Varicose veins treatment for Marfan syndrome

Question

What is the best treatment option for varicose veins in patient with Marfan syndrome? Sclerotherapy, surgery or laser? Thank you.

Raffy Karamanoukian, MD, FACS · Answer

Our office specializes in varicose vein treatment in Los Angeles. The first step would be a diagnostic vein ultrasound with vein mapping to diagnose the root cause of your varicose veins. Raffy Karamanoukian MD FACS

Hratch Karamanoukian, MD, FACS · Answer

The Marfan syndrome or patients with Marfan habitus and characteristics are known to have aneurysmal dilation of arteries and heart valves and not necessarily veins or venous structures. A thorough evaluation by Duplex venous scan - Doppler and ultrasound - by a certified vein specialit will help guide the best treatment(s) in a patient with Marfan syndrome.

John Landi, MD · Answer

Varicose veins are due to malfunctioning (refluxing) valves usually of the saphenous system of veins.  You should undergo a full venous evaluation by a vein specialist including a full venous ultrasound to look at both the deep system and the superficial system.  This exam will help to diagnose the problem and formulate a treatment plan.  Marfan's is not a contraindication to vein treatment.  If you have varicose veins and refluxing valves, then you may be a candidate for laser vein closure. Sclerotherapy is done primarily for spider veins and sometimes for varicose veins and surgery for varicose veins in done very infrequently.  Microphlebectomies (2mm punctures) are usually done in conjunction with laser closure to remove the varicose veins once the valves are sealed.

Varicose veins treatment for Marfan syndrome

Answers (3)

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