If ablation is done on the saphenous vein, are there other veins that may be used for future heart operations?

Endovenous Laser Ablation . 17 answers . 2 years ago

I have not had any heart problems other than high blood pressure, but family members have had heart catheters and heart surgery. I have leaking valves in the saphenous vein. If ablated, can other veins be used in those heart surgeries if the need arises in future?

ANSWERS


2 years ago by Advanced Vein Center (View Profile)

Yes, other veins can be used. Many patients with coronary artery disease receive stents, so no veins are used.

2 years ago by Advanced Vein Center (View Profile)

Yes, other veins can be used. Many patients with coronary artery disease receive stents, so no veins are used.


2 years ago by Vein Center of Orange County (View Profile)

Yes, there are other veins that can be used for arterial bypass conduits. However, this is a moot point since abnormal saphenous veins are not used for bypass because they are usually thickened, enlarged, and have defective valves - all of which means they would fail as bypass conduits. Thankfully, stents can now re-open closed arteries, and other veins can be used when arteries are not available.

2 years ago by Vein Center of Orange County (View Profile)

Yes, there are other veins that can be used for arterial bypass conduits. However, this is a moot point since abnormal saphenous veins are not used for bypass because they are usually thickened, enlarged, and have defective valves - all of which means they would fail as bypass conduits. Thankfully, stents can now re-open closed arteries, and other veins can be used when arteries are not available.


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

The short saphenous in the back of the leg as well as the radial artery in the arm. The saphenous vein, if of normal size, is still best for leg bypasses though.

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

The short saphenous in the back of the leg as well as the radial artery in the arm. The saphenous vein, if of normal size, is still best for leg bypasses though.


2 years ago by Arizona Vein Specialists

Yes, or the internal mammary artery can be used. A damaged saphenous vein cannot be used.

2 years ago by Arizona Vein Specialists

Yes, or the internal mammary artery can be used. A damaged saphenous vein cannot be used.


2 years ago by Intermountain Vein Center (View Profile)

Yes there are other veins to use and arteries that are able to be removed are used in bypass surgeries as well.

2 years ago by Intermountain Vein Center (View Profile)

Yes there are other veins to use and arteries that are able to be removed are used in bypass surgeries as well.


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

Sometimes, but usually a bad vein with leaky valves will be no good to use either, as it will usually be too large due to the years of leaking and high pressure.

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

Sometimes, but usually a bad vein with leaky valves will be no good to use either, as it will usually be too large due to the years of leaking and high pressure.


2 years ago by Cosmetic Vein Centers of Texas (View Profile)

Yes.

2 years ago by Cosmetic Vein Centers of Texas (View Profile)

Yes.


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

Good question. Typically, if the saphenous vein is refluxing (broken valves allowing the blood to flow back) they won't be used for heart bypass surgery. The preferred choice for bypass surgery is arteries (internal mammary, radial artery in arm). Also, a majority of patients will undergo stenting vs. bypass if not too many vessels are affected. If you have a saphenous vein on the other leg, that can be used if functioning.

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

Good question. Typically, if the saphenous vein is refluxing (broken valves allowing the blood to flow back) they won't be used for heart bypass surgery. The preferred choice for bypass surgery is arteries (internal mammary, radial artery in arm). Also, a majority of patients will undergo stenting vs. bypass if not too many vessels are affected. If you have a saphenous vein on the other leg, that can be used if functioning.


2 years ago by Advanced Vein & Laser Centre (View Profile)

In a short answer: YES, there are other veins to use for bypass operations. More importantly, varicose veins are not used for bypass as they are damaged (distended and often tortuous).

2 years ago by Advanced Vein & Laser Centre (View Profile)

In a short answer: YES, there are other veins to use for bypass operations. More importantly, varicose veins are not used for bypass as they are damaged (distended and often tortuous).


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

By the time a saphenous vein is diseased enough to need ablation, it no longer is usefull for a vascular bypass procedure. Many cardiac surgeons prefer the radial artery from the forearm or the internal mammary artery from inside the chest as a conduit for coronary arterial bypass procedures.

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

By the time a saphenous vein is diseased enough to need ablation, it no longer is usefull for a vascular bypass procedure. Many cardiac surgeons prefer the radial artery from the forearm or the internal mammary artery from inside the chest as a conduit for coronary arterial bypass procedures.


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

I usually make the following comments to this very common question:
1. If your saphenous vein is not only "leaking" but is also dilated, then you do not want to have that vein used for heart (coronary) bypass surgery.
2. The surgeons can use the mammary arteries and/or the radial arteries from the arms.
3. The number of coronary bypass surgeries is decreasing with the advent of more advanced and refined techniques that use stents.
4. If you have your saphenous veins ablated, then that is another good reason to work very hard on reducing your risk factors for coronary artery disease ( i.e. take an aspirin daily, keep your cholesterol as low as possible, keep your blood pressure under perfect control, exercise, eat well, do not smoke and lose weight, if needed.)

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

I usually make the following comments to this very common question:
1. If your saphenous vein is not only "leaking" but is also dilated, then you do not want to have that vein used for heart (coronary) bypass surgery.
2. The surgeons can use the mammary arteries and/or the radial arteries from the arms.
3. The number of coronary bypass surgeries is decreasing with the advent of more advanced and refined techniques that use stents.
4. If you have your saphenous veins ablated, then that is another good reason to work very hard on reducing your risk factors for coronary artery disease ( i.e. take an aspirin daily, keep your cholesterol as low as possible, keep your blood pressure under perfect control, exercise, eat well, do not smoke and lose weight, if needed.)


2 years ago by Vein Clinic of North Carolina (View Profile)

That is a great question.Technology has improved greatly improved with heart treatments. The leg(s) having leaking valves would not be used if you needed them. They usually are very dilated, too enlarged to attach to
a heart artery. You do have other veins in your legs that could be used, but with improvement with heart stents and using arteries in your chest or in your arm is used more frequently.

2 years ago by Vein Clinic of North Carolina (View Profile)

That is a great question.Technology has improved greatly improved with heart treatments. The leg(s) having leaking valves would not be used if you needed them. They usually are very dilated, too enlarged to attach to
a heart artery. You do have other veins in your legs that could be used, but with improvement with heart stents and using arteries in your chest or in your arm is used more frequently.


2 years ago by Vein Specialists (View Profile)

Yes, there are other conduits (arteries and veins) which can be used in the future for bypass procedures. However, if you have multiple risk factors for arterial occlusive disease, including family history , diabetes,
smoking, hypercholesterolemia and hypertension, you should have significant symptoms from your leaky veins to justify endovenous ablation. What I mean is, if your problem is mild (i.e. mild swelling or spider veins below the knee), you might want to pause before you consent to endovenous ablation. On the other hand, if you have swollen achy legs, large bulging and tender varicose veins, discolored skin around the ankles or veins which are threatening to bleed, then by all means proceed with fixing the veins, as the
likelihood of suffering significant complications from your venous disease is much greater than the likelihood of the leaking vein in question being a good candidate for future use as an artery bypass anywhere in your body. The veins we should be sealing are demonstrably weak and diseased and would not tolerate arterial pressurization. I hope this helped clarify the issue.

2 years ago by Vein Specialists (View Profile)

Yes, there are other conduits (arteries and veins) which can be used in the future for bypass procedures. However, if you have multiple risk factors for arterial occlusive disease, including family history , diabetes,
smoking, hypercholesterolemia and hypertension, you should have significant symptoms from your leaky veins to justify endovenous ablation. What I mean is, if your problem is mild (i.e. mild swelling or spider veins below the knee), you might want to pause before you consent to endovenous ablation. On the other hand, if you have swollen achy legs, large bulging and tender varicose veins, discolored skin around the ankles or veins which are threatening to bleed, then by all means proceed with fixing the veins, as the
likelihood of suffering significant complications from your venous disease is much greater than the likelihood of the leaking vein in question being a good candidate for future use as an artery bypass anywhere in your body. The veins we should be sealing are demonstrably weak and diseased and would not tolerate arterial pressurization. I hope this helped clarify the issue.


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

There are other veins in the arms that can be used as well as the radial and internal mammary arteries on both sides.

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

There are other veins in the arms that can be used as well as the radial and internal mammary arteries on both sides.


2 years ago by North Shore Vein Center (View Profile)

The most common conduits used for heart bypass surgery are the arteries that run behind the breastbone. Furthermore, if your saphenous vein is dilated and incompetent, it would be rejected for use should you one day need a bypass procedure. It is simply too weak to withstand the pressure of the arterial blood flow if it was used for the bypass.

2 years ago by North Shore Vein Center (View Profile)

The most common conduits used for heart bypass surgery are the arteries that run behind the breastbone. Furthermore, if your saphenous vein is dilated and incompetent, it would be rejected for use should you one day need a bypass procedure. It is simply too weak to withstand the pressure of the arterial blood flow if it was used for the bypass.


2 years ago by Milford Vascular Institute (View Profile)

There are other veins that can be used as bypass grafts for future heart
surgery. The lesser saphenous veins and arm veins and arteries are options. In
any case, abnormal, varicose veins can not be used as bypass grafts for heart
surgery anyway.

2 years ago by Milford Vascular Institute (View Profile)

There are other veins that can be used as bypass grafts for future heart
surgery. The lesser saphenous veins and arm veins and arteries are options. In
any case, abnormal, varicose veins can not be used as bypass grafts for heart
surgery anyway.


2 years ago by Americas Vein Centers - Southborough (View Profile)

Yes, although those refluxing veins would not be used in any heart operation an any case.

2 years ago by Americas Vein Centers - Southborough (View Profile)

Yes, although those refluxing veins would not be used in any heart operation an any case.


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