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

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
Physician, Board Certified in Venous and Lymphatic Medicine
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Answered on Jan 5, 2025
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Joseph Cipriano, DO

Common femoral and femoral reflux is a representation of deep system reflux and are reflections of the same problem downstream. This can communicate to the superficial system and give rise to insufficiency in the GSV, SSV and give rise therefore to spider veins, reticular veins and varicosities....

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Brian Heeringa, MD, FACS

3 weeks should be fine. While DVT is an uncommon complication, it is a risk of EVLT. Surgery/general anesthesia also have a slight risk of DVT so we like to avoid "stacking risks". Having said that, if you are up and walking and able to stay active then you should be fine to proceed with your...

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Thomas Wright, MD

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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