Spider veins and varicose veins are often associated with reflux or backwards flow in larger veins that transmit pressure to the smaller veins causing them to enlarge. An ultrasound evaluation can determine which of these veins are affected. Treatment with EVLT of these larger veins eliminates the source of pressure and makes it less likely to develop complex spider and/or varicose veins in the future. The smaller veins that are already there should be treated with sclerotherapy after EVLT for the best results.
Does EVLT work to prevent future spider veins?
Doctor Answers 11
Future Spider Veins
Veins with poorly functioning valves will dilate. The patient can develop rope-like varicose veins. This also increases spider veins. When the cause is treated - both the rope-like veins disappear and spider veins lessen.
EVLT and future spider veins
EVLT treatment in the presence of saphenous vein reflux will improve the appearance of spider veins but generally won't completely clear them without combined sclerotherapy treatment. With EVLT done correctly the chances of "significant" spider vein complexes in the future is significantly reduced.
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Spider veins in the future
By treating the varicose or insufficient veins, spider veins should decrease in the future. The varicose veins or veins with insufficiency increase the pressure downstream in the veins and make spider veins more likely. By treating the source of the problem or by getting rid of the varicose veins feeding the area of the spider veins, these spider veins should lessen
Dr. Daniel Ritacca
EVLT and Future Spider Veins
Hope this helps and take care,
EVLT and spider veins - or Varithena for chemical ablation of saphenous veins (Buffalo, NY)
Varithena is another option to chemically ablate saphenous veins for saphenofemoral venous reflux.
Varithena was approved by the FDA 3 weeks ago as of this update (November 10, 2014) - it shows only 80% success in closing saphenous veins - versus > 95% for the gold standard ablation techniques such VNUS Closure and EVLT (98%). This is still considered a promising technique with no long term outcome studies other than FDA trials.
Endovenous LASER therapy and spider vein prevention
Does EVLT Work for Preventing Future Veins
With that said, the condition that causes spider veins and varicose veins is not being "cured". Rather you are getting better and trying to maintain your current situation. You will see deterioration of the vascular system again as you age and this can lead to more varicose or spider veins.
If the vessels are small (spider veins) you have options like sclerotherapy and (external) laser treatments. Good luck.
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.