular disease. Learn More Wound Care There are two culprits for why non-healing ulcers may form on your extremities. Ulcers are typically caused by a traumatic wound or prolonged and sustained pressure. The ulcer is then unable to heal properly because of underlying venous or arterial issues. Most wounds are venous stasis ulcers, or caused by underlying venous insufficiency. Arterial ulcers, or ischemic ulcers, are caused by limited blood supply to the extremities due to atherosclerotic buildup in the arteries. Click the link before to learn more about wound care services offered at Milford Vascular. Learn More Endovascular Surgeries Milford Vascular Institute opened an outpatient laboratory to diagnose and treat peripheral artery disease, May Thurner Syndrome, and other types of vascular disease which cannot be treated in the conventional office setting. Click the link below to learn more about endovascular surgeries. Learn More Glow coast Medical Spa Milford Vascular Institute is excited to announce to launch of our aesthetic and wellness therapies clinic, Glow Coast Medical Spa. ​ Let us help you glow from the inside out! Book Now

VenaSeal Closure system Milford Vascular Institute specializes in the treatment and prevention of varicose veins using the VenaSeal Closure System. What is the VenaSeal™ Closure System? The VenaSeal™ is the only venous closure procedure that does not require injections to numb the entire leg, does not use heat to close the vein, and does not use a sclerosing solution. During this procedure, a medical “super glue” is delivered inside the vein to close it. How does the VenaSeal™ Closure System Work? In the office, the leg is cleansed and prepped with Betadine solution. Lidocaine is used as a local anesthetic so the patient will not feel the initial incision needed to access the vein. The abnormal vein is identified with ultrasound and punctured with a small needle. A catheter is then inserted in the vein and advanced under ultrasound guidance to the abnormal valve. The glue is then applied in multiple steps from the valve down to the mid-thigh or knee. Gentle compression is done to allow the glue to adhere to the walls of the vein. This completely seals the vein, closing off blood flow and instead diverting blood to a different series of veins. A massive advantage of this technique is that after the procedure, a compression stocking does NOT need to worn afterward. Patients should begin to see and feel results immediately, but some veins do take up to a year to disappear completely. What Are the Benefits of the VenaSeal™ Closure System? The VenaSeal™ is a more gentle mode of venous closure. The VenaSeal™ treatment also has a higher success rate than the radiofrequency ablation or laser vein treatments. Advantages of this technique include the avoidance of multiple injections of anesthetic solution. The only incision you will have is the one made to insert the tube. Because of this, no stitches are required. Patients can return to their normal routine right away with no downtime. Who Can Have the VenaSeal™ Closure System? The VenaSeal™ Closure System is covered by Medicaid, Cigna, Connecticare, Medicare, and Medicare Replacement plans. The only contradiction for VenaSeal™ is an adhesive allergy. (203)882-VEIN