Proceedure affected my large saphenus vein

Endovenous Laser Ablation . 5 answers . 3 years ago

I have the laser proceedure done on my small saphenus vein. The Ultrasound results shows there is reflux in my large saphenus vein which was not there prior to the proceedure. Should i have my large saphenus vein treated also. Is there a risk?

ANSWERS FROM DOCTORS


2 years ago by General Vascular Surgery Group

Depends if you have symptoms, but the vein can be treated if needed.
Michael D Ingegno

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

Depends if you have symptoms, but the vein can be treated if needed.
Michael D Ingegno


2 years ago by Bella MD Laser Vein and Aesthetic Center

Talk with treating physician or get a second opinion.

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

Talk with treating physician or get a second opinion.


2 years ago by Vein Specialties of St. Louis

If you are genetically pre-disposed to developing reflux in the superficial venous system it could be possible the you have developed
Greater Saphenous reflux. There is no risk in ablating the Great Saphenous. We have treated all 4 refluxing veins in some patients but we usually start with the Greater Saphenous. The question is: Are you having symptoms, pain, heaviness, aching, skin changes, new varicose veins etc. A thorough evaluation and ultrasound are a must. If you are concerned, a second opinion is always appropriate to alleviate your anxiety.
Norman N. Bein MD FACS RVT

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

If you are genetically pre-disposed to developing reflux in the superficial venous system it could be possible the you have developed
Greater Saphenous reflux. There is no risk in ablating the Great Saphenous. We have treated all 4 refluxing veins in some patients but we usually start with the Greater Saphenous. The question is: Are you having symptoms, pain, heaviness, aching, skin changes, new varicose veins etc. A thorough evaluation and ultrasound are a must. If you are concerned, a second opinion is always appropriate to alleviate your anxiety.
Norman N. Bein MD FACS RVT


2 years ago by Angelo N. Makris MD

If you remain symptomatic, then yes.

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

If you remain symptomatic, then yes.


3 years ago by Vanish Vein and Laser Center

How long has there been between the ultrasounds? I doubt that treating your small saphenous would cause reflux of the greater saphenous vein. If you are symptomatic from the GSV reflux then it should be treated. If no symptoms then leave it alone. There should be no added risk if treatment is necessary.

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

How long has there been between the ultrasounds? I doubt that treating your small saphenous would cause reflux of the greater saphenous vein. If you are symptomatic from the GSV reflux then it should be treated. If no symptoms then leave it alone. There should be no added risk if treatment is necessary.


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 - 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 - 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 - 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 - 5 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 - 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 - 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 - 4 years ago
Does this procedure hurt?
See More
Endovenous Laser Ablation - 3 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
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
Need Help?
Get answers from experienced doctors
Ask Now

Suggested Doctors

Related Articles