Combined Therapy and Treatment Plan
In patients that present with a several different vein issues, a compete treatment plan may involve combining several different techniques. The goal of treatment at VEINatlanta is to eliminate venous insufficiency, relieve symptoms, improve long term health, and improve the appearance of the legs.
To accomplish these goal, multiple different techniques and procedures may be combined. Deeper veins that have reflux, such as the great saphenous veins, are treated with radiofrequency ablation, also known as radiofrequency closure, or endovenous laser ablation (EVLA), also known as endovenous laser therapy (EVLT). This takes the abnormal venous pressure off the more superficial veins. Next, any bulging varicose veins are removed by micro-phlebectomy, which is sometimes combined with ultrasound guided foam sclerotherapy. Finally, the spider veins are treated with a combination of sclerotherapy and surface laser treatments.
Here is an example: Jane is a 35 year old woman has a large varicose vein that extends down the back of her left knee and calf. When she stands for an exetended period of time, the leg aches. When she exercises the leg feels tired, and the varicosity gets larger. She also has some spider veins on her thighs and ankles. Ultrasound shows she has reflux of the left great saphenous vein and small saphenous vein.
Jane’s treatment plan includes the following: left great saphenous vein radiofrequency ablation (closure), left small saphenous endovenous laser ablation, a follow-up visit, an ambulatory micro-phlebectomy of the varicose vein, and three treatment sessions for the spider veins that include surface laser treatments and sclerotherapy. The complete treatment plan is accomplished in 2 weeks.
Dr. Prevosti discusses multiple vein treatment options.