Can vena saphena magna and parva be ablated in one procedure?

Endovenous Laser Ablation . 4 answers . 2 years ago

can vena saphena magna and parva be ablated in one procedure? Or do they need to be treated separately?

ANSWERS FROM DOCTORS


2 years ago by Advanced Vein Center

I am not sure of your terminology. The Great, or greater or large saphenous
vein runs from ankle to groin. The small or lesser saphenous vein runs from
the ankle to the back of the knee. If this is what you mean then yes they
can be treated together although because of intersaphenous connections
occasionally treating the great saphenous vein can normalize flow in the
small saphenous vein.

Bruce R Hoyle MD

2 years ago by Advanced Vein Center (View Profile)

I am not sure of your terminology. The Great, or greater or large saphenous
vein runs from ankle to groin. The small or lesser saphenous vein runs from
the ankle to the back of the knee. If this is what you mean then yes they
can be treated together although because of intersaphenous connections
occasionally treating the great saphenous vein can normalize flow in the
small saphenous vein.

Bruce R Hoyle MD


2 years ago by Angelo N. Makris MD

Theoretically, yes, but it is difficult to position and prep to have it done at one sitting. Therefore, most physicians treat them at different sittings.

2 years ago by Angelo N. Makris MD (View Profile)

Theoretically, yes, but it is difficult to position and prep to have it done at one sitting. Therefore, most physicians treat them at different sittings.


2 years ago by Heart and Vein Center

You must a in the medical field and coming from Europe. Technically they could be done in one procedure. Few problems are that amount of lidocaine that might be needed for the 2 ablation might exceed the safety limits. Another consideration is that to ablate the great saphenous ("saphena magna") the patient is supine on the table and for the small saphenous vein ("saphena parva") needs to be prone (on the belly), that creates the need to re-preap the legs in many instances.
Rodolfo D. Farhy, MD, FACC, FAHA

2 years ago by Heart and Vein Center (View Profile)

You must a in the medical field and coming from Europe. Technically they could be done in one procedure. Few problems are that amount of lidocaine that might be needed for the 2 ablation might exceed the safety limits. Another consideration is that to ablate the great saphenous ("saphena magna") the patient is supine on the table and for the small saphenous vein ("saphena parva") needs to be prone (on the belly), that creates the need to re-preap the legs in many instances.
Rodolfo D. Farhy, MD, FACC, FAHA


2 years ago by Vanish Vein and Laser Center

Both can be ablated in one procedure, but I always do them separately for several reasons- 1. The greater is done supine and the lesser prone. It is technically much easier and quicker to do each separately. 2. Much less tumescent anesthesia is used with either procedure alone. 3. Since the procedures are done with local anesthesia, they are better tolerated as separate procedures rather than combined. 4. If microphlebectomies are added to the procedure, then it becomes too involved to do all together. Having said this, I do occasionally make exceptions depending on circumstances.

2 years ago by Vanish Vein and Laser Center (View Profile)

Both can be ablated in one procedure, but I always do them separately for several reasons- 1. The greater is done supine and the lesser prone. It is technically much easier and quicker to do each separately. 2. Much less tumescent anesthesia is used with either procedure alone. 3. Since the procedures are done with local anesthesia, they are better tolerated as separate procedures rather than combined. 4. If microphlebectomies are added to the procedure, then it becomes too involved to do all together. Having said this, I do occasionally make exceptions depending on circumstances.


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