Is it normal for new veins to appear in my leg after endovenous laser ablation and foam sclerotherapy?

Endovenous Laser Ablation . 6 answers . 3 years ago

I had endovenous laser ablation and foam sclerotherapy but I keep spotting new veins appearing in my leg. Is this normal?

I should mention that I suffered from phlebitis in this leg following surgery and it has never felt the same since as it aches and feels heavy. I have new veins in my upper thigh and calf. What should I do?

ANSWERS


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

Veins can recur especially if you have deep vein valve problems, which may have been caused by the post op clot.
Michael D. Ingegno, MD

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

Veins can recur especially if you have deep vein valve problems, which may have been caused by the post op clot.
Michael D. Ingegno, MD


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

Not normal but can happen.

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

Not normal but can happen.


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

Some people will develop small spider type veins in response to the ablation called angiogenesis or matting. If there are scattered isolated veins appearing, they may have appeared anyway. You may be more focuses on your legs since the procedure.
If you have the symptoms you mentioned, you should be checked with an ultrasound examination to see if the treated veins are actually sealed. In experienced hands, this shouldn't occur. Again, it depends on how long ago you had the procedure and how many treatments of foam you were given. The phlebitits you experienced would have been a result of the foam sclerotherapy.
In our practice, we tend to hold off on foam sclerotherapy until about 6 - 8 weeks or longer after the ablation. We also normally would remove large varicose veins rather that injecting them as they will not develop phlebitis, the veins will be gone. We reserve the foam for incompetent perforator veins.
It is a more surgical approach to treating venous incompetence but done under local in the office.
Norman N. Bein MD FACS RVT

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

Some people will develop small spider type veins in response to the ablation called angiogenesis or matting. If there are scattered isolated veins appearing, they may have appeared anyway. You may be more focuses on your legs since the procedure.
If you have the symptoms you mentioned, you should be checked with an ultrasound examination to see if the treated veins are actually sealed. In experienced hands, this shouldn't occur. Again, it depends on how long ago you had the procedure and how many treatments of foam you were given. The phlebitits you experienced would have been a result of the foam sclerotherapy.
In our practice, we tend to hold off on foam sclerotherapy until about 6 - 8 weeks or longer after the ablation. We also normally would remove large varicose veins rather that injecting them as they will not develop phlebitis, the veins will be gone. We reserve the foam for incompetent perforator veins.
It is a more surgical approach to treating venous incompetence but done under local in the office.
Norman N. Bein MD FACS RVT


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

Your predisposed to form "bad" veins. These new veins would have likely appeared whether or not you had treatment.

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

Your predisposed to form "bad" veins. These new veins would have likely appeared whether or not you had treatment.


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

New varicose veins should not appear after EVLT and foam sclerotherapy. New spider veins may appear and this is called neovascularization. These usually resolve spontaneously over about 6 months to a year. If many veins newly form, especially varicose veins, then i would recommend a follow up ultrasound to look for valvular incompetence. Since you had phlebitis following your procedure and are symptomatic, you should have a repeat venous ultrasound to look at both the superficial and deep systems.

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

New varicose veins should not appear after EVLT and foam sclerotherapy. New spider veins may appear and this is called neovascularization. These usually resolve spontaneously over about 6 months to a year. If many veins newly form, especially varicose veins, then i would recommend a follow up ultrasound to look for valvular incompetence. Since you had phlebitis following your procedure and are symptomatic, you should have a repeat venous ultrasound to look at both the superficial and deep systems.


3 years ago by Laser Vein Center (View Profile)

Some people will develop small spider type veins in response to the ablation called matting. If there are scattered isolated veins appearing, they may have appeared anyway. You may be more focuses on your legs since the procedure.
If you have the symptoms you mentioned, you should be checked with an ultrasound examination to see if the treated veins are actually sealed. In experienced hands, this shouldn't occur. Again, it depends on how long ago you had the procedure and how many treatments of foam you were given. The phlebitits you experienced would have been a result of the foam sclerotherapy.
In our practice, we tend to hold off on foam sclerotherapy until about 6 - 8 weeks or longer after the ablation.

3 years ago by Laser Vein Center (View Profile)

Some people will develop small spider type veins in response to the ablation called matting. If there are scattered isolated veins appearing, they may have appeared anyway. You may be more focuses on your legs since the procedure.
If you have the symptoms you mentioned, you should be checked with an ultrasound examination to see if the treated veins are actually sealed. In experienced hands, this shouldn't occur. Again, it depends on how long ago you had the procedure and how many treatments of foam you were given. The phlebitits you experienced would have been a result of the foam sclerotherapy.
In our practice, we tend to hold off on foam sclerotherapy until about 6 - 8 weeks or longer after the ablation.

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