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What is the maximum diameter of GSV that EVLT can successfully treat?

L
Luminous343978Jun 14, 2023

What is the max diameter of gsv that evlt or rfa or venaseal can successfully treat? I was told a different opinion then what I've read. If there is femoral vein reflux also is it not worth going through all of it. Can treating the superficial make the deep even worse after?

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Dr. Thomas Wright, MD
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Dr. Thomas Wright, MD
Physician, Board Certified in Venous and Lymphatic Medicine
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Answered on Jan 5, 2025
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EVLT and ultrasound guided scerlotherapy or phlebectomy?

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Treating the superficial venous reflux in the saphenous vein and its tributaries does not harm and often helps the deep venous circulation. Overall your vein circulation in the affected legs will improve with the treatment of the superficial reflux. Yes overall Ultrasound guided sclerotherapy...

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Recovery from EVLT is usually pretty quick and simple, but the recovery from explant is a bit more and longer. 3 weeks might be enough time to mostly recover from your explant surgery, but I would check with your doctors. You may be cutting it too close. Wishing you the best of health.

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Luminous, Thank you for your excellent question. EVLT / Saphenous Thermal Ablations are based on the published literature 93-98% effective in a year. Naturally, that means that somewhere between 2 to 7% of the time Saphenous Vein opens up and may need re treatment. There treatment should not...

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Thomas Wright, MD

EVLT and foam sclerotherapy should not be painful. They are very effective if done by the right hands. We can often treat saphenous veins and varicose veins comprehensively and completely in 4 treatment for each leg, or just 4 treatment if one leg needs treatment.

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A skilled and compassionate surgeon can perform an EVLT without much discomfort. Phlebectomy can be a bit more uncomfortable. I would recommend discussing your concerns with your surgeon they may be able to offer Nitrous Oxide or laughing gas or other medication to help with pain.

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Thomas Wright, MD

EVLT and Varicose Veins can be treated very safely and effectively with local / tumescent anesthesia in an outpatient or office based venue. Today, there is no need to undergo general anesthesia or have the procedures done in a surgery. Both general anesthesia and surgery centers add a good...

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