Most vein procedures are done under local and tumescent anesthesia without the need for iv sedation or general anesthesia. If your ejection fraction is normal and you are cardiac stable, there should be no contraindication to treating your veins with the above methods.

Published on Jul 11, 2012

We would have to perform a clinical evaluation of your legs in order to tell if the procedure would be safe.

Published on Jul 11, 2012

I see no reason not to have your legs treated. The procedures be done in the office under local anesthetic.

Published on Jul 11, 2012

If you had previous thrombosis, a coagulation work-up has to be done first to determine if you need to be treated.

Published on Jul 11, 2012

I see no reason that your history would preclude you from having any vein procedure. By "clots" I presume you mean that you had clots in the heart from the cardiomyopathy? This would not preclude any vein treatments, in my opinion. Only clots in the legs in the past would be a concern and, even then, one can usually proceed but with strong consideration of a short course of blood thinners around the time of treatment. If clots were cardiac, this is not necessary.

Published on Jul 11, 2012

You would need a full evaluation by a vein specialist to make sure you are safe to proceed.

Published on Jul 11, 2012

I have treated many patients with mildly compromised cardiac function. I would say if your cardiologist is comfortable with your heart function, you're "good to go."

Published on Jul 11, 2012

Great question. There are no contraindications, however, you should be cleared again by your primary care physician when you know what procedures will be performed. You should only be treated by a board certified surgeon/vascular surgeon who specializes in venous disease. His/her evaluation will consist of a thorough medical history, physical exam and comprehensive duplex ultrasound scan. We have treated many patients in our practice with varying anomalies with excellent outcomes.

Published on Jul 11, 2012

I don't have experience with this particular condition, but I think if you have clearance from your cardiologist, you can proceed. You should receive an ultrasound of your leg veins first to determine which veins should be treated first. Laser light is generally used to treat the most superficial veins. You want to determine if deeper veins are abnormal, as they should be treated first.

Published on Jul 11, 2012

I would have no specific concerns for treating you at this time, unless there is something else of concern in your medical history.

Published on Jul 11, 2012

Being a cardiologist and a vein specialist, I have encountered many patients like you. The treatments can proceed now, if your cardiomyopathy has subsided. By the way, that it is great news, I am happy for you!

Published on Jul 11, 2012

If everything is back to normal and you have been cleared by your cardiologist, then your risk for minimally invasive vein treatments should be no different than any other patient.

Published on Jul 11, 2012

If the cardiomyopathy is stable and you are cleared by your cardiologist, the varicose vein surgery is most likely safe to pursue. Varicose vein surgery can be done in the office under local anesthesia. But, the risk/benefit is individualized and needs to be discussed with your Phlebologist and Cardiologist.

Published on Jul 11, 2012

You should be OK to proceed with varicose vein treatment based on your history. It is advised that you double check with your cardiologist first, though, as he is more familiar with you and your history.

Published on Jul 11, 2012