Although EVTA is the preferred method of choice for treating saphenous-derived varicose veins, not everyone is a good candidate for EVTA. If the saphenous vein is tortuous, small, close to the skin, or fragmented from previous treatment efforts, one can instead use UGS.

Dr. Kanter helped pioneer this procedure back in the early 1990′s1-4, and has been performing UGS ever since. Under precise ultrasound guidance, several injections of an FDA-approved solution are made to the diseased saphenous veins, causing them to shrink and disappear over time. Usually performed in 1-2 visits, UGS is a good second choice when EVTA cannot be performed.

  1. Kanter A, Thibault PK. Saphenofemoral incompetence treated by ultrasound-guided sclerotherapy. Dermatol Surg 1996;22:648-52.
  2. Kanter A. Clinical determinants of ultrasound-guided sclerotherapy outcome, Part I: The effects of age, gender, and vein size. Dermatol Surg 1998;24:131-135.
  3. Kanter A. Clinical determinants of ultrasound-guided sclerotherapy outcome. Part II: In search of the ideal injectate volume. Dermatol Surg 1998:24:136-140.
  4. Kanter A, Gardner M, Isaacs M. Identification of arteriovenous anastomoses by duplex ultrasound: implications for the treatment of varicose veins. Dermatol Surg 1995;21:885-9.
“This comes to tell you thank you, and then to tell you, too — The world’s a better place because of people as nice as you! I appreciate all you did in making my legs look so much better (feeling better too). Thanks again.”
“Dear Dr. Kanter & Staff, Thank you for your care and patience in your treatment of me. I shall be forever grateful to you.”
“Dr. Kanter, I just wanted you to know that I deeply appreciated your kindness and consideration. The recent treatment on my legs is remarkably improved!!”
“Thank you very much to all of you for making me “not to be afraid” of injections. You are a great team!! See you in about 3 months.”
“Aloha! Thought I would send you a taste of what we’re seeing on the islands. Hope you all get a chance to visit. Thank you for your part in helping me prepare for this wonderful vacation.”
“My legs just saw the light of day for the first time in 15 years. Thank you all for the miracles you have done. See you soon for my last treatment. Gratefully,”
“This doctor and his staff are wonderful! 100% improvement of my legs!”
“VCOC has a very professional staff and Dr. Kanter has wonderful bedside manner.”
“Fantastic service, excellent staff and care.  Dr. Kanter was wonderful.”
“I felt like I was in the best hands with Dr. Kanter, as he performs vein procedures exclusively."

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