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Insurance & Cost Milford Vascular Institute accepts all major insurance carriers. Common Insurance Plans Milford Vascular accepts all major insurance plans. Below is a list of plans with which we most frequently participate. If you do not see your insurance carrier on the list, don't worry! Give the office a call to verify your plan is in-network. If you do not have insurance or your insurance company denies a treatment, Milford Vascular Institute has self pay options available for our patients. If you would like to learn more about self-pay pricing, please contact our office. (203)882-VEIN

OUR MISSION At the heart of everything we do, whether it be treating varicose veins, leg swelling, or vascular disease, we strive to send a clear message to our patients; We Care. This is the Milford Vascular Institute Mission Statement. We at MVI 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. At the heart of everything we do, the way we act, the way we look, the way we treat others is a desire to send a clear message to our patients: WE CARE Our greatest asset is our staff. We believe that each of us needs a sense of dignity, pride, and satisfaction in what we do. We believe that each patient should be treated with respect and compassion. Because the health and well being of our patients depends on the united efforts of many, we are most effective when we work together cooperatively, respecting each other's contribution and importance. We demonstrate our beliefs most meaningfully in the way we treat each other and by the example we set for one another. Through service and educational initiatives, we demonstrate our values to the community in which we live. In all our interactions with our patients and their family members, vendors, referring physicians and staffs, we seek to deal with others as we would have them deal with us. At the heart of everything we do is a desire to send a clear messaging to our patients; we care. Schedule an appointment today to experience the MVI difference. Call Now

Educational VIDEOS A library of conditions treated, like vascular disease and venous insufficiency, and procedures performed at Milford vascular institute. Milford Vascular Institute cares about patient education. Watch our videos to learn more about vascular disease, varicose veins, & other conditions we treat. MVI TV Play Video Play Video 00:33 DVT Doctors Milford CT Help Prevent, Discover and Treat Blood Clots https://www.milfordvascular.com/service/venous-insufficiency-treatment-new-haven-connecticut/ DVT Doctors Milford CT Help Prevent, Discover and Treat Blood Clots If you have varicose veins, leg swelling, leg cramps or leg pain, you may have a vein disease known as venous insufficiency. If left untreated venous insufficiency can lead to blood pooling in the lower legs. This stagnant blood can cause blood clots to develop in the veins of the legs. Blood clots can break off and travel to the lungs causing a pulmonary embolism that can be fatal. That's why it's so important that venous insufficiency be discovered and treated as quickly as possible. At Milford Vascular Institute, our vascular specialists use the most advanced ultrasound technology to diagnose venous insufficiency. To treat venous insufficiency our vascular specialists use minimally-invasive surgery methods such as radiofrequency ablation, VenaSeal™ vein closure, Varithena® microfoam treatment, and laser vein ablation (EVLT), which are all performed on an outpatient basis right in our office. To learn more about how early diagnosis and treatment of venous insufficiency can improve your vascular health, relieve your symptoms, and save your life, visit: https://www.milfordvascular.com/service/venous-insufficiency-treatment-new-haven-connecticut/ Play Video Play Video 00:11 Venous Insufficiency Surgery New Haven CT Performed by APRN, Thomas Rank at Milford Vascular At Milford Vascular Institute, vascular specialist Thomas Rank, APRN, and RVT Chelsea use cutting-edge radiofrequency ablation technology to treat venous insufficiency. Radiofrequency ablation closes the malfunctioning vein causing leg pain, swelling, and heaviness, offering quick recovery times and exceptional results. Our highly skilled team combines high-precision ultrasound with minimally invasive techniques to improve not just your legs, but your overall quality of life. Don’t ignore venous insufficiency—it can lead to serious complications. Early treatment is vital for your health and restoring your enjoyment of life. To learn more about early intervention, visit: https://www.milfordvascular.com/service/venous-insufficiency-treatment-new-haven-connecticut/ Play Video Play Video 00:27 Leg Pain Doctors CT - Perform PAD Treatment To Relieve Leg Pain Leg Pain? It could be PAD. PAD (artery blockage) causes leg pain. The most evident symptom of PAD is claudication, pain in the legs while walking that goes away when you stop and rest. Peripheral artery disease (PAD) is a condition where the leg arteries get blocked by plaque build-up, restricting blood circulation and putting a person at risk of leg amputation. So, if you are experiencing leg pain or leg cramps while walking, it is recommended to have a vascular consultation and ultrasound as soon as possible to help determine if your symptoms may be due to a blockage in one of your leg arteries (PAD). At Milford Vascular Institute our vascular specialists use the most advanced ultrasound technology to accurately diagnose PAD. To treat PAD and restore healthy blood flow through patients' legs, our vascular specialists use the latest endovascular surgery methods such as balloon angioplasty and stenting. PAD treatment is performed on an outpatient basis in MVI's office-based lab. Thousands of patients are enjoying healthy blood flow through their legs again after having PAD treatment at Milford Vascular Institute. To learn more about the diagnosis and treatment of PAD, and how it can save you from leg amputation, you may visit: https://www.milfordvascular.com/service/pad-treatment-new-haven-ct/ #PADDoctorsNewHavenCT #PADTreatmentNewHavenCT #PADSpecialistMilfordCT #BestPADSpecialistsMilfordCT #BestPADSpecialistsNewHavenCT #PADVascularSurgeryNewHavenCT #ArteryBlockageTreatmentNewHavenCT #VascularDiseaseTreatmentMilfordCT #PeripheralVascularDoctorNewHavenCT #PeripheralVascularSurgeonsBridgeportCT #PeripheralArteryDiseaseTreatmentNewHavenCT Play Video Play Video 00:18 Who Removes Varicose Veins? Vascular Specialists at Vein Clinic - Milford Vascular Institute Who Removes Varicose Veins? Vascular Specialists at Vein Clinic - Milford Vascular Institute Who removes varicose veins? Vascular specialists hold the key to transforming your legs and your life. Using cutting-edge, minimally invasive techniques, our vascular specialists don’t just treat your veins—they restore your confidence and comfort. First, we perform a thorough ultrasound examination to understand the extent of your condition. Then, we offer tailored treatments, including radiofrequency ablation, VenaSeal™ vein closure, Varithena® microfoam, and endovenous laser therapy, ensuring your journey to healthy, beautiful legs is swift and safe. All vein removal procedures are performed on an outpatient basis, meaning little to no downtime for you. Why suffer any longer? Varicose veins not only impact appearance but can worsen, posing serious health risks. The best part? Varicose vein removal is covered by most insurance providers. This is because varicose veins are progressive and can put a person's health and life at risk. Thousands of patients have already taken the step towards pain-free, gorgeous legs with the help of Milford Vascular Institute—now it’s your turn. Don’t wait, reclaim your health and comfort today! To learn more about varicose vein treatment, visit: https://www.milfordvascular.com/service/varicose-veins-surgery-new-haven-ct/ You can also find us on Google Maps: https://maps.app.goo.gl/EDMQy7kHU29z5LrGA Address: 20 Commerce Park, Milford, CT 06460 #GotVeins #VeinClinicMilfordCT #LegVeinSurgeryNewHavenCT #VeinSpecialistsNewHavenCT #VaricoseVeinDoctorNewHavenCT #LaserVeinTreatmentNewHavenCT #VaricoseVeinSurgeryNewHavenCT #VaricoseVeinRemovalNewHavenCT #VaricoseVeinsSurgeryNewHavenCT #VaricoseVeinTreatmentMilfordCT #VaricoseVeinTreatmentNewHavenCT #VeinTreatmentNewHavenConnecticut #EndovenousLaserAblationNewHavenCT #LaserVaricoseVeinRemovalNewHavenCT Play Video Play Video 00:49 Peripheral Vascular Doctor New Haven CT - Milford Vascular Institute Restores Healthy Circulation Are you suffering from leg pain? Is your leg pain affecting your quality of life? A quick and simple leg vascular ultrasound can help discover if you are suffering from peripheral artery disease (PAD), which involves artery blockages in the legs. Peripheral artery disease is a progressive vascular condition that can lead to complete artery blockages. It restricts blood circulation in the legs and can eventually require amputation. At Milford Vascular Institute, our vascular specialists are at the forefront of minimally invasive vascular care, offering advanced endovascular procedures to treat PAD. These treatments include: Atherectomy: Removal of plaque from the arteries Balloon Angioplasty: Widening of the arteries Stenting: Keeping the arteries open These advanced treatments fully restore normal blood flow through the arteries, preventing further complications such as leg amputations. These endovascular procedures are performed on an outpatient basis, ensuring a quick recovery time so you can resume your daily activities quickly. Thousands of patients have regained healthy blood flow and are enjoying life to the fullest with healthy legs after receiving PAD treatment at Milford Vascular Institute. To learn more about the diagnosis and treatment of PAD, and how it can save you from leg amputation, please visit our website: https://www.milfordvascular.com/service/pad-treatment-new-haven-ct/ You can also find us on Google Maps: https://maps.app.goo.gl/EDMQy7kHU29z5LrGA Address: 20 Commerce Park, Milford, CT 06460 #PADDoctorsNewHavenCT #PADTreatmentNewHavenCT #PADSpecialistMilfordCT #BestPADSpecialistsMilfordCT #BestPADSpecialistsNewHavenCT #PADVascularSurgeryNewHavenCT #ArteryBlockageTreatmentNewHavenCT #VascularDiseaseTreatmentMilfordCT #PeripheralVascularDoctorNewHavenCT #PeripheralVascularSurgeonsBridgeportCT #PeripheralArteryDiseaseTreatmentNewHavenCT Play Video Play Video 01:17 Free Vascular Screening Milford CT to Detect PAD, Carotid Artery Disease and Aortic Aneurysms Free Vascular Screening Milford CT to Detect PAD, Carotid Artery Disease and Aortic Aneurysms Helping to Save Limbs and Lives To make a positive difference and help save limbs and lives in our community at the Milford Vascular Institute we offer free vascular screenings all year round, to help discover artery blockage in the legs (a condition known as Peripheral Artery Disease - PAD), carotid artery disease, and abdominal aortic aneurysms. Vascular disorders often develop quietly, without noticeable symptoms until they reach an advanced stage causing stroke, limb amputation, or death. Conditions such as peripheral artery disease (PAD), carotid artery disease, and aneurysms can progress undetected, posing significant threats to your overall health and life. A vascular screening is a noninvasive series of evaluations that assess the health of your blood vessels and arteries. This screening can help detect early signs of issues such as stroke, heart attack, peripheral artery disease, and abdominal aortic aneurysm. Vascular screenings are quick, and painless, and utilize ultrasound imaging. They are performed right in our office here at Milford Vascular Institute. The vascular screening results can be lifesaving by allowing early intervention and treatment, helping to save limbs and lives. Early detection and intervention are crucial in managing vascular disorders. Using the most advanced vascular ultrasound technology, at the Milford Vascular Institute our team of RVTs helps discover the vein and vascular disorders affecting our patients. A vascular ultrasound allows our vascular specialists to examine the blood circulation through the arteries and veins in the neck, arms, legs, and abdominal region. It helps identify aortic aneurysms, and blockages in the arteries of the neck and legs before they become fatal. Finding and treating vascular disorders in time can help prevent stroke and aneurysm rupture before they happen, helping to save lives in our community. Treatment options may include lifestyle changes, medications, and in some cases, surgical intervention to restore normal blood flow and prevent complications. Understanding the dangers of vascular disorders and the severe consequences of untreated conditions underscores the importance of early detection and treatment. If you suspect you might be at risk, consult a healthcare professional for a thorough evaluation and appropriate management plan. By staying vigilant and proactive about your vascular health, you can significantly reduce the risk of severe health complications and improve your overall well-being. Regular check-ups and awareness of risk factors such as smoking, hypertension, diabetes, and high cholesterol can aid in early diagnosis. We generally recommend vascular screenings for anybody over the age of 50. If you are over 50, or suspect you might be at risk, request your free vascular screening at Milford Vascular Institute for a thorough evaluation and appropriate treatment plan by giving us a call at (203) 418-7386. To learn more about our free vascular screening program, you may visit: https://www.milfordvascular.com/free-vascular-screening-new-haven-ct/ #StrokePreventionNewHavenCT #VeinScreeningNewHavenCT #VascularScreeningNearMe #CarotidArteryTestNewHavenCT #VascularUltrasoundNewHavenCT #FreeStrokeScreeningNewHavenCT #FreeVascularScreeningNewHavenCT #CarotidArteryUltrasoundNewHavenCT #CarotidArteryDopplerTestNewHavenCT #FreeCarotidArteryScreeningNewHavenCT #AbdominalVascularUltrasoundNewHavenCT Play Video Play Video 02:54 Varicose Vein Removal New Haven CT By The Best Vascular Specialists Greg had been suffering from varicose veins since he was in high school. They made his legs feel tired and heavy, and they were affecting his quality of life. After having varicose vein treatment with vascular specialist Dr. Davis, here at Milford Vascular Institute, he is now enjoying healthy legs again. Here is what Greg has to say about his experience with varicose veins and getting treatment at the Milford Vascular Institute: "Hi, my name is Greg. I'm 53 years old and I've been suffering with varicose veins my entire life. I first noticed them when I was in high school and from there they just followed me through my entire life. It's been pretty debilitating. They make me feel tired, heavy legs, and also pain associated with it. I was referred to by a family friend to Milford Vascular. When I came here, I met Dr. Davis and from there it's just been spectacular. He's personalized a treatment for me that has had miraculous results. I've never felt better in my entire life. Dr. Davis, he's a great guy. He personalizes all the treatments for you. And you feel like a part of the family when you come here to Milford Vascular. Yeah, aside from Dr. Davis, the staff here is phenomenal. They know you by your name. So you're not just a regular person that comes in and, you know, you're just shuffled in, shuffled out. You know, they're phenomenal, they're very friendly. And you just get a great feeling when you come in here. Since my treatments, I've never felt better. My legs look great and I can now carry on all the activities I couldn't do before with my kids. Okay, so if you have varicose veins and you've been struggling with the tired, heavy legs, the pain. I highly recommend that you come to Milford Vascular. They're going to personalize a treatment for you. And you're not going to be self conscious anymore about your legs. You're going to feel great. You'll make it through the entire day and not feel tired. It's an amazing feeling. Highly recommend you just come to Milford Vascular and just have them take a look." Varicose veins are a common yet often distressing condition where veins become enlarged, twisted, and painful. This occurs when faulty valves cause blood to pool in the veins, leading them to bulge. While some see varicose veins merely as a cosmetic issue, they can result in significant health problems if not addressed. You should consult a vascular surgeon if you experience varicose veins symptoms such as: Persistent swelling in the legs Painful, swollen, or throbbing veins Skin changes around the affected area, such as discoloration or ulcers Heavy or achy legs, especially after long periods of standing or sitting A vascular surgeon will conduct a thorough examination, potentially using diagnostic imaging like ultrasound, to determine the severity of your condition. Based on the assessment, they may recommend one or more of the following treatments: Treatment Options Lifestyle Changes: Simple modifications such as regular exercise, weight management, and leg elevation can alleviate symptoms. Compression Stockings: These specially designed stockings improve blood flow and reduce swelling and discomfort. Sclerotherapy: A minimally invasive procedure where a solution is injected into the varicose vein, causing it to collapse and eventually disappear. Laser Treatments: Utilizes intense light to close off varicose veins. Radiofrequency Ablation (RFA): Uses radiofrequency energy to heat and close the affected vein. Endovenous Laser Therapy (EVLT): Similar to RFA but employs laser energy to seal the vein. Ambulatory Phlebectomy: In severe cases, the physical removal of the vein may be necessary. At Milford Vascular Institute, we specialize in minimally invasive varicose vein treatments, such as radiofrequency ablation, Varithena® microfoam, VenaSeal™ vein closure, endovenous laser ablation, and ambulatory phlebectomy. All procedures are performed on an outpatient basis, offering quick recovery with minimal downtime. If you're suffering from varicose veins, and experiencing debilitating symptoms like Greg did, don’t delay. Reach out to Milford Vascular Institute today and embark on the journey to healthier, pain-free legs. To learn more about varicose vein treatment at Milford Vascular Institute, visit: https://www.milfordvascular.com/service/varicose-veins-surgery-new-haven-ct/ You can also find us on Google Maps: https://maps.app.goo.gl/EDMQy7kHU29z5LrGA Address: 20 Commerce Park, Milford, CT 06460 #GotVeins #VeinClinicMilfordCT #LegVeinSurgeryNewHavenCT #VeinSpecialistsNewHavenCT #VaricoseVeinDoctorNewHavenCT #LaserVeinTreatmentNewHavenCT #VaricoseVeinSurgeryNewHavenCT #VaricoseVeinRemovalNewHavenCT #VaricoseVeinsSurgeryNewHavenCT #VaricoseVeinTreatmentMilfordCT #VaricoseVeinTreatmentNewHavenCT #VeinTreatmentNewHavenConnecticut #EndovenousLaserAblationNewHavenCT #LaserVaricoseVeinRemovalNewHavenCT Play Video Play Video 03:05 Carotid Artery Surgery New Haven CT For Stroke Prevention With The Best Vascular Surgeons in Milford https://www.milfordvascular.com/service/carotid-artery-surgery-new-haven-ct/ Carotid Artery Surgery New Haven CT For Stroke Prevention at Milford Vascular Institute The carotid arteries are the main arteries in the neck that transport and supply blood circulation to the brain. When the carotid arteries become blocked by plaque build-up, blood circulation to the brain can become restricted, causing a potentially fatal stroke. Aging, smoking, high blood pressure. high cholesterol, diabetes, and heart disease can put a person at risk of developing neck artery blockage (Carotid Artery Disease). People who have developed blockage in their carotid arteries may experience ringing in the ears or fainting due to the decreased blood circulation to the brain. Early diagnosis and treatment of carotid artery blockage can save you from a sudden stroke that can cause disability or death. In the efforts to reduce the incidence of stroke in our community, here at Milford Vascular Institute, we offer free carotid artery ultrasounds all year round. Carotid artery ultrasounds can help discover if you have blockage in your carotid arteries, and to what extent you have blockage. The extent of blockage discovered will determine the method of treatment, which can range from simple lifestyle changes to interventional treatments to unblock the carotid arteries. At Milford Vascular Institute, our board certified vascular surgeon and board certified interventional radiologist use the most advanced, the safest, and the most effective, non-invasive carotid artery surgery methods available anywhere to restore healthy blood flow to the brain, minimizing the risk of stroke. Here is board certified interventional radiologist Dr. Paul Davis explaining the causes, symptoms, treatment, and the danger of carotid artery disease: "Hi, Dr. Paul Davis here, interventional radiologist at Milford Vascular Institute. I wanted to take a moment here to talk to you about carotid artery disease. The carotid arteries are the large vessels that supply your head and your brain with blood. And if one has hardening of the arteries or blockage or near blockage of one of those arteries, the big worry is that you could have a stroke. And that is a major concern, of course, for everybody. Nobody wants to have a stroke. And if you can prevent it, that's a wonderful thing. So if you've been diagnosed with carotid artery disease or are worried about carotid artery disease or have had some symptoms that might suggest carotid artery disease, what might that be? Something where you get a little dizzy or you have almost a nearly fainting episode, or your doctor has put a stethoscope on your neck and said you might have a little noise, what we call a bruit. We can diagnose that and potentially treat that here at Milford Vascular. If you have those issues or problems or concerns, please call us. We'll be happy to see you. We will examine you. We will perform an ultrasound here the same day and get a very good idea of what your carotid arteries look like. And if we're concerned or there's a worry that there could be a narrowing that is worrisome, we would send you for further imaging, either a CAT scan or an MRI. And as a radiologist, I would personally interpret those images and decide if it's narrowed, how narrowed it is, and what the best treatment is. And then you would come back to the office and we would discuss those results. Now, the good thing is a lot of us have a little bit of narrowing in our arteries and not to be worried about it. Most of the time, it's just lifestyle changes, maybe a change in medications, maybe an aspirin. But in some people where the narrowing is getting severe or worrisome, we might suggest a further intervention. Either a carotid stenting or a surgery where we take out the plaque and open up the artery so the brain is getting full blood flow and would decrease any chance of having a severe stroke, which could really obviously devastate someone's life and or their family's life. So if you have any concerns or problems or you're worried or just want to talk to somebody about that, please call our office. We'll be happy to see you." To learn more about how early diagnosis and treatment of carotid artery disease can save you from a sudden stroke, visit: https://www.milfordvascular.com/service/carotid-artery-surgery-new-haven-ct/ Play Video Play Video 00:59 Best PAD Specialists New Haven CT Serving Stratford and All of Southern Connecticut https://www.milfordvascular.com/service/pad-treatment-new-haven-ct/ Best PAD Specialists New Haven CT Serving Stratford and All of Southern Connecticut A blocked artery in the leg, known as peripheral artery disease (PAD), is a serious condition that can lead to significant health complications. When arteries in the leg become narrowed or blocked, it restricts blood flow, which can cause pain, cramping, and even tissue damage. Without proper treatment, PAD can lead to critical limb ischemia, resulting in sores, infections, or even the need for amputation. Furthermore, PAD is a marker for systemic atherosclerosis, increasing the risk of heart attacks and strokes. Recognizing the symptoms early, such as leg pain during exercise or non-healing wounds, is crucial. Treatments range from lifestyle changes and medications to surgical interventions. Addressing PAD promptly can prevent severe outcomes and improve quality of life. If you experience symptoms or have risk factors such as diabetes, smoking, or high blood pressure, consult with a vascular specialist immediately. Early diagnosis and intervention are key to managing this serious condition effectively. Milford Vascular Institute is at the forefront of minimally invasive vascular care, providing advanced endovascular procedures to to treat PAD such as; atherectomy (plaque removal), balloon angioplasty (artery widening), and stenting (keeping the artery open). These treatments aim to restore normal blood flow and prevent further complications such as leg amputations. Seeking treatment from specialists in blood circulation or endovascular care is vital for managing PAD. Thousands of patients are enjoying healthy blood flow through their legs again after having PAD treatment at Milford Vascular Institute. To learn more about the diagnosis and treatment of PAD, and how it can save you from leg amputation, you may visit: https://www.milfordvascular.com/service/pad-treatment-new-haven-ct/ #PADDoctorsNewHavenCT #PADTreatmentNewHavenCT #PADSpecialistMilfordCT #BestPADSpecialistsMilfordCT #BestPADSpecialistsNewHavenCT #PADVascularSurgeryNewHavenCT #ArteryBlockageTreatmentNewHavenCT #VascularDiseaseTreatmentMilfordCT #PeripheralVascularDoctorNewHavenCT #PeripheralVascularSurgeonsBridgeportCT #PeripheralArteryDiseaseTreatmentNewHavenCT Load More

Wound Care Milford Vascular Institute specializes in the treatment and prevention of vascular ulcers and wounds. * WARNING - THIS PAGE CONTAINS IMAGES THAT MAY BE DISTURBING * Why do wounds form on our extremities? There are two culprits for why non-healing ulcers may form on your extremities; they are typically caused by a traumatic wound or prolonged and sustained pressure. The wound 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. What are the symptoms of a venous ulcer? Venous ulcers form from untreated venous insufficiency. These types of wounds tend to be irregular in appearance. Venous ulcers may begin small in size. If left untreated, they could grow to be massive and deep, sometimes penetrating all the way to the bone. While venous ulcers can form from a trauma to the skin, they also form from excessive swelling to the extremity. For this reason, the wound will often ooze a pus or clear liquid. They are typically very painful and tend to be located on an area of the skin where the bone is close to the surface, like the ankle or side of the foot. What treatments are available for venous ulcers? Treatments for venous ulcers include: leg elevation, compression, venous closure procedures , and wound care At Milford Vascular, we most commonly treat our patients with an UNNA Boot. This boot is a medicated, compression garment. The boot is applied and left on for a week. Milford Vascular is now offering a state of the art, stem cell therapy for patients with deep, chronic, non-healing wounds. Dr. Paul Davis, our interventional radiologist, specializes in the application of this treatment. This innovative treatment has expedited the healing process for many of our wound patients. What are the symptoms of an arterial ulcer? Arterial ulcers differ from venous ulcers in that the borders of an arterial ulcers are well-defined. There is an abrupt transition from healthy skin to wound. The skin surrounding the ulcer may also be reddish and shiny in appearance. The skin will also feel cold to the touch. Arterial ulcers may end up leading to gangrene, or tissue death. The skin will appear very dry and the area will be purple or black. What treatments are there for arterial ulcers? To heal an arterial ulcer, blood flow must be restored to the ischemic area. Typically, the only way to restore this blood flow, once the symptoms have progressed to the point of ulceration, is through surgery. There are many types of surgery available. Typically, your surgeon will begin by performing an angiogram. This invasive, diagnostic test will help them determine the site of the blockage. They will then decide whether to perform an atherectomy, angioplasty, or to place a stent. Atherectomy is when the surgeon uses a catheter with a blade on the tip to extract the plaque build up from inside the artery. An angioplasty is a procedure where the surgeon uses a catheter with a balloon tip to expand the walls of the artery to restore blood flow. Sometimes, neither of these procedures reopen the vessel sufficiently. In this case, the surgeon would then place a stent, a small wire mesh tube, to permanently hold the arterial wall open. At Milford Vascular Institute, we perform these procedures in our office at our Outpatient Based Laboratory (OBL) every week. Our OBL offers the state of the art technology and procedures of a leading hospital, with the comfort and convenience of a quick trip to the doctor. If the disease continues to progress, your surgeon may then decide to perform a bypass surgery. During these procedures, surgeons create an alternate route for blood flow to avoid the area of blockage and restore direct flow to the peripheral extremity.These are major surgeries that require general anesthesia and at least one overnight stay in the hospital. What will happen if the arterial disease is not controlled? If the above surgeries fail, the patient may begin to develop gangrene. When tissue dies, it must be removed to prevent the surrounding areas from dying as well or from becoming infected. This means, the patient may require amputation of the affected areas. If you have further questions regarding a wound you or a loved one may be developing, contact the vascular specialists at Milford Vascular today at (203)882-VEIN (8346) .

New Patients What to expect during your new patient consultation. Milford Vascular Institute offers next day new patient consultations Monday through Friday. If you think you are suffering from vascular disease, contact us today to schedule your consultation. Download new patient paperwork here (203)882-VEIN When you come in for your initial consultation we ask that you please bring your drivers license or some other form of photo ID, your insurance cards, a list of your current medications, and the completed new patient paperwork. If your insurance requires a referral to see a specialist, you are responsible for contacting your primary care physician to obtain that referral. ​ Milford Vascular Institute is in network with all major insurance companies. At the time of your initial consultation, you will be responsible for your copayment, if applicable. Click here to see a full list of insurance companies we regularly participate with or call the office if you have any questions.

Varicose Veins Milford Vascular Institute specializes in the diagnosis of venous insufficiency and treatment of varicose veins. What are varicose veins? Varicose veins are gnarled, bulging veins. These unsightly and often painful veins most commonly occur in your legs. What causes varicose veins? Varicose veins are typically a result of increased venous pressure. Patients can experience an increase in venous pressure for a variety of reasons. The main reason we see and treat for at Milford Vascular is caused by a disease called venous insufficiency . Venous pressure can also increase due to a decrease in cardiac output, renal failure, or arterial dilation which leads to venous obstruction. Chronic venous insufficiency is a disease which affects 60% of the American population. The vein's job is to bring blood back to the heart. Leg veins face an uphill battle - they are fighting against gravity. The way veins counteract this effect is by (203)882-VEIN having one-way valves in them. The valves close as the blood passes towards the heart and they do not allow blood to flow back towards the feet. In patients with venous insufficiency, these valves wear out over time. When the valves malfunction, there is nothing keeping gravity from pulling the blood back toward your feet. ​ Overtime, 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 begin to form. These can be larger bulging veins or smaller veins that look like spiderwebs. Who is at risk for developing varicose veins? Developing varicose veins is an abnormal process. Not everyone will get varicose veins. People who are at a higher risk for developing these unsightly veins include: ​ Professionals who sit or stand for long periods of time People with a family history of venous insufficiency People with a history of blood clots Smokers People with excessive weight Women who have been pregnant or had children Females are at a higher risk than men due to the female hormones that circulate in the blood stream How do we treat varicose veins? Before we address the visual varicose veins, we have to treat the underlying condition causing them. This is important because the larger vein feeds the bulging veins and spider veins. The common procedures we use to close off the feeder veins include: ​ Radiofrequency Ablation (RF) Varithena Endovenous Laser Therapy (EVLT) VenaSeal Closure System ​ After the feeder vein has been closed off, the underlying problem has been treated. However, some large varicose veins may remain. If these leftover veins are not addressed they may become inflamed and clotted. Treatments for these veins include: ​ Ambulatory Phlebectomy (AP): this procedure is typically performed to remove very large, bulging varicose veins. During this procedure, the provider makes a number of small incision in the patient's leg. They will then use a hook to grab the vein and then gently tease the vein out. Sclerotherapy : a treatment which uses a solution which is injected directly into the varicose vein to causes it to close off and disappear. Sclerotherapy can be performed on larger, tributary veins or tiny spider veins. ​ 8 Myths About Varicose Veins Blog If you have varicose veins, why should you have them treated? While varicose veins are often visually unattractive, there are many clinical reasons to have your varicose veins treated. The sooner you have your veins treated, the less likely you are to develop adverse complications. Having varicose veins puts you at greater risk for developing blood clots , infections, bleeding, and limb threatening ulcers . ​ Don't wait to have your varicose veins treated! Procedures to combat venous insufficiency are covered by most insurance plans. If you have varicose veins call the Vein Team at Milford Vascular Institute today!

Laser vein treatments Milford Vascular Institute specializes in the treatment of varicose veins using laser vein procedures. In this procedure, laser energy is used to close the vein. In the office, the leg is cleansed and prepped with Betadine solution. Lidocaine is used as a local anesthetic. The abnormal vein is identified with ultrasound and punctured with a small needle. The laser catheter is inserted into the vein and advanced under ultrasound guidance to the abnormal valve. The vein is anesthetized with a lidocaine and saline solution. The laser is activated and cauterizes the vein from the valve to the mid-thigh or knee. The catheter is then removed and a compression stocking is placed for 10-14 days to allow the vein to completely close. Follow-up ultrasound confirms successful closure. In time, the body will absorb the vein and it will appear on ultrasound as if the vein has been removed. Immediately following procedure: You may experience tingling/ pulling where the vein was closed down You may also see some bruising Elevate the leg when in a seated position Walk around every few hours One to two weeks following procedure ​: Immediately following you can resume low impact physical activities at the gym You can fly/ take long drives (make sure to wear stockings and hydrate) (203)882-VEIN What to do if you experience the above side-effects? Compression stockings Warm compresses on the area Vasculera, Ibuprofen, Motrin, Aleve Tylenol if you cannot take NSAIDs ​ Pain and discomfort are normal after a procedure, if there are any questions or concerns following the procedure please call the office. ​ ​ ​ ​

Venogram Milford Vascular Institute uses venograms to diagnose vascular disease of the veins, like non-thrombotic iliac vein lesions (NIVL). What is a venogram? A Venogram is a procedure in which an x-ray of the veins is taken after a special dye is injected into the veins. Why do I need a venogram? A venogram is commonly used to assess the status of a vein or system of veins, find blood clots within the veins, assess varicose veins before surgery, find a vein in good condition to use for a bypass procedure or dialysis access, help a physician place an IV or a medical device, such as a stent, in a vein, or guide treatment of diseased veins. What can I expect when having a venogram? Venograms are outpatient procedures, meaning they do not require an overnight stay in the hospital. When you come in for the procedure, you will be greeted by one of our friendly nurses. She will help you dress and prepare you for the procedure. Then, the CRNA will come in and meet with you to go over the medications you will be receiving and their side effects. Finally, the doctor will come in and discuss the procedure with you one last time. You will then be brought into the operating room. Our medical assistant will begin to prepare you for the procedure and simultaneously, our CRNA will begin to administer the anesthesia. Venograms are performed under twilight sedation. You should expect to have amnesia after the procedure; you will have no memory of it even happening. After the procedure, we will move you to a recovery room. You will stay in the recovery room for at least 2 hours to allow for the anesthesia to fully wear off. Once our nurse has determined you are fully recovered, you will be able to walk out of the building with minimal limitations. What to expect after a venogram? You may experience some soreness after the procedure. If the provider had to place a stent, you may experience low back or pelvic discomfort for several days. If you experience any bleeding at the insertion site, tingling or swelling call the office immediately. Things to watch for after a venogram: If you develop a fever of 100.4°F or higher, chills, pain, redness, or swelling at the site of the incision, bleeding or other drainage from the incision site, call the office immediately. Call Now

NO SHOW POLICY Milford Vascular Institute No Show/Cancellation Policy for Scheduled Appointments Effective 10/17/2022 As a courtesy, all of our scheduled appointments are confirmed via text message, email, and phone call to the best of our ability at least 24 hours prior to the patient’s scheduled time. We understand that there are times when you must miss an appointment due to emergencies or obligations for work or family. In these circumstances it is vital you notify our office as soon as possible and before your scheduled appointment time. When you do not show up for a scheduled appointment, it creates an unused appointment slot that could have been used for another patient. If you “no-show” your appointment you will be billed a $50 no-show fee. You will receive a bill for this charge in the mail or via your patient portal. Our office will attempt to contact you via phone, email, or letter to let you know of your missed appointment. We care about your health and will make accommodations to reschedule you. If you “no-show” two (2) appointments in a row Milford Vascular Institute withholds the right to discharge you from the practice. Your chart and circumstances will be reviewed and dismissals will be determined by our physician team. Sincerely, MVI Staff (203)882-8346

FREQUENTLY ASKED QUESTIONS Questions about Varicose Veins? Milford Vascular Institute has the answers. Q: Will this procedure hurt? A: Before the procedure begins, the provider will fully numb your leg with a local anesthetic. This is the only thing you should feel during your procedure; the small sting of the needle injecting the anesthetic. Afterwards, you may feel sore. You can take ibuprofen, Tylenol, Aleve or other NSAIDs to help counteract this feeling. Q: What are my limitations after my procedure? A: After your procedure you should walk as much as possible. You must wear a compression stocking during waking hours for 10-14 days after your procedure. Avoid sitting with your leg bent for any period of time longer than 20 minutes. You can return to normal activities including the gym after 3 days. Avoid any heavy lifting for 7 days after your procedures. Q: Can I fly after my procedure? A: You should not fly for at least 2 weeks after your procedure. You should not fly for at least 3 days after you have injections. If you must fly any time during the 6 months following the procedure you should wear your compression stockings on the trip. Knee high stockings are acceptable. Q: How long do I need to wear compression stockings after my procedure? A: You need to wear compression stockings for 2 weeks after your procedure. After injections, you need to wear compression stockings for 3 days. Q: Can I go in A pool or hot tub? Can I soak in the bath? A: You need to wait 3 days before going swimming or soaking in the bath tub. Q: Can I eat before my procedure? A: Yes, we encourage you eat something before your procedure. This is especially true if you plan to take valium for the procedure. The valium may make your stomach uneasy. Q: How long will the procedure take? A: The procedure itself is very quick. It should not take more than a few minutes. However, you should plan on being in the office for about an hour to an hour and a half. Q: When can I workout? A: You should wait three days before going for a run. You should avoid heavy lifting (nothing more than 10 lbs) for 7 days after your procedure. Q: I have a pulling sensation in my leg after my procedure. Do I need to be concerned? What should I do? A: The pulling sensation is from the vein closing. The vein will turn into a chord and you may feel it on the inside of your leg.It is completely normal. It will go away after a few days with the compression stockings. You can use a warm compress or gentle massage to help take away some of the discomfort. Q: Where can I purchase compression stockings? A: Milford Vascular Institute offers a full stock of the most common sizes for compression stockings. These stockings are available to purchase at MVI as a convenience for our patients. We are unable to process stocking purchases through your insurance. MVI is unable to sell stockings to Medicaid patients. Medicaid patients receive 2 pairs of stockings at no cost to the patient every year. These stockings must be obtained from a surgical pharmacy. Surgical pharmacies are also able to order custom fit stockings in the event MVI does not have a proper fit for you. Q: Can I wash my stockings? A: Yes, you can machine wash your stockings on normal settings. Do not use a dryer, you must air dry your stockings. Q: Will I need a ride for my procedure? A: You only need to arrange for a ride if you plan on taking Valium (Diazepam). Nothing done during the procedure will inhibit your ability to drive. DO NOT DRIVE YOURSELF IF YOU TAKE VALIUM (DIAZEPAM)! Driving under the influence of a narcotic is illegal and very dangerous! Q: Is pain normal after the procedure? A: You should not experience any significant pain after your procedure. You may experience some discomfort, soreness, and bruising. Click here for more on what to expect after your procedure.

Varicose Vein procedure by Foam Injection Milford Vascular Institute is now offering Varithena®, a minimally invasive, non-surgical treatment for varicose veins. What is Varithena®? Varithena® (polidocanol injectable foam) 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. What to expect during the treatment: Treatment with Varithena® does not require any incisions or general anesthesia. It usually takes the provider less than an hour to administer Varithena®. Varithena® is administered by a provider into the malfunctioning veins. Varithena® is administered through a catheter or by direct injection into the vein. The foam fills the desired section of the vein, and the diseased vein collapses. Blood flow shifts to healthier veins nearby. The doctor usually numbs the injection site, but no additional anesthesia is required. Potential side effects to Varithena®: Minimal leg pain or discomfort Slight bruising at the injection site Aftercare Instructions:​ You may resume most normal activities the same day. You should walk for at least 10 minutes a day for a month after the procedure. Avoid long periods of inactivity. Wear thigh high compression stockings for 2 weeks after treatment, during waking hours. Do not soak in a bathtub, jacuzzi, or pool for 3 days. Do not perform any high-impact activities, such as heavy lifting or running, for 7 days after treatment. You will follow up with the office 7-10 days post-treatment for evaluation. Who can receive Varithena®? ​ Factors that limit a person's ability to be treated with Varithena® include the type of vein, the patient's medical history, and the patient's insurance plans. ​ Varithena® treats a wide variety of varicose veins. However ,not all varicose veins can be treated with this product. The veins which make the best candidates for Varithena® treatment are: Tortuous (twisted) veins; veins above and below the knee; veins with small, medium, and large diameters; and veins previously treated with other methods. ​ Medicare & Medicare Replacement Plans cover Varithena®. Other insurance plans have varying protocols for coverage of this product. Our insurance coordinators will always check before your procedure to see the procedure will be authorized by your insurance. ​ You should not receive Varithena® if you have an allergy to polidocanol or if you have a history of blood clots. Call (203)882-VEIN

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