I had an ultrasound that says the bilateral greater saphenous veins are closed, and the lesser saphenous veins are closed. Findings are the GSVs and LSVs are bilaterally closed, no perforator veins are visible, all deep veins of BLE appear patent and compressible. What is the treatment for this?
It is curious how they can be closed if he never had it any treatment, but there is nothing to be done at this point although you might want to consider seeing a hematologist regarding workup for possible thrombophilia.
Published on Jul 11, 2012
If the test was done because of onset of acute symptoms, you may need anticoagulants. It is not necessary to "treat" this condition if it is chronic. These veins are not essential to venous health and do not need to be reopened.
Published on Jul 11, 2012
Chronic venous insufficiency is valvular dysfunction in the veins leading to leg swelling, pain, or throbbing. Saphenous ablation is active closure of the veins with laser, radiofrequency, or foaming agents. Compression stockings are recommeneded.
Published on Jul 11, 2012
The great and small saphenous veins are closed from an ablation procedure which is done to seal the refluxing valves in the saphenous veins which would be the cause of varicose veins, and symptoms related to varicose veins. You must have had a closure procedure. When these veins are closed, the blood will flow through the perforator and deep veins. These veins cannot, and should not be opened.
Published on Jul 11, 2012
If the GSV and small saphenous veins are successfully ablated (closed), then the compressible veins could be the tributaries that are bulging.
It is indeed expected and good that the deep veins are compressible, meaning that they have not been inadvertently closed or thrombosed (deep vein clot).
Published on Jul 11, 2012
It sounds like you had a procedure like radio frequency or endovenous laser ablation, or ultrasound-guided sclerotherapy to close the veins. I would not reopen these as there is no need to. Hypothetically, If you did, you would damage valves and have leg swelling
Published on Jul 11, 2012