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Yakima vein treatment

VeinDynamics is a program of Yakima Vascular Associates. Yakima Vascular's board certified vascular surgeons and staff are dedicated to the therapeutic and cosmetic treatment of vein problems.

Varicose veins

Varicose veins are swollen veins on legs or ankles that look like grape clusters or large ropes. This unsightly condition occurs when the one-way valve in our veins fail, causing blood to back up in the vein creating pressure build-up. Twenty five million Americans suffer varicose veins, and women are more likely than men to develop varicose veins. Varicose veins can cause dull, aching pain and swelling that is generally worse at the end of the day or after long periods of standing or sitting. There are many factors contributing to varicose veins including heredity, pregnancy, hormonal changes, obesity, standing or sitting for long periods of time, aging or injury. For some people, untreated varicose veins can lead to skin ulcers, bleeding or inflammation (phlebitis).

Treatment options

Endovenous Laser Therapy (EVLT)

This minimally invasive treatment is a safe and highly effective for varicose veins. An endovenous laser is inserted into the greater saphenous vein through an entry point no larger than a needle point. As the laser is pulled out, it pulses and essentially closes the vein. The procedure is performed in a doctor's office and does not require general anesthesia. It lasts about 30-60 minutes with results typically seen after the first treatment. There is minimal pain and patients often return to work or their normal routine within a few days.

To learn more about laser vein therapy, click here »


Microphlebotomy removes varicose veins through several tiny incisions. No sutures are needed to close the small incisions. The procedure is performed in the office with local anesthesia (numbing medication). There is almost no discomfort with this procedure.

Spider Veins

Spider veins are small, thread-like blood vessels near the surface of the skin. They typically occur in the legs or ankles and only measure 1-2 mm in diameter. They may be red or blue colored and often look like spider webs. Spider veins can be unsightly and may also cause aching in the legs, especially after long periods of standing or sitting.


A chemical solution is injected into the abnormal vein with a microneedle. This irritates the vein and causes it to collapse and fade away with time. Multiple treatments may be needed. There is almost no discomfort with this procedure.

Payment Options

Insurance may cover the cost of varicose vein treatment. Billing coordinators will assist in determining your insurance coverage. Most often, spider vein treatments are not covered by insurance. Information about the cost of eliminating spider veins is provided prior to treatment. Contact our office for pricing.

About Us

Yakima vein treatment

Lorena DeMarco Garcia, MD
Vascular Surgeon

Dr. De Marco Garcia grew up in Argentina and earned a medical degree from the University of Buenos Aires School of Medicine. She completed a general surgery residency and vascular surgery fellowship at North Shore University Hospital -Long Island Jewish Medical Center in Manhasset, New York. She is board certified in general surgery and board-eligible in vascular surgery.

Her philosophy of care is to work as a team to improve a patient's quality of life.

Dr. De Marco Garcia has a variety of interests. In her spare time she enjoys the outdoor recreation the Pacific Northwest has to offer, traveling, art, horseback riding, scuba diving, tennis, and World Cup soccer.

Dr Tanwani

Tekchand Tanwani, MD
General Surgeon

Dr. Tekchand Tanwani grew up in southern Pakistan in a small town about the size of Yakima. He earned a medical degree from the University of Karachi in Pakistan. He completed a residency in general surgery at Northshore University Medical Center in Long Island, N.Y. and is board certified by the American College of Surgeons and the American College of Phlebology.

Dr. Tanwani belongs to a family of physicians and considers medicine a noble and rewarding profession. He enjoys spending time with patients and educating them about their care, employing honesty and a passion for his work.

Dr. Tanwani moved to Yakima in 1998 and enjoyed the weather, community and the landscape so much that he and his wife decided to stay in Yakima and raise their two children here.

Katherine Warner, DO

Katherine Warner, DO

Medical school: Doctor of osteopathic medicine, Kansas City University of Medicine and Biosciences, Kansas City, MO

Residency: Department of Surgery, University of South Carolina School of Medicine, Columbia, S.C.

Fellowship: Department of Vascular Surgery, University of Tennessee Medical Center, Knoxville, TN

What inspired you to choose medicine?  I come from a small community and our physicians were the go-to people in our town. I wanted to be one of those people. If you have good medical care within your community it makes you stronger.

Why did you choose your specialty? I wanted to do surgery, and when I did my rotation in vascular surgery I loved it. You have the potential to make a great impact on patients.

What is your philosophy of care? I see and treat the whole patient. Establishing a relationship with the patient is very important to me.

What do you like about Yakima? I like the outdoor activities. We have all the seasons here and there are still lots of things to do.

What do you like to do outside of work? Hiking and spending time with family; we enjoy cooking and I hope to do that more. I have a 2-year-old daughter and she keeps us busy.

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