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Who would not be a good candidate for VNUS/ELVT procedures?
Those who do not have insufficiency of the superficial axial saphenous
veins (great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and just have deep vein
insufficiency or no insufficiency at all would not be good candidates for
endovenous ablation. The better way to ask and answer that question is to
query who is a good candidate for these procedures. Patients with
clinically significant symptoms of venous insufficiency such as venous
ulcers, bleeding varicose veins, skin changes in the distal leg or ankle
areas, large painful bulging varicose veins, swollen achy legs and/or
restless legs syndrome, nighttime leg cramps and who have ultrasound
evidence of significant insufficiency of the superficial axial saphenous
veins(great, small, anterior accessory, posterior accessory and
intersaphenous veins) or perforator veins and have failed to respond to a
trial of elevation and compression hose are good candidates for endovenous
ablation using either laser or radiofrequency technology.
These procedures are closure procedures to seal leaking saphenous or accessory vein valves. People who do not have reflux(leaking valves) would not be candidates for the procedure.