The leg with superficial saphenous reflux can be sealed with laser ablation. However, without adequate history on the right leg it is difficult to comment. Is your deep venous reflux a result of blood clots? Have you ever been diagnosed or treated for this? I do, however, recommend you wear a thigh length compression hose of at least 20-30 mmHg daily to improve the flow in the deep veins. If not already done, I recommend an evaluation by a Board Certified Vascular trained surgeon including ultrasound and possible blood work to check for clotting issues.

Published on Jul 11, 2012

testing answer from myedoc

Published on Jul 11, 2012

The venous system is redundant and you have multiple layers in each leg. It has been shown that the hemodynamics of the deep system improve after treatment of the refluxing great saphenous vein. When segmental, the deep system may even normalize. It is not likely that you have no normal veins given the redundancy of your venous system

As such, if you are having meaningful symptoms and wish to have treatment, you may see more benefit than you otherwise might expect.

Published on Jul 11, 2012

All vein ablation procedures depend on a healthy network of veins to assume the normal function of returning blood back to the heart. While there are only several deep veins that are vital to this function, superficial veins are all expendable. As long as your deep veins are not obstructed or too damaged, eliminating numerous superficial veins including a diseased saphenous vein should not be a problem.

Published on Jul 11, 2012

There are many instance where the VNUS system can be helpful when both deep and superficial venous insufficiency present. Without more specific
information I can be more helpful about how this could help.

Published on Jul 11, 2012

The blood isn't actually rerouted. All the blood will continue to leave the leg through the deep venous system as it is currently. However, blood that was previously reentering the leg through the abnormal veins will stop once the vein is closed. The deep system will then be more effective as the volume of blood it has to clear is reduced. I hope that helps.

Published on Jul 11, 2012

Closure procedures are done for superficial venous reflux with signs and symptoms of venous insufficiency. The key word here is superficial. The closure procure is done on malfunctioning superficial veins. Once these veins are treated (closed), the blood is returned to the heart through the perforator and deep veins. The majority of reflux and subsequent venous insufficiency occurs usually from the superficial system and when both the superficial and deep systems are involved, closing the superficial system will most often solve the problem even in the face of deep system reflux or insufficiency.

Published on Jul 11, 2012