Vascular Surgery

Vein Center


Benefit from experience and innovation at the Vein Center

Whether you want relief from painful varicose veins, treatment for a blocked vein or the removal of unsightly spider veins, you will find experienced, compassionate doctors at Tufts Medical Center’s Vein Center.

Our doctors not only use the most advanced treatments available, they have helped to develop them. They are pioneers in the field and have pushed breakthroughs in diagnosing and treating a full range of venous disease.

What can I expect at the Vein Center?

Before we can recommend the best treatment for you, we need to know more about your condition. When you first come to the Vein Center, you will have a clinical examination for vascular disease by an experienced, board certified vascular surgeon.

You will also undergo a non-invasive evaluation duplex ultrasound. This advanced ultrasound shows the vein, its valves and how the blood flows through them, revealing the structures that need to be corrected. The diagnostic value of this non-invasive technique has been validated in numerous studies, many of which were conducted and published by the members of our Vein Center.

During this appointment, we will review your risk factors and symptoms.  We will also take the time to listen to you, answer your questions and tell you about your alternatives.

Treatment tailored to your needs

We have a full range of advanced treatment options. This is important because it means that we can provide you with the therapy that is best for your specific condition. Most of our treatments are minimally invasive and can be performed at the Vein Center. This includes:

  • Non-invasive testing for all types of venous disease
  • Radiofrequency and laser ablation of dilated Saphenous veins (the main superficial vein in the inner side of the thigh and calf)
  • Sclerotherapy for varicose veins and spider veins
  • Laser treatment for spider veins
  • Recanalization and stenting for iliac, subclavian, innominate or venacaval obstruction
  • Treatment for perforating veins
  • Vein valve transplantation and valve repair for deep venous reflux
  • Venous bypass
  • Vena cava filter placement and retrieval

A team approach for coordinated care

To provide you with the care that you need, we have pulled together a group of specialists including surgeons, dermatologists and wound care experts.  Our team works side-by-side to evaluate you and make treatment recommendations.

The Vein Center is directed by doctors who have helped develop many of the treatments used here and around the world. 

Eliminating Varicose Veins and Treating Ulcers

When the valves of the great saphenous vein in the thigh do not close properly, blood flows in the wrong direction, leading to high blood pressure in the veins.  The increased flow of blood causes these veins and their branches to dilate, creating varicose veins. Varicose veins may lead to aching pain, throbbing and discomfort. They can also cause more serious problems including skin ulcers or deep vein thrombosis, which is a blood clot in a deeper vein.

The Vein Center at Tufts Medical Center offers a new incision-less percutaneous approach to treat varicose veins. We use lasers to obliterate the saphenous vein (the major vein in your thigh), causing it to shrink.  This technique avoids the sometimes painful bruising and groin incisions associated with ligation & stripping, the standard approach, which may cause a week or two of disability.  With the new "band aid" technique, patients may get back to work the next day, with many of the small dilated branches of this vein returning to normal. If they do not seem to be healing, they can be removed by subsequent microsurgery or sclerotherapy in the office.

Providing Therapy for Advanced Venous Disease and Venous Ulcers

Venous ulcers form after a blockage in the leg reduces blood flow and causes high pressure within the veins. To treat venous ulcers, our team has used our extensive experience to develop several important techniques that are being used across the country.

We typically use a stent to open up the narrowed or occluded veins, similar to the technique used in blocked heart vessels. This technique helps venous ulcers to heal and can be performed under local anesthesia.

Erasing Unsightly Spider Veins

Spider Veins are treated at our Cosmetic Dermatology Center, which as treated hundreds of patients since opening in 2010. You do not need a physician referral to come here for treatment, and we can quickly set up an appointment for you.

We offer a full range of state-of-art treatments including schlerotherapy and laser therapy in order to provide you with the best option for your condition.

The treatments that our highly skilled physicians recommend will depend on the size and type of your spider vein. These treatments are painless and take less than an hour, allowing you to  immediately resume your normal daily activities.

Treating Pelvic Venous Syndrome

Pelvic Venous Syndrome is a condition characterized by abdominal pain that is worsened with menses and sexual relations. This problem is due to malfunctioning valves in the veins around the uterus and ovaries. Our physicians have the expertise needed to treat this complex condition. In order to relieve the symptoms of pelvic congestion, the malfunctioning veins are blocked using a catheter technique that is performed under local anesthesia.

Doctors + Care Team

Mark D. Iafrati, MD

Mark D. Iafrati, MD

Title(s): Chief, Vascular Surgery; Director, Vascular Center; Director, Center for Vascular, Wound Healing and Hyperbaric Medicine; Vascular Surgeon; Associate Professor, Tufts University School of Medicine
Department(s): Surgery, CardioVascular Center, Vascular Surgery
Appt. Phone: 617-636-5019
Fax #: 617-636-8003

Complex vascular surgery, vascular biology, endovascular surgery, venous surgery, complex wound care

More Info

Referring Physician Resources

The Vein Center at Tufts Medical Center provides a full range of therapies to treat all stages of venous insufficiency. You can refer patients to us for diagnosis or for treatment.  When you send your patients to us, we will work with you to obtain their medical records and background information. We will keep you informed about the treatments we provide and follow up recommendations.

Mark Iafrati, MD on video.

Venous Disease

Watch Mark Iafrati, MD, Chief of Vascular Surgery discuss varicose veins and potential dangers if this disease progresses.

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