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Does EVLT for superficial phlebitis also help with post-thrombotic syndrome in a deep vein? Is ultrasound of deep and superficial systems routinely performed before deciding on EVLT? Thanks.
It will not affect the deep veins if they have insufficiency,. It may help some symptoms, however if there are combined deep and surface valve problems.
Yes an ultrasound should be performed to check both the deep and superficial cystems of veins prior to any procedure. Especially since if the deep veins are blocked it may be contraindicated to treat the superficial veins, as these may be important collaterals for the venous circulation of the legs.
Michael D. Ingegno, MD
Detailed ultrasound of the deep and superficial systems should always be performed before deciding upon any ablative treatment other than treatment of uncomplicated spider veins.
Stephen F. Daugherty, MD, FACS, RVT, RPhS
EVLT for superficial phlebitis will treat reflux of the superficial veins , usually the greater or smaller saphenous or branching refluxing veins. It will reduce the venous hypertension in the superficial system which can be contributing to the total venous hypertension. EVLT will not treat the deep system. We routinely evaluate both the deep and superficial in our venous examination.