Who wouldn't be a good candidate for VNUS/ELVT procedures?

Who would not be a good candidate for VNUS/ELVT procedures?

Answers from doctors (4)


Vein Specialties of St. Louis

Published on May 04, 2017

Someone with severe deep vein reflux isn't a candidate, as the superficial veins may still be assisting in returning blood to the heart. Those with very superficial saphenous veins, usually the long saphenous, are not candidates as the vein is just below the skin and there is increased risk of pigmentation and or skin damage. There are alternate minimally invasive treatments available for them.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/623_1499902138.jpg
Answered by Vein Specialties of St. Louis

Someone with severe deep vein reflux isn't a candidate, as the superficial veins may still be assisting in returning blood to the heart. Those with very superficial saphenous veins, usually the long saphenous, are not candidates as the vein is just below the skin and there is increased risk of pigmentation and or skin damage. There are alternate minimally invasive treatments available for them.

Published on Jul 11, 2012


VEININNOVATIONS

Published on May 04, 2017

Anyone with a history of DVT, Pulmonary Embolus or a clotting disorder is not a good candidate for the procedure. A person that is not ambulatory and therefore cannot walk after the procedure is also at risk for complications. You really need to make a decision on a case by case basis to determine if there are any risks that outweigh the possible benefits of treatment.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8254_1483030451.jpg
Answered by VEININNOVATIONS

Anyone with a history of DVT, Pulmonary Embolus or a clotting disorder is not a good candidate for the procedure. A person that is not ambulatory and therefore cannot walk after the procedure is also at risk for complications. You really need to make a decision on a case by case basis to determine if there are any risks that outweigh the possible benefits of treatment.

Published on Jul 11, 2012


Vein Specialists

Published on May 18, 2011

Those who do not have insufficiency of the superficial axial saphenous
veins (great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and just have deep vein
insufficiency or no insufficiency at all would not be good candidates for
endovenous ablation. The better way to ask and answer that question is to
query who is a good candidate for these procedures. Patients with
clinically significant symptoms of venous insufficiency such as venous
ulcers, bleeding varicose veins, skin changes in the distal leg or ankle
areas, large painful bulging varicose veins, swollen achy legs and/or
restless legs syndrome, nighttime leg cramps and who have ultrasound
evidence of significant insufficiency of the superficial axial saphenous
veins(great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and have failed to respond to a
trial of elevation and compression hose are good candidates for endovenous
ablation using either laser or radiofrequency technology.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/740_1408044075.jpg
Answered by Vein Specialists

Those who do not have insufficiency of the superficial axial saphenous
veins (great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and just have deep vein
insufficiency or no insufficiency at all would not be good candidates for
endovenous ablation. The better way to ask and answer that question is to
query who is a good candidate for these procedures. Patients with
clinically significant symptoms of venous insufficiency such as venous
ulcers, bleeding varicose veins, skin changes in the distal leg or ankle
areas, large painful bulging varicose veins, swollen achy legs and/or
restless legs syndrome, nighttime leg cramps and who have ultrasound
evidence of significant insufficiency of the superficial axial saphenous
veins(great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and have failed to respond to a
trial of elevation and compression hose are good candidates for endovenous
ablation using either laser or radiofrequency technology.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Apr 25, 2011

These procedures are closure procedures to seal leaking saphenous or accessory vein valves. People who do not have reflux(leaking valves) would not be candidates for the procedure.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

These procedures are closure procedures to seal leaking saphenous or accessory vein valves. People who do not have reflux(leaking valves) would not be candidates for the procedure.

Published on Jul 11, 2012


Related Questions for VNUS

VNUS -7 answers
I am 34 years old and want to proceed with VNUS and phlebectomy as a treatment for saphenous vein reflux. I have unsightly red, blue, and brown spots and enlarged veins on my feet. Are there any long-term effects of saphenous vein removal to consider?
See More
VNUS -8 answers
I am 34 years old and have severe spider veins. My legs ache sometimes, but there is no sign of swelling. My left GS has .66 sec reflux. The right was WNL. I am a runner and of normal weight. A vascular surgeon has suggested the VNUS closure procedure. I am nervous. What are the risks vs benefits?
See More
VNUS -12 answers
I am a skinny 25 year old who has never been pregnant. I live an active lifestyle and maintain a healthy diet. I work out for an hour a day, plus I take my dog on 3-4 walks a day. I don't keep my legs crossed and I wear compression socks. Why do I have varicose veins?
See More
VNUS -10 answers
I had VNUS radio-frequency ablation (from knee to my groin) 2 weeks ago with a review scheduled in 4 weeks. The unsightly vein in my calf is now reduced, but is still about 30 percent the size it was previously. Will it reduce completely and finally disappear? How long would this take?
See More
VNUS -9 answers
I had the VNUS closure 9 days ago, and until now the part around and below the area where I had the incision is still numb. Every once in a while I experience some sharp, tolerable pain near my ankle. Are these side effects normal?
See More
VNUS -8 answers
Does the procedure have down time?
See More
VNUS -8 answers
I had vnus closure on both legs in July/August 2011. I recently increased my exercise to get my legs in shape. I now have dark blue veins appearing, getting worse by the minute down my entire outer thighs, back of legs, and back of knees and calves. Why is this?
See More
VNUS -7 answers
I've heard that squatting puts added pressure on your leg veins, which is not good for people prone to varicose veins. I've also heard that squatting is a good exercise for people with vein issues. Which is true? Is it safe to squat 7 weeks after the VNUS closure procedure?
See More
VNUS -9 answers
I need to have the VNUS procedure done, and the doctor I was referred to said they have a nurse practitioner who does this VNUS procedure. Is that safe? Is that legal? I thought only physicians (MDs) were authorized to perform the VNUS procedure.
See More
VNUS -8 answers
I had the VNUS closure procedure done almost five weeks ago and still have swollen, tender and cord-like veins on the inside of my leg. When will they disappear? Also, can sleeping on my side with the veins pressing against the mattress delay the healing?
See More
Get answers from our experienced doctors.
How it works
VNUS -8 answers
It has been suggested by a vascular surgeon that I have CVI or venous reflux. She performed sclerotherapy yesterday on my ankle after a spider vein burst. She suggested that I may be a candidate for VNUS, but my weight is a concern (I am 375 at 5'8").
See More
VNUS -5 answers
How is it different from EVLT and ELVeS?
See More
VNUS -2 answers
Ijust had VNUS closure surgery 4 days ago and the pain is minimal. But, I did notice today it feels like there is a throbbing or heartbeat, almost like a twitching or pumping in my upper leg. It doesn't hurt. Is this normal? What's causing the pulsing/throbbing? Also, am I able to tan (tanning bed or stand up) if I wear my support hose so my leg is not directly exposed to the light, and if I don't use tanning lotion on the leg?? When will the fat, worm-like veins go down or look better?
See More
VNUS -5 answers
I just had the VNUS closure procedure this AM. Is it normal to feel nauseated and just a little light headed since the procedure?
See More
VNUS -4 answers
I had the procedure done a little over three weeks ago and am still having pain/heaviness. It was started at the ankle and up to my groin. Does that mean the vein has not fully closed?
See More
VNUS -5 answers
I had VNUS surgery 3 years ago on my left leg. I have a dull ache in my leg that I never had before surgery. I especially notice it at night in bed. It often bothers me enough to wake me up. I never had the ache before surgery. What causes this?
See More
VNUS -3 answers
I had VNUS done a year ago. It doesn't seem like there is any difference in the appearance of my veins. They still bulge when I stand. My doctor says this is caused by new veins which developed after the surgery. Do I need to have it done again?
See More
VNUS -4 answers
I had the closure procedure done October 2010. I am suffering with the left leg. I have tingling/numbness by the inner ankle, and sharp pains when I run. My Surgeon said this was normal. Can I expect this pain to go away? I am only 24.
See More
VNUS -4 answers
I have swam & used hot saunas almost every day for 30 years, so much so that my body has gotten used to it. I also exercise. How long before I can safely return to my routine? Also, how long after the procedure is it safe to travel by airplane? I am a 59 yo F who is 5'5.
See More
VNUS -5 answers
If I drink alcohol on a nightly basis post-procedure, will it affect the outcome and success of the VNUS closure procedure?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR