I had a VNUS procedure done and got an ulceration on the ankle. Is this normal? Will support stockings help, or do I need to do something else?
VNUS helps eliminate leg ulcers, as it decreases venous congestion in the leg. Support stockings may be needed for some time to expedite healing.
Published on Jul 11, 2012
It is indeed rare to get a venous stasis ulcer from an endovenous ablation procedure. Seek a certified vein specialist for guidance and a second opinion. The stasis ulcer may need to be treated with unna boots to accelerate the healing process.
Published on Jul 11, 2012
If your ulcer appeared after the procedure it is possible that there are still refluxing smaller veins in the lower leg contributing to this. Support stocking will help reduce the pressure in this area but an evaluation by a Board Certified Surgeon who specializes in venous reflux is advisable. Often injecting (sclerosing) veins in this area is effective.
Published on Jul 11, 2012
Did you previously have an ulcer in the same area? Was this the reason the VNUS closure procedure was performed (to prevent recurrent ulceration)? If this is a new area not previously prone to forming an ulcer, then you should be educated by the specialist who performed the procedure. He or she may be able to explain why the ulcer occurred. As you describe the situation, this is *not* normal.
Published on Jul 11, 2012
Sorry for the delay in responding to your email. Your question leads to a lot of other questions that need to be answered in order for me to better advise you. Having a VNUS procedure should not cause an ulceration at the ankle, it should actually improve your ulcer. Without any other information (age, history of veins problems/ treatments, etc.), I can't advise you further.
Published on Jul 11, 2012
Venous ulcers can heal with the use of compression when the patient has reflux. Your ulcer came after treatment. That is not normal and could be due to a number of reasons. You need to talk to your doctor about this.
Published on Jul 11, 2012
See your provider. Leg ulcers after a procedure are not usual. Stockings may help, but see your provider first.
Answered by Michael D. Ingegno, M.D.
Published on Jul 11, 2012
You should have a repeat venous ultrasound to see if there is an underlying source for the ulcer. Also, could this ulcer be a result of a burn or secondary to a microphlebectomy? Ulcerations should not occur following closure procedures and support hose alone will usually not eliminate them. You need to identify the source of the ulcer first and then the support stockings may aid in the healing process. You should be evaluated by a vascular surgeon.
Published on Jul 11, 2012