My Dad is considering this procedure, but he is 87 yrs old. Should I be concerned with risks at his age?

Endovenous Laser Ablation . 9 answers . 2 years ago

My Dad is considering this procedure, but he is 87 yrs old. Should I be concerned with risks at his age?

ANSWERS FROM DOCTORS


2 years ago by General Vascular Surgery Group

Depends on other medical problems, but in an otherwise healthy patient I would consider the procedure if he is having significant symptoms. I have done a patient age 90.
Michael D. Ingegno MD

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

Depends on other medical problems, but in an otherwise healthy patient I would consider the procedure if he is having significant symptoms. I have done a patient age 90.
Michael D. Ingegno MD


2 years ago by Bella MD Laser Vein and Aesthetic Center

Meet with MD and discuss.

David E.

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

Meet with MD and discuss.

David E.


2 years ago by Vein Specialties of St. Louis

If your father is in good health and actively mobile, he can tolerate this procedure. I typically discuss risks versus benefits with older patients. If he is active and has symptomatic venous insufficiency, it may improve his quality of life and his activity. He should remain active after the procedure, wear his compression for a longer time, stay hydrated and take any medications he is prescribed.
If his health is poor and he has limited mobility, he would have increased risks. Risk vs Benefits!
However, in our practice, we have treated many active seniors without any problems. I also coordinate their care with their primary care physicians.

Norman N. Bein MD FACS RVT

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

If your father is in good health and actively mobile, he can tolerate this procedure. I typically discuss risks versus benefits with older patients. If he is active and has symptomatic venous insufficiency, it may improve his quality of life and his activity. He should remain active after the procedure, wear his compression for a longer time, stay hydrated and take any medications he is prescribed.
If his health is poor and he has limited mobility, he would have increased risks. Risk vs Benefits!
However, in our practice, we have treated many active seniors without any problems. I also coordinate their care with their primary care physicians.

Norman N. Bein MD FACS RVT


2 years ago by Angelo N. Makris MD

There is minimal risk. I've treated octagenerations without issue.

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

There is minimal risk. I've treated octagenerations without issue.


2 years ago by VeinCare Centers of Tennessee

The risk of endovenour LASER ablation when performed with local anesthesia and, perhaps, mild oral sedation is very low. If the venous insufficiency is causing significant limitations of activity, skin complications, or leg pain, most 87 year old pateints would be reasonable candidates for treatment. The treating physician needs to do a medical assessment and discuss the risk, benefits, and alternatives as they specifically relate to you Dad.

Stephen F. Daugherty, MD, FACS, RVT, RPhS

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

The risk of endovenour LASER ablation when performed with local anesthesia and, perhaps, mild oral sedation is very low. If the venous insufficiency is causing significant limitations of activity, skin complications, or leg pain, most 87 year old pateints would be reasonable candidates for treatment. The treating physician needs to do a medical assessment and discuss the risk, benefits, and alternatives as they specifically relate to you Dad.

Stephen F. Daugherty, MD, FACS, RVT, RPhS


2 years ago by Lafayette Regional Vein & Laser Center

I applaud you asking this question and sharing concern for your dad.
The reality is that endovenous thermal ablation may be performed at any age, assuming the patient is able to walk, wear compression, and take tylenol or an anti-inflammatory for pain.
Generally speaking, this is a very straight forward procedure with little to no down time or side effects. If your father is able to walk well, and is having symptoms, he might find tremendous relief with a single procedure. Make sure that you father is having the procedure for the right reasons, and if there are still questions, schedule a visit with his doctor to clarify any concerns before the procedure.

2 years ago by Lafayette Regional Vein & Laser Center (View Profile)

I applaud you asking this question and sharing concern for your dad.
The reality is that endovenous thermal ablation may be performed at any age, assuming the patient is able to walk, wear compression, and take tylenol or an anti-inflammatory for pain.
Generally speaking, this is a very straight forward procedure with little to no down time or side effects. If your father is able to walk well, and is having symptoms, he might find tremendous relief with a single procedure. Make sure that you father is having the procedure for the right reasons, and if there are still questions, schedule a visit with his doctor to clarify any concerns before the procedure.


2 years ago by Heart and Vein Center

No, the risk is very low. The age is not a reason not to do this procedure, provided he has the right diagnosis. I have done several octogenarians in my practice with excellent results. My oldest patient was 93yo.

Rodolfo D. Farhy, MD, FACC, FAHA

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

No, the risk is very low. The age is not a reason not to do this procedure, provided he has the right diagnosis. I have done several octogenarians in my practice with excellent results. My oldest patient was 93yo.

Rodolfo D. Farhy, MD, FACC, FAHA


2 years ago by Vanish Vein and Laser Center

EVLT is done under local tumescent anesthesia and is a very safe procedure. I have performed it on many patients around your dad's age safely with excellent results. However, it would be wise to have at least a pre op EKG and a thorough review of his past history and meds. I always monitor a patient's BP, Oxygen Saturation and EKG during the procedure.

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

EVLT is done under local tumescent anesthesia and is a very safe procedure. I have performed it on many patients around your dad's age safely with excellent results. However, it would be wise to have at least a pre op EKG and a thorough review of his past history and meds. I always monitor a patient's BP, Oxygen Saturation and EKG during the procedure.


2 years ago by North Shore Vein Center

We have performed these procedures on patients in their early 90s. If he is symptomatic, in good health and is fully ambulatory, he is certainly a candidate. The safest approach is a procedure performed under a local anesthetic only - and make sure he returns to normal activities with compression stockings immediately to avoid developing blood clots.

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

We have performed these procedures on patients in their early 90s. If he is symptomatic, in good health and is fully ambulatory, he is certainly a candidate. The safest approach is a procedure performed under a local anesthetic only - and make sure he returns to normal activities with compression stockings immediately to avoid developing blood clots.


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation - 4 years ago
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation - 5 years ago
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation - 3 years ago
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation - 4 years ago
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation - 2 years ago
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation - 2 years ago
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation - 1 year ago
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation - 5 years ago
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation - 4 years ago
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation - 4 years ago
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Endovenous Laser Ablation - 3 years ago
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation - 2 years ago
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation - 4 years ago
Does this procedure hurt?
See More
Endovenous Laser Ablation - 4 years ago
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Endovenous Laser Ablation - 2 years ago
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Most Active Doctors


,

,

Recently Asked Questions