My dr said they'll only do 1 vein per day and an ultrasound after each visit. Does this make any sense? Thank you!
Doctor Answers 8
Multiple veins multiple treatments
in a healthy individual there is no contraindication to treat more than 1 vein on the same leg. Clot formation can be missed if ultrasound is performed too early. I would get a second opinion as to why this decision is being used. You do own your medical records and are entitled to get copies.
It is most common to do one vein per day. We often will combine some smaller or accessory veins with larger veins to expedite the procedures. Some insurances now ask that 2 veins be done together depending on which veins they are. Medicare wants the GSV and SSV performed on the same day. Sometimes this is possible. Sometimes, a person's veins may spasm or their blood pressure drops from the sight of needles or blood and this becomes difficult. I would discuss with your doctor the possibility of combining some of the procedures to help you time wise.
Multiple veins on same day
The common practice is to do one vein at a time and is usually followed by an ultrasound. If there is an accessory vein that needs treatment then that can be combined with GSV ablation. I have treated SSVs on both legs in one setting if needed. So overall depends on the patient and surgeon comfort level. Its hard to treat GSV and SSV at same time but can be done.
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Multiple procedures for vein ablation
It is common to have different veins treated on different days. There are a variety of reasons for this. An ultrasound following the procedure is also appropriate. However, 5 veins on 5 separate days seems like a bit much, without knowing all of the specific details. In most instances, any veins beyond 4 that need to be treated are accessory veins and they can often be treated at the same setting as the other veins. It is important to remember that every case is different and your treating doctor should be willing to answer questions related to your specific case.
Single vs Multiple Ablations in One Day
Multiple ablation procedures
Most board certified vein specialists (phlebologists) will do a scan several days after each ablation procedure to ensure that there is no clot formation.
Sometimes, not often, venous ablations can be combined, where more than one vein is treated at one visit.
This depends on whether the same laser technology is used for each vein - sometimes a perforator vein is treated and this is a different laser than the laser used for ablation of the saphenous vein.
So, to answer your question - it is not ridiculous - your physician is being cautious and doing what is recommended in the published phlebology literature.
You should check his/her credentials on the Phlebology.org website - this may make you more comfortable.
Doing several ablations in one session increases risk for deep vein clots and that is why they are done as stand alone procedures.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.