Maryland Vein ProfessionalsYour Premier Vein Care Specialists

Jamie Brown, M.D. Board Certified Cardiovascular Surgeonn

Jonathan Calure, M.D. Board Certified Cardiovascular Surgeon

Jane Lingelbach, M.D. Board Certified Vascular Surgeon

Joseph McClain, M.D. Board Certified Cardiovascular Surgeon

Life without varicose

veins!

ANNAPOLIS CHEVY CHASE COLUMBIA CLARKSVILLE GAMBRILLS OWINGS MILLS TIMONIUM

Contact InformationMain Office: 410.964.VEIN (8346) Annapolis: 410.268.LEGS (5347)

Chevy Chase: 301.654.VEIN (8346) Toll Free: 877.7MD.VEIN

Fax: 410.964.4412

Appointments@MDVeinProfessionals.com MDVeinProfessionals.com

OfficesMaryland Vein Professionals at Columbia 8860 Columbia 100 Parkway, Suite 216 Columbia, Maryland 21045

410-964-VEIN(8346)

Maryland Vein Professionals at Annapolis 888 Bestgate Drive, Suite 300 Annapolis, Maryland 21401

410-268-LEGS(5347)

Maryland Vein Professionals at Chevy Chase The Chevy Chase Cosmetic Center

8401 Connecticut Avenue Suite 210 Chevy Chase, Maryland 20815 301-654-VEIN(8346)

Maryland Vein Professionals at Clarksville Columbia Foot and Ankle

6100 Day Long Lane, Suite 102 Clarksville, Maryland 21029 410-964-VEIN(8346)

Maryland Vein Professionals at Gambrills The Village at Waugh Chapel

2401 Brandermill Blvd, Suite 220 Gambrills, Maryland 21054 410-268-LEGS(5347)

Maryland Vein Professionals at CMP Columbia Skin Care

5450 Knoll North Drive, Suite 160 Columbia, Maryland 21045 410-964-VEIN(8346)

Maryland Vein Professionals at Owings Mills 4 Park Center Court, Suite 100 Owings Mills, Maryland 21117

410-964-VEIN(8346)

Maryland Vein ProfessionalsYour Premier Vein Care Specialists

Dr. Jonathan Calure Board Certified Cardiovascular Surgeon

Dr. Jonathan Calure is the Founder of Maryland Vein Professionals. He holds two certifications

by the American Board of Medical Specialties; he is Board Certified in General Surgery and he

is Board Certified in Thoracic-Cardiovascular Surgery. Dr. Calure is trained in both classic open

surgical technique, and is broadly trained in minimally invasive, video assisted, and catheter

based techniques. He is a national leader in the VNUS Closure Procedure with an experience

of more than 11,000 procedures as of November 2011. Dr. Calure has trained many surgeons

from the US and Internationally in the latest techniques of minimally invasive vein care.

A lifelong resident of Maryland, Dr. Calure had the distinction of practicing Cardiac Surgery

at the hospital of his birth, Washington Adventist Hospital. Dr. Calure completed his

undergraduate degree in Aerospace Engineering as a Chancellor’s Scholar at The University

of Maryland. While working part time as an engineer at The NASA Goddard Spaceflight

Center, he earned his Doctor of Medicine from the University of Maryland School of Medicine.

Dr. Calure completed his General Surgery Residency as well as his Cardiac Surgery Fellowship

at the University of Maryland Medical System in Baltimore.

Dr. Calure is a member of the American College of Phlebology, The International Society of

Endovascular Specialists, and The Society of Thoracic Surgeons. An avid Ravens and Orioles

fan, he lives with his wife and three children in Clarksville, Maryland.

Actual Patient

What is the VNUS® Closure Procedure? The VNUS® Closure procedure is a minimally invasive treatment for superficial venous reflux. A thin catheter is inserted into the vein, delivering radiofrequency (RF) energy to the vein wall causing it to heat, collapse, and seal shut.

How long does the VNUS® Closure Procedure take? The VNUS® Closure procedure takes only 1-2 minutes, though patients normally spend 90 minutes in the office due to normal pre- and post-treatment protocol.

Will my legs look better after VNUS® Closure? VNUS® Closure is performed to treat the medical condition, however, many patients notice visual improvement after treatment. We have cosmetic treatments available as well.

Is the VNUS® Closure Procedure uncomfortable? Most of our patients report little or no discomfort during treatment. Local anesthesia is all that is required. Our patients enjoy a movie or a concert during treatment.

How effective is the VNUS® Closure Procedure? Published data suggests that two years after treatment, 90% of the treated veins remain closed and free from reflux, the underlying cause of varicose veins.

When can I return to normal activities? Patients can resume normal activity or work immediately after treatment. Strenuous exercise, heavy lifting and prolonged periods of sitting or standing should be avoided for 2-4 weeks following treatment.

How soon after treatment will my symptoms improve? Most patients report a noticeable improvement in their symptoms within 1-2 weeks following the procedure. For some patients, we recommend sclerotherapy treatments for any remaining visible veins.

Is the VNUS® Closure treatment covered by my health insurance? We have a dedicated staff to complete the preauthorization process and help you with any questions regarding your coverage.

Is there any scarring, bruising, or swelling after the procedure? Patients report minimal to no scarring or swelling following the Closure procedure. Minor bruising is normal and temporary.

Frequently Asked...

Dr. James Brown Board Certified Cardiovascular Surgeon

Dr. Jane Lingelbach Board Certified Vascular & General Surgeon

Dr. Joseph McClain Board Certified Cardiovascular Surgeon

Dr. Brown is a renowned Cardiothoracic Surgeon who has served the people of Maryland

for the past decade at the University of Maryland Medical System. As a world class Heart

Surgeon and expert in cutting edge, minimally invasive surgical treatment of Cardiovascular

and Aortic Valve Diseases, Dr. Brown adds enormous experience to the talented staff at

Maryland Vein Professionals. A two time NCAA class scholar athlete at Trinity College,

Dr. Brown went on to complete Cardiovascular Surgical training at the University Colorado

in 1994. After serving on CV Surgical faculty at the University of Colorado, Dr. Brown was

recruited to the University of Maryland in 1999 where he worked for the past 11 years.

Among his many accolades, publications and awards, he was the recipient of the Shock

Trauma Hero Award in 2005.

Dr. Brown holds certificates from both the American Board of Surgery and the American

Board of Thoracic Surgery. He has performed over three thousand open heart operations

including coronary artery bypass, valve repair and replacement, heart and lung transplants,

and minimally invasive cardiothoracic operations. Dr. Brown has published 84 papers in

peer reviewed scientific journals, given 20 presentations at national meetings, and written

15 book chapters. Dr. Brown’s results from the procedures over the last 15 years have been

exemplary, exceeding average expectations, this assertion based on national cardiac surgery

outcome data. Dr. Brown has chaired multiple committees related to quality patient out-

comes, at the group, practice, department, and hospital levels. He has remained dedicated

to improving health care quality daily.

Dr. Lingelbach joined Maryland Vein Professionals in 2009.She has a wide range of expertise

in all aspects of Vascular Surgery, including classic open technique and minimally invasive

arterial and venous procedures. Dr. Lingelbach has been serving the Washington D.C. region

since 2002 as a Vascular Surgeon in Private Practice based at Washington Adventist Hospital.

Dr. Lingelbach spent her early years in the Midwest, growing up in Wisconsin and attending

both college and medical school at Washington University in St. Louis. She went on to

complete General Surgery Residency at Harvard’s Massachusetts General Hospital, and

she spent several years as a general and trauma surgeon there and in Boston’s North Shore

communities before continuing on with specialty training in Vascular Surgery. She completed

her Vascular Surgery Fellowship at Massachusetts General Hospital, and then continued with

sub-specialty fellowship training in endovascular intervention at Union Memorial Hospital

in Baltimore, Maryland. Dr. Lingelbach has performed over 2000 vascular surgeries and

has expertise in a broad array of minimally invasive catheter based and ultrasound guided

procedures. Dr. Lingelbach holds BoardCertification in Vascular Surgery.

She lives in Rockville with her husband and young son, with whom she enjoys experiencing

Washington, DC and the surrounding area as seen through the eyes of a five year old!

Dr. Joseph McClain is a Cardiac, Endovascular, and Thoracic Surgeon. Dr. McClain received

his medical degree from the University of Nebraska Medical Center, where he graduated

with distinction. He completed his General Surgery Internship at Walter Reed Army Medi-

cal Center and his General Surgery residency and Cardiovascular training at Brooke Army

Medical Center in San Antonio, Texas. After he completed his Cardiovascular training Dr.

McClain was assigned to Walter Reed Army Medical Center with special assignment to the

Virginia Commonwealth University at The Medical College of Virginia in Richmond, VA.

Dr McClain served our country as lead surgeon in the Green Zone in Iraq in 2005 and 2006.

After returning from Iraq, Dr. McClain finished his active duty military time and accepted

a job as director of Central Maine Heart and Vascular Institute before returning home to

Norfolk, NE. with his wife and three children. From 2009-2011 Dr. McClain served as Chief

of Cardiothoracic Surgery and Director of Minimally Invasive Vein Care at Faith Regional

Health Services in Norfolk, Nebraska.

Dr. McClain is Board Certified by the American Board of Surgery and the American Board of

Thoracic Surgery. He is a Fellow of the American College of Surgeons, is a member of the

Society of Thoracic Surgeons, the American Medical Association and is a lifetime member

of The Association of Military Surgeons of the United States.

Do you experience leg pain, swelling and bulging varicose veins? If so, you may be suffering from superficial venous reflux disease. Approximately 25 million people in the United States suffer from this condition. Traditionally, patients diagnosed with venous reflux would undergo painful vein stripping surgery. Now, an array of minimally invasive treatment modalities are available.

What Causes Varicose Vein Disease? Understanding Superficial Venous Reflux

Experience You Can TrustOur medical team, led by board-certified cardiovascular surgeons, lead the nation in the VNUS Closure.

Veins are an integral part of the circulatory system as are the heart and the ar-teries and deserve the specialized care offered by the Cardiovascular Surgeons that specialize in treating diseases of the blood vessels. While a great variety of specialty physicians may offer vein treatments, at MVP, vein care is all we do. Vein disease often indicates a treatable circulatory condition and quite often it is not just a cosmetic problem limited to the skin.

Maryland Vein Professionals offers Sclerotherapy as part of our array of minimal-ly invasive treatment options for vein disease. MVP’s sclerotherapists have over 40 years of combined experience and have treated thousands of happy patients.

Our sonography staff is specially trained in vascular ultrasound and have a combined 30 years of experience in the field.

Varicose veins are known for their distinctive blue color and their bulging appear-ance on the skin. They afflict 10-20% of the adult population. Small “spider veins” or telangiectasias are a form of varicose vein disease, and often are the first sign of venous insufficiency. This circulatory disorder may present itself in many forms from spider veins to ulceration.

Your legs are made up of a network of veins. Healthy leg veins contain valves that open and close to assist the return of blood back to the heart. Venous reflux disease develops when the valves that keep blood flowing out of the legs and back to the heart become damaged or diseased. This can cause blood to pool in your legs and lead to symptoms such as pain, swelling, swollen limbs, leg heaviness, fatigue, skin changes, skin ulcers, and varicose veins.

The VNUS® Closure ProcedureThe VNUS® Closure procedure, an alternative treatment option to traditional vein stripping surgery, brings state-of-the-art technology to an age-old disease. The Closure procedure treats venous reflux disease in the superficial venous system, often the underlying cause of painful varicose veins.

The Closure procedure is performed on an outpatient basis. Using ultrasound, the physicians position the Closure catheter into the diseased vein through a small opening in the skin. The tiny catheter delivers radiofrequency (RF) energy to the vein wall. As the RF energy is delivered and the catheter is withdrawn, the vein wall is heated, causing the collagen in the wall to shrink and the vein to close. Once the diseased vein is closed, blood is re-routed to other healthy veins.

Maryland Vein Professionals is proud to be at the forefront of this new technology performing more than 15,000 procedures as of November 2011.

Sclerotherapy TreatmentSclerotherapy is a common treatment modality for small, superficial varicosities known as “spider veins”. Our sclerotherapists use an extremely fine needle to inject a sclerosant medication directly into the targeted vein and its branches. This causes the treated veins to collapse, and has the visual effect of causing the vein to disap-pear. We do offer sclerotherapy as part of our comprehensive array of vein care services at Maryland Vein Professionals. However, we do assess for and treat the un-derlying cause of these superficial varicosities before we recommend sclerotherapy. The sclerotherapy treatment itself is much more effective and the results much longer lasting when a healthy circulatory pattern has been restored by correction of the underlying reflux.

“The doctors and staff are so caring and friendly. I really enjoyed my experience at the facility. I would highly recommend this procedure to anyone who is in need of vein closure.” – John J

Benefits of VNUS® Closure

• Relief of painful symptoms• Resume normal activity or work the same day • In-office procedure completed in less than an hour• Local anesthesia• Most patients report minimal or no discomfort• Covered by most insurance plans

What Distinguishes Maryland Vein Professionals?• MVP has been designated as a National Center of Excellence for Vein Care. Our state of the art treatment centers were designed specifically for vein care and with the comfort of our patients in mind. Avoid the inconvenience and hassle of a hospital stay.

• Maryland Vein Professionals has an unparalleled volume of experience with minimally invasive vein treatment with over 15,000 successful procedures.

• Drs Calure, Brown and McClain each hold Board Certifications in Cardiovascular Surgery and Dr. Lingelbach holds a Board Certification in Vascular Surgery.

• At MVP, most patients complete their closures in two or three visits, not five or more as other doctors may suggest.

• Evening and weekend appointments are available.

• Patients have direct phone access to our physicians 24/7.

“...thank you so much for making me feel comfortable.” – Ann B