Can anticoagulants affect the outcome of my endovenous laser ablation procedure?

I plan to have endovenous laser ablation and scherotherapy. Over the years, I have had a few surface blood clots but no deep vein thrombosis (DVT). The doctor plans to have me take Lovenox injections for 5 days around the procedure. Does anticoagulation sound reasonable and will it affect the outcome?

Answers from doctors (10)


More About Doctor Laser Vein Center

Published on May 09, 2013

No, there was a study that showed that anticoagulants do not affect the success of endovenous laser ablation.

Answered by Laser Vein Center (View Profile)

No, there was a study that showed that anticoagulants do not affect the success of endovenous laser ablation.

Published on Jul 11, 2012


Arizona Vein Specialists

Published on Apr 30, 2013

Anticoagulation is looked at as a protective measure if the patient is prone to blood clots. They will not affect the endovenous laser ablation procedure.

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Answered by Arizona Vein Specialists

Anticoagulation is looked at as a protective measure if the patient is prone to blood clots. They will not affect the endovenous laser ablation procedure.

Published on Jul 11, 2012


Americas Vein Centers - Southborough

Published on Apr 30, 2013

Since you have had a few surface blood clots and may be at risk for deeper clots, it is reasonable for your doctor to place you on anticoagulants in preparation for the endovenous laser ablation procedure.

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Answered by Americas Vein Centers - Southborough

Since you have had a few surface blood clots and may be at risk for deeper clots, it is reasonable for your doctor to place you on anticoagulants in preparation for the endovenous laser ablation procedure.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Apr 30, 2013

Anticoagulation should be safe.

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Answered by Cosmetic Vein Centers of Texas

Anticoagulation should be safe.

Published on Jul 11, 2012


Milford Vascular Institute

Published on Apr 30, 2013

The doctor will probably stop your Lovenox the day before your procedure, so it should not have any affect on the success of your procedure. Lovenox is used routinely for anybody who is at increased risk for blood clots. Although you have never had any deep vein thrombosis, because of your phlebitis history, your risk is slightly increased. Anticoagulation would be a reasonable consideration given your condition.

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Answered by Milford Vascular Institute

The doctor will probably stop your Lovenox the day before your procedure, so it should not have any affect on the success of your procedure. Lovenox is used routinely for anybody who is at increased risk for blood clots. Although you have never had any deep vein thrombosis, because of your phlebitis history, your risk is slightly increased. Anticoagulation would be a reasonable consideration given your condition.

Published on Jul 11, 2012


Heart and Vein Center

Published on Apr 29, 2013

I would not use Lovenox if you only had superficial thrombophlebitis in the past. It is not necessary. The endovenous laser ablation procedure would be safe without it.

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Answered by Heart and Vein Center

I would not use Lovenox if you only had superficial thrombophlebitis in the past. It is not necessary. The endovenous laser ablation procedure would be safe without it.

Published on Jul 11, 2012


Intermountain Vein Center

Published on Apr 29, 2013

Usually not with superficial vein thrombosos (SVT). Most of the time, DVT is not a concern even with history of SVT, but if that is what your physician wants, then there is probably another reason for it other than the information you provided.

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Answered by Intermountain Vein Center

Usually not with superficial vein thrombosos (SVT). Most of the time, DVT is not a concern even with history of SVT, but if that is what your physician wants, then there is probably another reason for it other than the information you provided.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Apr 29, 2013

Great question. Anticoagulation should not affect the outcome of the endovenous laser ablation procedure. If a patient is on Coumadin, we typically do not ask them to stop taking it before their procedure. Patients with clotting disorders are routinely prescribed Lovenox before and after their procedures with no adverse effects. We do, however, have you wear your compression hose for a longer period of time post-operatively.

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Answered by Vein Specialties of St. Louis

Great question. Anticoagulation should not affect the outcome of the endovenous laser ablation procedure. If a patient is on Coumadin, we typically do not ask them to stop taking it before their procedure. Patients with clotting disorders are routinely prescribed Lovenox before and after their procedures with no adverse effects. We do, however, have you wear your compression hose for a longer period of time post-operatively.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Apr 29, 2013

I would not use Lovenox if you did not have a prior deep vein thrombosis. I also do not routinely use anticoagulation when doing endovenous laser ablation procedures.

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Answered by Vanish Vein and Laser Center

I would not use Lovenox if you did not have a prior deep vein thrombosis. I also do not routinely use anticoagulation when doing endovenous laser ablation procedures.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Apr 29, 2013

Not sure why you would need Lovenox, unless you are at increased risk of DVT. Lovenox may decrease chances of closure, but it will likely still close.

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Answered by Bella MD Laser Vein and Aesthetic Center

Not sure why you would need Lovenox, unless you are at increased risk of DVT. Lovenox may decrease chances of closure, but it will likely still close.

Published on Jul 11, 2012


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