Firstly, high ligation was not the appropriate treatment. You should be able to go ahead with the EVLA but you should be treated by a board certified vascular trained surgeon who may most likely put you on Lovenox pre- and post operatively. Again discuss this with your surgeon before making your decision.

Published on Jul 11, 2012

It depends on multiple factors: your ultrasound examination, how severe are your symptoms, how much are the remaining clots in your great and small saphenous veins, are you on blood thinners like Xarelto or Eliquis, and how close the SVT is to deep veins. There may be difficulty passing the guide wire through a scarred vein due to synechiae in the vein.

Published on Jul 11, 2012

It is long enough of a waiting period to do a vein ablation. Your genetic risk puts you at a higher risk for a blood clot and your doctor will talk to you about blood clot avoidance. But a SVT is not a reason to avoid treatment of the saphenous vein. It is more of an indication to move forward and treat it where appropriate.

Published on Jul 11, 2012

If you were to have an endovenous laser ablation, you should probably be given a 2 week course of preventative (prophylactic) dose of blood thinner starting the morning of the procedure.

The real question is ... do you need a procedure?
If there is "reflux" in the most central portion (uppermost portion) of the saphenous vein, and if that same portion of the vein is relatively free of thrombus (thrombus in the lower portion of the vein is not an issue), it appears reasonable to "seal" that vein if it is felt that your clotting event was related to the presence of varicose veins. Under those circumstances, any delay will not serve any purpose.

However if there is significant thrombus in the uppermost segment of the vein, or if there is no reflux in that segment, an ELA would not be the course of action, either now or in a few months.

Published on Jul 11, 2012

I would ask and follow what your vascular surgeon will advise.

Published on Jul 11, 2012