Vein Treatment: Q&A
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EVLT Type Procedures Worth It for Varicose Veins?
I am a 45 yr old female and have had varicose veins since age 28. I have been unable to wear shorts or skirts or a bathing suit in public for the last 10 years due to how thick and visible my varicose veins are. I've always worn compression hose. Due to aching, my primary dr. referred me to a vascular surgeon. Ultrasound was "normal" he said. He said continue the stockings nothing else. He said EVLT or like procedures are a waste of money. How can that be??
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7 Doctor Answers |
Asked by
jennifer1964
in Temecula,CA
+2
Reasons to undergo EVLT procedures
EVLT is specifically indicated for the endovenous ablation of the greater saphenous vein in cases of venous reflux. If your ultrasound is normal, chances are you would not benefit from EVLT.
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Leg Varicose Vein Procedures, EVLT, Effectiveness
I disagree with the vascular surgeon who saw you and would recommend that you get a 2nd opinion (and a repeat ultrasound as well) by another vascular surgeon, but one that specializes in vein treatments. Based on the description you give, I think it is very likely that you have venous reflux disease and would benefit from treatment. The only way to know if you would truly benefit from an EVLT is by getting a good quality venous reflux ultrasound of the legs. Even if you are...
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EVLT and Venefit Procedures Treat Venous Reflux Disease and Not Varicose Veins
EVLT and VNUS Closure are FDA approved to treat venous reflux disease and not necessarily varicose veins. The VNUS Closure procedure is now called the Venefit Procedure. Often, with EVLT and VNUS Closure procedures the burden of visible varicose veins are reduced. Varicose veins may need additional treatments such as microphlebectomy and sclerotherapy.
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Endovenous treatment for reflux associated with varicose veins
Since you have pain, varicose veins and have worn compression hose without improvement I would recommend a repeat duplex exam done elsewhere. The odds are you have venous reflux of the superficial saphenous system. I personally recommend and perform VNUS endovenous (RF) radiofrequency ablation of the affected saphenous veins since I feel it is safer and less traumatic than EVLT (laser). RF uses temperatures of 85 or 120 degrees celcius and EVLT (laser) uses...
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Symptomatic varicose veins can be treated in many ways
If some time has passed since your last evaluation, I would consider getting another duplex ultrasound evaluating the deep and superficial venous systems for venous reflux. Occasionally, reflux is not apparent or difficult to see on certain days. It sounds like you have symptomatic venous disease. If reflux is NOT found again then superficial foam sclerotherapy or microphlebectomy can also be good options for localized disease and pain relief.
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Varicose veins treatment
EVLT and simmilar procedures work very well, I have seen very good results.
Those veins that EVLT cannot reach or get, can be treated by surgical excision through very small incisions along the course of the vein.
Baltimore Plastic Surgeon
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Venous obstruction can give aching painful legs that may need more than just EVLT
You probably have problems that are deeper than just varicose veins. There are different types of deep venous obstruction and deep venous obstruction is not treated by EVLT.
LONG ANSWER: EVLT works for veins that are bad in certain superficial Saphenous Veins. An ultrasound ordered by a board certified vascular surgeon would be able to determine this. As your vascular surgeon's ultrasound examination was "normal" your...
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Austin General Surgeon
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