This is not life threatening. I have seen many cases similar to yours performed elsewhere by people who should really not be doing these procedures. When performed correctly, none of your symptoms should have resulted. I strongly recommend an evaluation by a board certified vascular surgeon. He will perform an ultrasound and possibly get a neurologist involved in your case.

Published on Jul 11, 2012

I would recommend seeing a cardiologist.

Published on Jul 11, 2012

You did not indicate how long ago the procedure was done, which makes answering your questions difficult. Numbness usually resolves over several months. The procedure has nothing to do with palpitations or the vagus nerve. You should get a second opinion.

Published on Jul 11, 2012

There are too many unknowns for me to answer your question accurately. In general, however, the vagus nerve is not likely affected and it's not life threatening. I'm assuming you had a post-procedure ultrasound and there is no DVT. The nerve injury is almost always temporary and should resolve within six months, if not sooner. The other veins you see are likely branches of the vein that was closed (or could be from a different vein) and are easily treated. Don't give up! Everything can be taken of.

Published on Jul 11, 2012

A venous ablation usually results in the sealing of the saphenous vein. Nerve hypersensitivity or pain usually resolves over time. If you still have prominent varicosities after the VNUS procedure, you most likely need a stab phlebotomy for bulging varicosities.

Published on Jul 11, 2012

Post-procedure nerve pain "neuropathy" is a rare but very bothersome complication of thermal ablation techniques. It seems, in most cases, to be related to how far down the leg the great saphenous vein is ablated.

The nerve symptoms will usually fade out over 6-12 months. Medicines such as gabapentin or lyrica may be helpful. The residual veins probably need to be treated with microphlebectomy and or sclerotherapy to complete your treatment. The vagus nerve would not be affected.

Published on Jul 11, 2012

I am sorry to hear that. You need to bring all records of previous treatment to a vascular trained specialist. Then you might find what exactly happened. Ablation procedures are very effective, and failure is very uncommon. Thorough evaluation by a specialist is vital for success.

Published on Jul 11, 2012

Heart palpations and vagus nerve injuries are not in any way related to the closure procedure. You sound as if you have nerve irritation and this could take up to one year to improve. Follow up with your treating physician.

Published on Jul 11, 2012

These issues should be best addressed by your vascular surgeon.

Published on Jul 11, 2012

Venus closure is not a laser treatment — it uses radiofrequency. See your doctor and find out what he thinks is wrong. No, the vagus nerve could not be affected from the procedure. The saphenous nerve could be damaged though.

Published on Jul 11, 2012

You probably have nerve damage, which should improve. It is not related to your heart or the vagus nerve.

Published on Jul 11, 2012

Either return to the original doctor or seek out a second opinion. You will need a follow-up ultrasound. The vagus nerve was not affected, but others nerves could have been. Many of the symptoms that you are having tend to dissipate over several weeks, so waiting may be another option. New veins can sometimes develop, but may disappear with time, or can be treated with sclerotherapy..

Published on Jul 11, 2012

I'm so sorry you did not have an optimal outcome. This procedure typically is safe with very low complication rates. It sounds as if there was some nerve and tissue damage done by the high heat of the laser. This will take time to heal, Perhaps as much as six or 12 months. It is not life-threatening. But you should share your concerns with your physician.

Published on Jul 11, 2012

I would return to the doctor who performed the procedure to discuss these issues. Tingling and numbness can occur and is almost always temporary. New veins that appear after the procedure can occur and again, this is fixable. The vagus nerve cannot be affected from this procedure. It sounds like you are experiencing anxiety, and I would talk with your doctor as anti-anxiety meds for a short period of time may be right for you.

Published on Jul 11, 2012

Unfortunately, even when done correctly, radiofrequency ablation has a predictable failure rate. Laser ablation failure rates are very similar. Heavy people with large thighs and hyper exercisers seem to be at risk for early primary treatment failures. Have the procedure redone. Be sure to use compression socks. If it is early, occasionally you can save a treatment failure with sclerotherapy.

Published on Jul 11, 2012

Go see another doctor if you have already followed up and shared your dissatisfaction with the one who performed the original procedure. I hope you didn't go to a family doctor for this. You need to see someone licensed as a vascular surgeon. Find a second opinion quickly. Good luck.

Published on Jul 11, 2012