Are venous reflux exams required before varicose vein treatment?

Do I need to have a venous reflux exam before endovenous ablation procedures? I have very obvious varicose veins on one leg, and already know i want to have them treated with ELA.

Answers from doctors (9)


Absolutely. Your veins, both in the superficial and deep systems, need to be fully evaluated.

Answered by Varicose Vein Laser Center & Med Spa (View Profile)

Absolutely. Your veins, both in the superficial and deep systems, need to be fully evaluated.

Published on Jul 11, 2012


Metro Vein Centers

Published on Jul 27, 2018

Yes, it is required.

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Answered by Metro Vein Centers

Yes, it is required.

Published on Jul 11, 2012


Megan E. Deacon-Casey, M.D.

Published on Jul 27, 2018

Once you have varicose veins you definitely have venous reflux and chronic venous insufficiency. However, a definitive diagnosis is necessary for evaluation and documentation of your disease. The ultrasound exam is comprehensive and involves the evaluation of your deep and superficial systems. Other incidental findings may also be found on the exam. Before treatment can be performed, insurance requires documentation as well to determine the vessel involved, vessel size as well as the amount or reflux in each vein segment. Please do not skip this step. If you have not done so already please start wearing graduated compression socks/stockings.
Good luck with your vein treatments.

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Answered by Megan E. Deacon-Casey, M.D.

Once you have varicose veins you definitely have venous reflux and chronic venous insufficiency. However, a definitive diagnosis is necessary for evaluation and documentation of your disease. The ultrasound exam is comprehensive and involves the evaluation of your deep and superficial systems. Other incidental findings may also be found on the exam. Before treatment can be performed, insurance requires documentation as well to determine the vessel involved, vessel size as well as the amount or reflux in each vein segment. Please do not skip this step. If you have not done so already please start wearing graduated compression socks/stockings.
Good luck with your vein treatments.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Sep 06, 2010

A venous reflux should absolutely be done before any varicose vein treatment. The exam should look at both the deep and superficial system of veins and it will also detect any unusual anatomy as well as any vein duplications that may need to be treated. In addition, it will serve as a baseline for any additional treatment if necessary and also as a comparison to a post procedure scan.

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Answered by Vanish Vein and Laser Center

A venous reflux should absolutely be done before any varicose vein treatment. The exam should look at both the deep and superficial system of veins and it will also detect any unusual anatomy as well as any vein duplications that may need to be treated. In addition, it will serve as a baseline for any additional treatment if necessary and also as a comparison to a post procedure scan.

Published on Jul 11, 2012


More About Doctor Laser Vein Center

Published on Jan 22, 2010

Venous reflux exams are very important prior to any vein procedure. Not only will define the severety of the problem, but most important gives a precise information about the antomy and that is crucial at the time of the EVLT procedure.
Besides many insurance companies will not authorize the procedure unless there is a venus exam confirming the presence of reflux.

Answered by Laser Vein Center (View Profile)

Venous reflux exams are very important prior to any vein procedure. Not only will define the severety of the problem, but most important gives a precise information about the antomy and that is crucial at the time of the EVLT procedure.
Besides many insurance companies will not authorize the procedure unless there is a venus exam confirming the presence of reflux.

Published on Jul 11, 2012


Miller Vein

Published on Jan 07, 2010

Yes. The venous reflux exam will provide your physician with the important information such as which vein(s) to treat as well as provide a roadmap for therapy.

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Answered by Miller Vein

Yes. The venous reflux exam will provide your physician with the important information such as which vein(s) to treat as well as provide a roadmap for therapy.

Published on Jul 11, 2012


Angelo N. Makris MD

Published on Jan 05, 2010

It is absolutely necessary. It will determine the truncal source of your varicosities. It is the truncal source that is ablated and not the varicosities .

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Answered by Angelo N. Makris MD

It is absolutely necessary. It will determine the truncal source of your varicosities. It is the truncal source that is ablated and not the varicosities .

Published on Jul 11, 2012


Heart and Vein Center

Published on Jan 05, 2010

Venous reflux exams are very important prior to any vein procedure. Not only will define the severety of the problem, but most important gives a precise information about the antomy and that is crucial at the time of the EVLT procedure.
Besides many insurance companies will not authorize the procedure unless there is a venus exam confirming the presence of reflux.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/923_1408044082.jpg
Answered by Heart and Vein Center

Venous reflux exams are very important prior to any vein procedure. Not only will define the severety of the problem, but most important gives a precise information about the antomy and that is crucial at the time of the EVLT procedure.
Besides many insurance companies will not authorize the procedure unless there is a venus exam confirming the presence of reflux.

Published on Jul 11, 2012


VeinCare Centers of Tennessee

Published on Jan 05, 2010

A detailed venous reflux exam is essential to making decisions about exactly what veins to treat. Most of the abnormal veins are not seen on external visual exam and the underlying veins must be evaluated for valvular incompetence, venous thrombosis, or other causes of obstruction.

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Answered by VeinCare Centers of Tennessee

A detailed venous reflux exam is essential to making decisions about exactly what veins to treat. Most of the abnormal veins are not seen on external visual exam and the underlying veins must be evaluated for valvular incompetence, venous thrombosis, or other causes of obstruction.

Published on Jul 11, 2012


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