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I have a bulging vein around my knee, and I have a beauty on my calf, plus a another around my groin area, can they be removed with EVLA?
The only way to find out which treatment is proper for your condition is by being evaluated by a vein specialist in person and most importantly have and ultrasound and doppler study of you leg veins. ULtrasound must be done by an experienced sonographer or a vein specialist physician (phlebologist). IF it is found that your greater or lesser saphnous veins are the main affected veins, then yes EVLT or ELVeS laser ablation is a good option for the most proximal part of your varicose veins, while you will still need sclerotherapy treatment for lower branches and side branches of you varicose veins, which may take a couple of additional sessions.
Khalil Fattahi, MD
Yes usually with microphlebectomies done at the same time as ablation.
Michael D. Ingegno
It has to be evaluated first that these veins are originating from
the incompetant?veins inside. If so, you will need EVLA and the veins
will need a microphlebectomy.
Most broken vessels can be treated with EVLA, however, the source of the bulges
is often a larger vein that cannot be seen on the outside. This vessel is
usually treated with laser and the bulges are then treated by injection or
Firstly you need to be evaluated to establish the origin of these bulging veins. Most commonly they are the result of valve failure (saphenous incompetence) of a deeper vein. If that is the case, the incompetent vein can be ablated (sealed) with EVLA laser or radiofrequency. The varicose veins on the surface can be removed through very small punctures with very pleasing cosmetic results.
Norman N. Bein MD FACS RVT
You would need to have a venous insufficiency ultrasound to determine this.
Most likely you have underlying greater saphenous vein reflux leading to varicose veins. You should have a venous reflux exam to prove this. If reflux exists then EVLT is indicated. EVLT. however, will not remove the varicose veins. You will also need microphlebectomies to remove these.