I had a VNUS closure of a GSV, then I had another RAF closure of the same vein (20 cm only). Now, my doc wants to do radiofrequency closure of the small saphenous vein. Is this really necessary? Thank you!
If you are unsure, you should seek a second opinion from a board-certified, vascular-trained surgeon. This should help you to make the decision. The criteria for sealing the saphenous vein is when the patient has symptoms that affect their quality of life.
Published on Jul 11, 2012
I can't say for sure without examining you and looking at your ultrasound. However, if you don't have significant varicose veins on the posterior (back) and lateral (outside) of your calf, you likely do not need to have your small saphenous vein closed. If you have concerns, I would definitely seek a second opinion of another vein specialist.
Wishing you the best of health,
Dr. Wright
Published on Jul 11, 2012
The need to close your small saphenous vein is a decision based on your history and symptoms. If you are still having symptoms from the varicose veins arising from the small saphenous vein, then closing that vein may benefit you.
Published on Jul 11, 2012
Possibly not. If you have no complaints, then don't have it. That is the simple answer.
Published on Jul 11, 2012
This is a great question. A common misconception among many folks is that great results can be had with a single procedure. Without knowing too much of the details of your particular clinical history, it is not uncommon for multiple procedures to be indicated to achieve optimal results. This may involve doing several closures of different veins in the same leg, and/or a combination of closure plus microphlebectomy, UGS and sclerotherapy.
That said, it is ultimately your body. If you are satisfied with the results you have achieved so far, then take a wait and see approach for further treatment. But I would caution you to continue your relationship with your provider - if you are happy with him/her - as venous disease is a chronic condition, and a satisfactory result today may still require further management to ensure a quality long-term result.
Published on Jul 11, 2012
It really depends upon your symptoms. You need to analyze how much improvement you had after the first procedure and whether you still have some symptoms that need further treatment. At Premier Vein and Vascular we have a clear policy: "Don't treat the scan, treat the symptoms".
Published on Jul 11, 2012
Venous ablation of the greater saphenous is beneficial for varicose veins and venous insufficiency symptoms. Uncommonly, short saphenous ablation is needed. Discuss the risks and benefits with your vascular surgeon for available options.
Published on Jul 11, 2012
It is not uncommon to have the GSV and the SSV undergo a closure procedure, but you should not have to have the GSV closed in 2 sessions unless this is something that occurred a long time after the initial closure. Be sure you see a board-certified vein specialist.
Published on Jul 11, 2012
No. Venous disease isn't limb threatening. If you don't want to do a procedure, then don't do it.
Published on Jul 11, 2012