Double Saphenous Vein and EVLT.

Endovenous Laser Ablation . 7 answers . 3 years ago

I had EVLT done in March. I have a double great saphenous vein. They only did one of them. Now my legs feel (and look) worse than they did before the EVLT. I'm switching docs, but what are the chances of EVLT working on the other vein in that leg?

ANSWERS FROM DOCTORS


3 years ago by OC VeinCare and Diagnostic Center

The need for another intervention depends on your initial reflux study and whether the said duplicate vein demonstrated reflux. the other interesting aspect to look at is the state of the small saphenous and the accessory saphenous vein if you have one along with any perforators.

3 years ago by OC VeinCare and Diagnostic Center (View Profile)

The need for another intervention depends on your initial reflux study and whether the said duplicate vein demonstrated reflux. the other interesting aspect to look at is the state of the small saphenous and the accessory saphenous vein if you have one along with any perforators.


2 years ago by General Vascular Surgery Group

Good if that's the problem. You need another ultrasound to check both veins again, and to guide future treatments.

Michael D. Ingegno MD

2 years ago by General Vascular Surgery Group (View Profile)

Good if that's the problem. You need another ultrasound to check both veins again, and to guide future treatments.

Michael D. Ingegno MD


2 years ago by Bella MD Laser Vein and Aesthetic Center

Depends on amount of reflux but should help them if it is significant.

2 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

Depends on amount of reflux but should help them if it is significant.


2 years ago by Vein Specialties of St. Louis

If the great saphenous vein which remains is shown to be incompetent on ultrasound then sealing it should improve your symptoms and appearance. A second opinion with an experienced surgeon is strongly recommended.

2 years ago by Vein Specialties of St. Louis (View Profile)

If the great saphenous vein which remains is shown to be incompetent on ultrasound then sealing it should improve your symptoms and appearance. A second opinion with an experienced surgeon is strongly recommended.


2 years ago by Angelo N. Makris MD

It sounds like you need the duplicated vein ablated.

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

It sounds like you need the duplicated vein ablated.


2 years ago by Heart and Vein Center

Double great saphenous veins are not uncommon. Often times both veins need to be treated with either EVLT or radiofrequency. If only one is treated it is not unusual the leg will feel or look the same as if nothing would have done.

If you still have venous reflux into the second saphenous vein, then your best choice will be to have it treated as well.

Dr Farhy

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

Double great saphenous veins are not uncommon. Often times both veins need to be treated with either EVLT or radiofrequency. If only one is treated it is not unusual the leg will feel or look the same as if nothing would have done.

If you still have venous reflux into the second saphenous vein, then your best choice will be to have it treated as well.

Dr Farhy


3 years ago by Vanish Vein and Laser Center

I have seen a duplication of the saphenous vein several times and some say that the incidence can be as high as 10%. If the duplicated saphenous vein has reflux as demonstrated by venous duplex then it too should be treated by EVLT. I am not sure how long it has been since your EVLT, but the leg usually looks worse for several weeks before it looks better.

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

I have seen a duplication of the saphenous vein several times and some say that the incidence can be as high as 10%. If the duplicated saphenous vein has reflux as demonstrated by venous duplex then it too should be treated by EVLT. I am not sure how long it has been since your EVLT, but the leg usually looks worse for several weeks before it looks better.


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