I had EVLT nearly 2 yrs ago on my left GSV. I now have pain & swelling in my left calf. Why?

Endovenous Laser Ablation . 9 answers . 3 years ago

Could my surgeon have performed surgery on the wrong vein, or has it reopened or do I now have a new insuff.? I am 44, active, slender, healthy, and lately my left calf has begun to swell toward the end of the day. It causes brief stabbing pain occasionally.

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

A new vein can open or the treated vein can rarely reopen as well. See your provider a repeat ultrasound to sort this out is probably in order.
Michael Ingegno MD

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

A new vein can open or the treated vein can rarely reopen as well. See your provider a repeat ultrasound to sort this out is probably in order.
Michael Ingegno MD


3 years ago by Bella MD Laser Vein and Aesthetic Center

See a vein specialist in person. Can not tell from description.

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

See a vein specialist in person. Can not tell from description.


3 years ago by Vein Specialties of St. Louis

You should contact your doctor for a follow-up ultrasound as soon as possible to see if this is vein related. Evidence of a blood clot (deep vein) should be ruled out.
At that time they can check other veins for reflux (valve failure). There are several larger superficial veins that can be affected and it is usually because you have inherited vein issues. These can be the short saphenous, accessory and anterior accessory saphenous. If you still have your compression hose, you might want to wear them daily.
However, you should call your doctor immediately for an appointment.
Norman N. Bein MD FACS RVT

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

You should contact your doctor for a follow-up ultrasound as soon as possible to see if this is vein related. Evidence of a blood clot (deep vein) should be ruled out.
At that time they can check other veins for reflux (valve failure). There are several larger superficial veins that can be affected and it is usually because you have inherited vein issues. These can be the short saphenous, accessory and anterior accessory saphenous. If you still have your compression hose, you might want to wear them daily.
However, you should call your doctor immediately for an appointment.
Norman N. Bein MD FACS RVT


3 years ago by Angelo N. Makris MD

You need a venous duplex to assess if you have a recurrence.

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

You need a venous duplex to assess if you have a recurrence.


3 years ago by VeinCare Centers of Tennessee

You need a clinical evaluation and a color duplex ultrasound exam to answer your question. Failure of valves in other veins with new areas of venous insufficiency is likely. Venous thrombosis is another possibility. We develop venous insufficiency mostly due to our genetic makeup which affects the strength of the vein walls. The conservative measures including exercise, avoidance of obesity, avoidance of prolonged sitting or standing, periodic elevation of the legs, and routine daily use of support hose slow down the action of gravity upon our veins, but venous insufficiency is a chronic, progressive problem which requires re-evaluation from time to time.
Stephen F. Daugherty, MD, FACS, RVT, RPhS

3 years ago by VeinCare Centers of Tennessee (View Profile)

You need a clinical evaluation and a color duplex ultrasound exam to answer your question. Failure of valves in other veins with new areas of venous insufficiency is likely. Venous thrombosis is another possibility. We develop venous insufficiency mostly due to our genetic makeup which affects the strength of the vein walls. The conservative measures including exercise, avoidance of obesity, avoidance of prolonged sitting or standing, periodic elevation of the legs, and routine daily use of support hose slow down the action of gravity upon our veins, but venous insufficiency is a chronic, progressive problem which requires re-evaluation from time to time.
Stephen F. Daugherty, MD, FACS, RVT, RPhS


3 years ago by Atlanta Access Care Vascular and Interventional Specialists

Re-opening of a vein treated with EVLT is very uncommon, but you could have insufficiency in another vein. The best way to determine this is with an ultrasound. Treatment options would depend upon the findings of the ultrasound.

3 years ago by Atlanta Access Care Vascular and Interventional Specialists (View Profile)

Re-opening of a vein treated with EVLT is very uncommon, but you could have insufficiency in another vein. The best way to determine this is with an ultrasound. Treatment options would depend upon the findings of the ultrasound.


3 years ago by Heart and Vein Center

Many reasons can explain that now you have symptoms again.
I seriously doubt your doctor treated the "wrong" vein. However some patients can have a duplicate GSV that now is reponsible of the symptoms. It is possible that the GSV recanalized (re-opened). You couls certainly have other abnormal veins in the calf that need to be treated. This just to mention few.
You will need a new Doppler study and a re-evaluation.
Dr Farhy

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

Many reasons can explain that now you have symptoms again.
I seriously doubt your doctor treated the "wrong" vein. However some patients can have a duplicate GSV that now is reponsible of the symptoms. It is possible that the GSV recanalized (re-opened). You couls certainly have other abnormal veins in the calf that need to be treated. This just to mention few.
You will need a new Doppler study and a re-evaluation.
Dr Farhy


3 years ago by Vanish Vein and Laser Center

It is very difficult to say why you have new calf swelling. For this to occur 2 years following EVLT, there are multiple possible reasons and it may not at all be related to your prior procedure. Certainly a venous ultrasound is necessary and reevaluation by your vein specialist.

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

It is very difficult to say why you have new calf swelling. For this to occur 2 years following EVLT, there are multiple possible reasons and it may not at all be related to your prior procedure. Certainly a venous ultrasound is necessary and reevaluation by your vein specialist.


3 years ago by Bailey Vein Institute

You probably have recurrent venous insufficiency. Visit your vein doctor
and you will need a new venous duplex ultrasound study. It is unlikely that
your Doctor treated the wrong vein, but sometimes veins can reopen or new
veins can become insufficient. Hope this helps.

Colin E. Bailey, MD, FACS

3 years ago by Bailey Vein Institute (View Profile)

You probably have recurrent venous insufficiency. Visit your vein doctor
and you will need a new venous duplex ultrasound study. It is unlikely that
your Doctor treated the wrong vein, but sometimes veins can reopen or new
veins can become insufficient. Hope this helps.

Colin E. Bailey, MD, FACS


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