At Heart Vein & Vascular Clinic in Longwood (Orlando area), Dr. Babak Alex Vakili, MD, FACC, FSCAI, a vascular and endovascular specialist, provides expert care for vein disease, leg swelling, and poor circulation.

Board-certified by the American Board of Venous and Lymphatic Medicine (ABVLM), Dr. Vakili treats everything from spider and varicose veins to chronic venous insufficiency (CVI), deep-vein thrombosis (DVT), May-Thurner syndrome (iliac vein compression), and lymphedema.

Our clinic is one of the few centers in Central Florida offering both arterial and venous expertise under one roof, combining medical precision with minimally invasive comfort.

What Causes Vein Disease?

Healthy veins carry blood back to the heart using one-way valves and the calf-muscle pump. When those valves weaken or veins become compressed, blood pools in the legs — raising pressure (venous hypertension) and causing:

• Stretching of vein walls and backward flow (reflux)
• Inflammation, swelling, skin changes, and leg heaviness
• In advanced cases, painful ulcers or open wounds
  
  

Some patients develop iliac vein compression (May-Thurner syndrome), where a major pelvic vein is squeezed by an artery. This hidden condition can cause chronic one-sided leg swelling, pelvic pain, or varicose veins high on the thigh or groin. If untreated, it can lead to DVT or long-term venous damage.

Common risk factors include previous clots, prolonged standing or sitting, obesity, pregnancy, aging, and family history.

Signs & Symptoms of Venous Disease

• Heavy, achy, or throbbing legs after activity
• Swelling of feet or ankles (often worse at day’s end)
• Bulging varicose veins or clusters of spider veins
• Itchy, darkened, or thickened lower-leg skin
• Non-healing wounds near the ankles
• Restless legs, cramping, or numbness
• For May-Thurner syndrome: one-sided swelling, pelvic fullness, groin varicosities
  
  

Ignoring these signs can allow symptoms to worsen and increase your risk for clotting or skin breakdown.

How We Diagnose Vein Problems

At Heart Vein & Vascular Clinic, we use the latest non-invasive technology to find the root cause of your vein disease:

1. Comprehensive Evaluation: history, physical exam, and discussion of lifestyle or risk factors.
2. Venous Duplex Ultrasound / Mapping: painless imaging that measures blood-flow, valve function, reflux, and obstruction.
3. Pelvic & Iliac Vein Imaging: advanced Doppler ultrasound, CT, or IVUS when symptoms suggest iliac vein compression (May-Thurner syndrome).
4. Lymphedema Assessment for combined swelling or lymphatic involvement.
5. Personalized Treatment Plan: Dr. Vakili explains all options and recommends the safest, most effective path forward.
   
   

Vein Treatment Options in Our Outpatient Cath Lab

Conservative Care

• Lifestyle Changes: daily walking, leg elevation, avoiding long sitting/standing.
• Compression Therapy: medical-grade stockings to boost circulation and reduce swelling.
• Risk Factor Control: weight management, exercise, and cardiovascular health optimization.

Minimally Invasive Endovenous Procedures

All procedures are performed safely and comfortably in our accredited outpatient cath lab, avoiding hospital stays or large incisions.

• Endovenous Thermal Ablation (RFA or Laser): closes faulty veins and redirects flow to healthy ones.
• Ultrasound-Guided Foam Sclerotherapy: dissolves smaller refluxing or residual veins.
• Micro-Phlebectomy: tiny punctures remove visible bulging varicosities.
• Iliac Vein Angioplasty & Stenting for May-Thurner Syndrome / Iliac Vein Compression:
  • Minimally invasive catheter technique using balloon expansion and venous stent placement to restore blood flow.
  • Relieves pelvic pain, chronic swelling, skin discoloration, and ulcers due to hidden pelvic obstruction.
  • Often life-changing for patients with long-standing one-sided leg swelling or post-thrombotic syndrome.
• Pelvic Venous Reflux Treatment for women with pelvic congestion symptoms.
• Venous Ulcer & Wound Care: advanced therapy and coordinated wound-care follow-up.
• DVT Evaluation & Management: diagnostic imaging, anticoagulation planning, and monitoring.
• Lymphedema Therapy: comprehensive assessment and management of lymphatic swelling.

Most patients walk out the same day and return to normal activity within 24 to 48 hours.

Why Patients Choose Heart Vein & Vascular Clinic

• Board-Certified Dual Expertise: ABVM + ABVLM certifications ensure total arterial and venous competence.
• Full-Spectrum Care: from cosmetic veins to deep iliac compression and ulcer disease.
• Minimally Invasive Approach: office-based comfort, minimal downtime.
• Evidence-Based Medicine: every treatment follows current vascular-medicine guidelines.
• Coordinated Continuity: integrated arterial, venous, and lymphatic care for complete circulation health.
  
  

Schedule Your Vein Evaluation in Orlando Today

If you have:

• Leg pain, heaviness, or fatigue
• Visible varicose or spider veins
• Persistent swelling or skin discoloration
• One-sided leg swelling or pelvic pain
• Wounds that won’t heal or a history of DVT
  
  
  

Call 407-990-1921 or request your vein consultation online to start your personalized treatment journey at Heart Vein & Vascular Clinic – Longwood / Orlando, Florida.