Give Online: Help shape patient care for generations to come.
Cleveland Clinic Logo

Vein & Vascular Center

Lakewood Hospital Vein & Vascular Center, under the leadership of James Bekeny, MD, FACS, is committed to providing you with the highest quality care.

The outpatient facility offers advanced treatment for varicose and spider veins, a wide range of cosmetic services and cardiac and vascular diagnostic testing services. The multi-disciplinary team is dedicated to offering the latest treatment options in a comfortable, relaxed environment.

Many of the cardiovascular tests and procedures utilize non-invasive ultrasound, a technique that uses high frequency sound waves to produce images that help evaluate the arteries and veins throughout the body.

Our goal is to treat the source, not the symptom. As a result, we can solve the problem correctly the first time and avoid any recurrence.

To make an appointment for vein and vascular evaluation, hair removal or treatment for a wide range of skin conditions, call 440.250.5760 or toll-free 1.877.SPA.LEGS (772-5347).

Lakewood Hospital Vein & Vascular Center
Westlake Medical Center
850 Columbia Rd.
Westlake, OH 44145

Learn more below.

Varicose and Spider Veins

Varicose veins are abnormal, dilated blood vessels caused by weakening in the vessel wall. They may appear as swollen, twisted clusters of blue or purple veins and are sometimes surrounded by thin red capillaries known as spider veins (group of small blood vessels located close to the surface of the skin).

Varicose and spider veins can appear anywhere, but most often appear on the legs and in the pelvic area. Most varicose veins develop near the surface of the skin. Deeper varicose veins may cause the skin above them to swell, become darker or hard.

Symptoms include:

  • Swollen legs
  • Muscle cramps, soreness or aching in the legs
  • Tiredness, burning, throbbing or heaviness in the legs
  • Soreness behind the knee
  • Itching around the vein
  • Brown discoloration of the skin, especially around the ankles
Endovascular Laser Ablation

Endovascular laser ablation is a minimally-invasive, one-hour procedure that replaces the surgical stripping and binding commonly associated with varicose vein treatment. Unlike the traditional method, which many patients found very painful and required up to six weeks recovery time, laser vein ablation involves minimal discomfort and immediate recovery for most patients.

This procedure is an option for treating greater saphenous vein incompetence, which causes varicose veins. The laser used in the procedure destroys the greater saphenous vein, relieving the backflow pressure and allows the blood to flow in the right direction. This eliminates the varicose vein and the pain caused by it.


Sclerotherapy eliminates spider veins and some varicose veins by injecting the vein with a solution, called “sclerosing agent.” The vast majority of sclerotherapy patients experience significant clearing of the veins and positive results.

Laser Vein Ablation

Laser Vein Ablation is an outpatient procedure performed in our office. After anesthetizing the skin, an ultrasound of the veins of the leg is performed. Using the ultrasound as a guide, a thin laser fiber is inserted into the vein. A highly concentrated beam of laser light is sent through the fiber, which eliminates the abnormal vein.


This micro-extraction procedure allows for the removal of large surface varicose veins through a micro-incision. The incision or needle puncture is as small as 1 mm, and a hook is then used to extract the varicose vein through the incision.

Cardiac and Vascular Diagnostic Tests

The Vein & Vascular Center offers a wide range of tests including:

  • Abdominal aortic duplex scan
  • Ankle brachial index
  • Bypass graft surveillance ultrasound
  • Carotid duplex scan
  • Echocardiogram
  • Lower extremity arterial duplex scan
  • Lower extremity venous duplex scan
  • Lower extremity venous reflux duplex scan
  • Mesenteric arterial duplex ultrasound
  • Pulse volume recording of upper and lower extremities
  • Renal artery duplex scan
  • Upper extremity arterial duplex ultrasound
  • Upper extremity venous duplex ultrasound
  • Upper and lower extremity vein mapping (for bypass)

Note: A physician order is required for cardiovascular diagnostic testing. Test results will be sent to your physician.

Fact Sheets

Learn more about the different procedures offered at the Vein & Vascular Center through the links below.