How serious is venous reflux? Will the diseased veins be better after VNUS closure?

My husband is 34 years old and has horrible varicose veins. The doctor told him that he has reflux in a number of the superficial and deep veins. It was recommended that he get a VNUS closure. How serious is venous reflux? Will the deep veins get better after the procedure?

Answers from doctors (4)


Vein Clinic of North Carolina

Published on Jul 01, 2013

Venous reflux does not go away without treatment. VNUS closure is a minimally invasive treatment that is usually done in an office setting. If your husband has reflux in the deep veins, treating the superficial veins will help a lot. Blood automatically starts going through veins that are working once the closure is done. I do recommend that gets treatment verses waiting. If skin changes are present, then it's absolutely time to get treatment because it may signal ulceration. Most insurance companies provide benefits for treatment if the physician he is seeing is within their network.

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Answered by Vein Clinic of North Carolina

Venous reflux does not go away without treatment. VNUS closure is a minimally invasive treatment that is usually done in an office setting. If your husband has reflux in the deep veins, treating the superficial veins will help a lot. Blood automatically starts going through veins that are working once the closure is done. I do recommend that gets treatment verses waiting. If skin changes are present, then it's absolutely time to get treatment because it may signal ulceration. Most insurance companies provide benefits for treatment if the physician he is seeing is within their network.

Published on Jul 11, 2012


VeinSolutions - Edina

Published on Jul 01, 2013

The VNUS closure is a very good procedure to address incompetence in the greater or lesser saphenous vein. This vein is part of the superficial venous system, and the VNUS closure is usually combined with microstab phlebectomies, which is the surgical procedure done to remove the actual varicosities. As for the reflux in your husband's deep system, the only therapeutic modality that can be used safely is compression hose. Most likely, his vascular surgeon has already recommended that he wear compression hose during his waking hours and with reflux and incompetence in the deep venous system, he will probably need to wear them from now on.

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Answered by VeinSolutions - Edina

The VNUS closure is a very good procedure to address incompetence in the greater or lesser saphenous vein. This vein is part of the superficial venous system, and the VNUS closure is usually combined with microstab phlebectomies, which is the surgical procedure done to remove the actual varicosities. As for the reflux in your husband's deep system, the only therapeutic modality that can be used safely is compression hose. Most likely, his vascular surgeon has already recommended that he wear compression hose during his waking hours and with reflux and incompetence in the deep venous system, he will probably need to wear them from now on.

Published on Jul 11, 2012


South Palm Cardiovascular Associates

Published on Jun 28, 2013

Venous reflux will never lead to blood clots, amputations, stroke, etc. It is truly an issue of symptoms. As for the VNUS closure procedure, it should only be performed if your husband is having symptoms in his lower leg. It is disappointing that the physician did not review all of this with you. If not, perhaps you should find somebody else.

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Answered by South Palm Cardiovascular Associates

Venous reflux will never lead to blood clots, amputations, stroke, etc. It is truly an issue of symptoms. As for the VNUS closure procedure, it should only be performed if your husband is having symptoms in his lower leg. It is disappointing that the physician did not review all of this with you. If not, perhaps you should find somebody else.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 27, 2013

Venous reflux is progressive and can become a chronic problem that eventually leads to chronic venous insufficiency, venous stasis, leg swelling and ultimately a venous ulcer. However, this result is the extreme and takes a long time to develop. If your husband had varicose veins and reflux, he should have a closure procedure. Reflux of the deep veins has nothing to do with varicose veins, but can lead to leg swelling and venous stasis over time. The treatment for deep reflux is support hose.

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Answered by Vanish Vein and Laser Center

Venous reflux is progressive and can become a chronic problem that eventually leads to chronic venous insufficiency, venous stasis, leg swelling and ultimately a venous ulcer. However, this result is the extreme and takes a long time to develop. If your husband had varicose veins and reflux, he should have a closure procedure. Reflux of the deep veins has nothing to do with varicose veins, but can lead to leg swelling and venous stasis over time. The treatment for deep reflux is support hose.

Published on Jul 11, 2012


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