We recommend you follow up with your vein specialist and would also recommend an ultrasound examination to determine if a cause of your edema can be found. MRI gives a good anatomical picture, but does not show the veins as well as ultrasound, nor does MRI show the function of veins/valves. Your edema is more likely secondary to recurrent disease and is unlikely to be a complication of ELA or phlebectomy.

Published on Jul 11, 2012

It has been a complication from the procedure, but typically not for long periods of time, a few weeks, to maybe a few months. It sounds to me like you did not have a full treatment. Normally people don't just need an ablations and phlebectomy, but sclerotherapy is an important part of that treatment. There could very well be other varicose veins that are contributing to the swelling you are having. Make sure you find a physician who is accredited by the American College of Phlebology. On the website you can find a physician in your area.

Published on Jul 11, 2012

It is unlikely to be related to the procedure 18 months later. Try wearing a knee length compression hose.

Published on Jul 11, 2012

Any time that you close any vessel(s) down, like what you had done 6 months ago, can result in a redistribution of blood to adjacent vessels. The result can be added congestion and in turn edema or some other symptom. This is precisely why treatment for vein issues should be an ongoing thing. You need to remember that vein disease is inherited. Thus getting treatment once or twice will not cure your vein issues. As for the edema, there are many causes of swelling in the legs from heart to liver to kidney to vein, etc. Assuming your swelling is entirely vein related, the solution is typically to have your legs re-evaluated from a vein standpoint and have it treated.

Published on Jul 11, 2012

It is unlikely that a complication from treatment would show up eighteen months later. I would look for a different cause.

Published on Jul 11, 2012

Yes, absolutely. However, you need to have a follow-up ultrasound to see if there are any contributing factors such as blood clots or other refluxing veins.

Published on Jul 11, 2012

Yes, edema after these procedure occurs with some frequency. I would recommend following up with your surgeon for evaluation and treatment of this complication.

Published on Jul 11, 2012

Yes, this is possible and can occur if you have recurrent reflux developing in the lower legs. Remember that venous reflux is an on-going problem and the internal pressures that lead to valve dysfunction can and do progress. Obtaining a repeat venous duplex ultrasound with compressions would be the best way to evaluate this possible recurrence. If this is negative, then your should be looked for other possible causes of lower leg edema, associated with the kidneys or the heart.

Published on Jul 11, 2012

You need to be seen by a Phlebologist to do a complete work up. You might have other veins like perforator veins that might venous insufficiency that need to be treated. In meanwhile try to exercise and wear compression stocking and try to see your doctor.

Published on Jul 11, 2012

I have seen ankle and lower leg edema post GSV ablation and microphlebectomies occurring usually within two weeks of the procedure and lasting up to six months post procedure. This is due to lymphatic engorgement post surgery. It's unlikely that swelling so long after the procedure would be due to the venous ablation. I would look for another source of the edema.

Published on Jul 11, 2012

Yes, for a short while.

Published on Jul 11, 2012