Vein Treatment Varicose Veins Laser Lipo & Vein Care Center Ask the Doctor

I’ve heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?

Yes, endovenous laser ablation destroys the underlying cause of varicose veins and venous insufficiency. The saphenous vein that is leaking blood the wrong direction causes symptoms and varicose veins by causing pooling of blood. You have a network of veins in your legs and by closing down the leaking vein(s), you actually improve your venous circulation so blood can get out of your leg like it’s supposed to.

- Dr. Wright

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Are endovenous laser ablation and radio frequency ablation suitable for varicose veins in the upper part of the thigh? I consulted my surgeon for alternative techniques, he said sclerotherapy would not work. Would these other two methods be suitable?

Endovenous ablation is appropriate if there are leaking valves in saphenous system. If however, your saphenous system is normal, then sclerotherapy may be more appropriate. Sclerotherapy is for smaller veins and foam sclerotherapy is also very effective for treating larger veins.

- Dr. Wright

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• Varicose Vein Surgery
• After Varicose Vein Surgery
• Venous Reflux Exam

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• Endovenous Laser Ablation
• Endovenous Laser Ablation Concerns
• What can an Endovenous Laser Ablation Treat or Improve
• ELVeS (Endo Laser Vein System)

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Ask the Doctor is a blog where Dr. Thomas Wright, MD answers your questions with his blog posts and your comments to this blog.

You can use the Category or Section links on the top and use the Search on the side to look for information relating to Veins, Liposuction, Surgery, Before and After.

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While studying how the heart is formed, researchers at the University of Pennsylvania School of Medicine serendipitously found a novel cellular source of atrial fibrillation (AF), the most common type of abnormal heart beat. Jonathan Epstein, MD, William Wikoff Smith Professor, and Chair, Department of Cell and Developmental Biology, and Vickas Patel, MD, PhD, Assistant Professor of Medicine, have identified a population of cells in the atria of the heart and pulmonary veins of humans and mice that appear to be the seat of AF. The finding may lead to a more precise way to treat AF, with reduced side effects. Their findings appear online in the Journal of Clinical Investigation…….. (Source: Medicineworld.org: New Article Alert)

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Chatterjee Rita, Dey SubhenduIndian Journal of Dermatology 2009 54(4):375-377Cutis marmorata telangiectatica congenita (CMTC) is a rare congenital disorder with persistent cutis marmorata, telengiectasia, and phlebectesia, which may be associated with cutaneaus atrophy and ulceration of the involved skin. We herewith report a full-term newborn female baby with CMTC at birth with ulceration over the extensor aspects of both the knee joints and right elbow joint. CMTC is a benign vascular anomaly representing dilatation of capillaries and veins of dermis and is apparent at birth. The baby had a reticulated bluish purple skin changes all over the body including the face and limb. Although it resembled physiological cutis marmorata, it was strikingly pronounced and definitely was unvarying and…

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(University of Pennsylvania School of Medicine) While studying how the heart is formed, scientists serendipitously found a novel cellular source of atrial fibrillation (AF), the most common type of abnormal heart beat. They identified a population of cells in the atria of the heart and pulmonary veins of humans and mice that appear to be the seat of AF. The finding may lead to a more precise way to treat AF, with reduced side effects. (Source: EurekAlert! – Medicine and Health)

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Arteriovenous malformations (AVMs) are vascular anomalies where arteries and veins are directly connected through a complex, tangled web of abnormal arteries and veins instead of a normal capillary network. AVMs in the brain, lung, and visceral organs, including the liver and gastrointestinal tract, result in considerable morbidity and mortality. AVMs are the underlying cause of three major clinical symptoms of a genetic vascular dysplasia termed hereditary hemorrhagic telangiectasia (HHT), which is characterized by recurrent nosebleeds, mucocutaneous telangiectases, and visceral AVMs and caused by mutations in one of several genes, including activin receptor–like kinase 1 (ALK1). It remains unknown why and how selective blood vessels form AVMs, and there have been technical limita…

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The usefulness of endoscopic ultrasonography (EUS) in the evaluation of rectal varices (RV) was determined in 50 patients with portal hypertension (PH) and 25 PH-free controls. F1 and F2 varices and angiectasia were specific for the PH group as evaluated by endoscopy, but there was no difference between the PH and the control groups with respect to the frequency of blue vein. The detection rate of submucosal veins (SMV) with EUS was 88% for the PH group and 68% for the control group. The mean SMV diameter was significantly greater for the PH
group than for the control group, and no 2-mm or larger SMV was detected in the control group. Serum albumin and cholinesterase levels were significantly higher for the RV(+) patients with SMV 2mm or more in diameter in the PH group …

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A method for hand-assisted laparoscopic construction of gastric conduit for thoracic esophageal cancer was developed. Since this endoscopic surgical procedure is less invasive than open surgery, it contributes to improvement of post-operative respiratory functions and reduces respiratory complications. What distinguishes our surgical procedure is that unlike methods described in previous reports, it begins with treatment of the left gastroepiploic vessels at the height of the inferior edge of the spleen, followed by dissection from the esophageal hiatus to the lesser curvature and then dissection and excision of left gastric arteries and veins. Finally, the exposed esophagus and stomach are drawn outside the body and the right gastroepiploic blood vessels are preserved, followed by dissect…

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Conclusions The pterional, orbitozygomatic, and supraorbital approaches place the FDV and ATDV at risk. The major anterior diploic system connects the SSS with the sphenoparietal sinus. The posterior diploic system connects the SSS with the transverse and sigmoid sinuses.
PMID: 19877793 [PubMed - in process] (Source: Neurosurgical Focus)

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Can Vein Disease Cause Restless Leg Syndrome (RLS)?

Symptoms of RLS and Venous Insufficiency

The symptoms of venous insufficiency are almost identical to the symptoms of restless leg syndrome. RLS is common. Up to 3-10% of the population has symptoms of RLS ; whereas, venous insufficiency is also common occurs in 25% of the US population . Both cause symptoms which include: abnormal sensations of creepiness which is only relieved by moving the legs, irresistible urge to move legs, persistent leg movements during sleep, sleep difficulty, tingling, burning, aching, and numbness. The symptoms of both RLS and vein problems are relieved by movement of the legs. RLS and vein disease are usually noticed with change in position, such as lying down and standing. RLS symptoms tend to be more noticed when first lying down; where as, vein disease symptoms tend to be more noticed when standing.

Restless Leg Syndrome and Venous Insufficiency
Restless leg syndrome (RLS) is considered a sleep disorder. Venous insufficiency is a circulatory disorder. The cause of RLS is unknown but it appears to have multiple causes. Some cases are associated with iron deficiency, peripheral neuropathy, Parkinson’s disease, and other neurological disorders. However, it is clear that some RLS is caused by venous insufficiency. Recent medical research shows that 22% of patients with RLS also have venous insufficiency . In addition, the treatment of venous insufficiency can cure the symptoms of RLS. In fact in patient with RLS and venous insufficiency, 98% had relief of their symptoms of RLS by treating their venous insufficiency and 80% of patients the relief was long term [> 2ys].

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