Your Trusted Experts in Vascular Health

Discover compassionate care and advanced solutions for the diagnosis and treatment of venous insufficiency at Elite Vascular Specialists. As leaders in the field of vascular surgery, we are dedicated to improving your vascular well-being and enhancing your quality of life.



Comprehensive Diagnosis

At Elite Vascular Specialists, our experienced team of vascular surgeons specializes in the accurate diagnosis and evaluation of venous insufficiency. Using state-of-the-art diagnostic techniques, including ultrasound imaging and other advanced technologies, we thoroughly assess the integrity of your veins to determine the most effective treatment plan.



Personalized Treatment Options

We understand that each patient is unique, and our approach to treatment reflects this philosophy. Our highly skilled vascular surgeons develop personalized treatment plans tailored to your specific condition and needs. Whether it’s utilizing minimally invasive procedures such as vein ablation or recommending conservative therapies, we strive to provide the most effective, least invasive treatment options available.

Leading-edge Technology

As a practice committed to staying at the forefront of medical advancements, Elite Vascular Specialists utilizes cutting-edge technologies and techniques to ensure optimal outcomes. Our state-of-the-art facilities are equipped with advanced equipment, allowing for precise diagnoses and effective treatments. We combine our expertise with the latest innovations in vascular surgery to provide you with exceptional care.


Compassionate Care

At Elite Vascular Specialists, we believe in compassionate care centered around our patients. Our dedicated team is here to support you through every step of your journey, ensuring your comfort, understanding, and peace of mind. We take the time to address all your concerns, answer your questions, and guide you towards the best course of action for your vascular health.                                                                                                                    

Schedule Your Consultation Today

If you’re experiencing symptoms of venous insufficiency or seeking expert care for your vascular health, we invite you to schedule a consultation with Elite Vascular Specialists. Our compassionate team is ready to provide you with high-quality care, backed by expertise and advanced techniques. Take the first step towards improved vascular wellness by contacting us today.                                                                                                                       


What is Venous Insufficiency
Here is the step by step details
Common Risk Factors
These are the major risk factors
Family history

If you have a family history of venous insufficiency, you may be at a higher risk of developing the condition yourself. There can be genetic factors that contribute to weakened vein valves or structural abnormalities.                                                                                                                                                                                      


The risk of venous insufficiency tends to increase with age. As you grow older, the veins walls may become less elastic and the valves can weaken, making them more prone to malfunction.                                                                                                                                                                                                                   


Women are more likely to develop venous insufficiency compared to men. Hormonal changes during pregnancy and menopause, as well as the use of hormonal contraception, can increase the risk. Additionally, the female sex hormone progesterone is known to relax vein walls, making them more prone to valve dysfunction.


Excess body weight puts increased pressure on the veins in the legs, making it harder for blood to flow properly. This can contribute to the development of venous insufficiency.                                                                                                                                                                                                                         

Prolonged standing or sitting

Occupations or lifestyles that involve long periods of standing or sitting without much movement can impede blood flow in the legs, potentially leading to venous insufficiency.                                                                                                                                                                                                     

Previous deep vein thrombosis (DVT)

People who have experienced deep vein thrombosis in the past are at a higher risk of developing venous insufficiency. In DVT, blood clots form in the deep veins of the legs, causing damage to the vein valves and impairing blood flow.


During pregnancy, hormonal changes and increased blood volume put extra stress on the veins, potentially leading to venous insufficiency. The condition may improve after childbirth, but it can persist or worsen with subsequent pregnancies.                                   

Other factors

Other risk factors include a history of leg trauma, smoking, a sedentary lifestyle, certain medical conditions like congestive heart failure or inflammatory diseases, and conditions that increase pressure within the abdomen such as chronic constipation or tumors.

OUR STEP's for cure
Our Working Processs
Local anesthesia

Before the procedure begins, the area around the targeted vein is numbed with a local anesthetic. This ensures that you don't feel any pain during the treatment.

Catheter insertion

We enter the targeted vein and a thin catheter (a flexible tube) is inserted into the vein. Guided by ultrasound imaging, the catheter is carefully advanced to the problematic area.

Energy application

Once the catheter is properly positioned, energy is applied to the vein to close it off. There are two common methods for vein ablation

Radiofrequency ablation (RFA)

In this technique, the catheter emits radiofrequency ablation energy, which heats the vein wall. This causes the vein to collapse and seal shut.

Chemical Ablation (CA)

Varicose vein treatment involves injecting a microfoam that causes diseased veins to close. Varithena is minimally invasive, there is no need for incisions or stitches and treatment is usually less than an hour. Most people see results just after one treatment.

Catheter removal and compression

After the treatment, the catheter is removed, and the entry site is usually covered with a small bandage. Compression stockings or bandages are then applied to the treated leg. Compression helps reduce swelling and promotes healing.

Recovery and follow-up

Following vein ablation, you may be instructed to walk and move around to encourage blood flow. It is important to follow post-procedure care instructions provided by your healthcare professional. They might include wearing compression stockings for a specific duration and avoiding strenuous activities for a certain period.

Vein ablation is generally a safe and effective procedure with a low risk of complications. However, as with any medical procedure, there are potential risks, including infection, bleeding, nerve injury, or blood clots. Your physician will discuss these risks with you and address any concerns you may have.

It’s important to note that vein ablation treats the underlying vein insufficiency and helps alleviate symptoms. However, it may not eliminate existing varicose veins. Additional treatments like sclerotherapy (injection of a specialized solution into varicose veins) or phlebectomy (surgical removal of varicose veins) may be recommended to improve the cosmetic appearance if desired.

Our vein specialists are clinical experts specializing inside the vicinity of vascular remedy, with a particular emphasis on the analysis and remedy of vascular issues. These experts can deal with diverse situations which includes varicose veins, spider veins, and deep vein thrombosis. Addressing these worries has the ability to enhance your universal nicely-being and contentment.

Dr. Nirman Tulsyan
Vascular Surgeon
Dr. Nirman Tulsyan

Dr. Nirman Tulsyan is a completed vascular healthcare professional with considerable experience in complicated reconstructions and endovascular processes. He completed his residency in 2003/2004, during which he completed over 1300 major cases. Following this, he pursued a Vascular Surgery fellowship on the Cleveland Clinic Foundation, specializing in open thoraco-belly and peripheral vascular reconstruction, carotid stenting, and aortic stent-grafting.

Personal experience

During his career, Dr. Tulsyan has been actively involved in research. He worked as a Research Fellow at the Cleveland Clinic Foundation, focusing on the effects of cholesterol on collagen synthesis in graft versus aortic smooth muscle cells. He has authored book chapters and contributed to numerous articles in prestigious journals such as J Vasc Surgery and J Am Coll Surg.

Dr. Tulsyan has also been involved in various clinical research trials, serving as a co-investigator for multiple industry-sponsored studies. His contributions include evaluating the clinical performance of different stent graft systems for the treatment of aortic aneurysm and participating in studies on carotid revascularization and the treatment of atherosclerotic lesions.

Throughout his career, Dr. Tulsyan has been recognized for his expertise and has been invited to present at several professional conferences and meetings. He has given presentations on topics including uncommon arteriopathies and endovascular management of visceral artery aneurysms.

Dr. Tulsyan maintains active certifications such as Advanced Trauma Life Support and Advanced Cardiac Life Support. He is committed to providing the highest level of care to his patients and staying up to date with the latest advancements in vascular surgery.

In addition to his clinical and research activities, Dr. Tulsyan has pursued teaching opportunities, including presenting at general surgery grand rounds. He has also been involved in mentoring and training residents and fellows in vascular surgery.

Overall, Dr. Nirman Tulsyan is a highly skilled vascular surgeon with a strong background in both clinical practice and research. His expertise in complex reconstructions and endovascular procedures, combined with his commitment to advancing the field through research and teaching, make him a valuable asset in the field of vascular surgery.

Always consult with a healthcare professional to determine if vein ablation is appropriate for you, as treatment decisions should be made on an individual basis.