Ultrasound says bilateral greater saphenous veins are closed. How can they be reopened?

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?

Answers from doctors (6)


Advanced Vein Center

Published on Jan 20, 2017

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.

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Answered by Advanced Vein Center

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


Beverly Hills Vein Center

Published on Jan 20, 2017

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.

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Answered by Beverly Hills Vein Center

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


Vascular Center and Vein Clinic of Southern Indiana

Published on Jan 20, 2017

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.

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Answered by Vascular Center and Vein Clinic of Southern Indiana

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


Vanish Vein and Laser Center

Published on Jan 19, 2017

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.

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Answered by Vanish Vein and Laser Center

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


Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

Published on Jan 18, 2017

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).

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Answered by Hratch Karamanoukian, MD, FACS, RVT, RPVI , RPhS

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


Susan B Fox, D.O. RPVI, FSVM

Published on Jan 18, 2017

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

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Answered by Susan B Fox, D.O. RPVI, FSVM

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


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