Was my deep vein damaged during thermal ablation?

I had a thermal ablation 4 days ago. I went for an ultrasound yesterday and the tech saw the main deep vein was too close to the affected vein. I have to see the doctor in 2 days. She said I might need medication and to watch my leg for swelling and shortness of breath. She did not tell me why. Could they have damaged my deep vein during the procedure?

ANSWERS FROM DOCTORS (1)


Answered by Physicians Vein Clinics

I would assume that you have something called an EHIT. This stands for Endothermal Heat-Induced Thrombus. This is a clot (thrombus) at the top of the vein where your physician started treatment of your great saphenous veins. The thrombus to a large degree is of little concern unless it extends into the deep system which is extremely rare. I would recommend that you stay active and walk a minimum of 30 to 60 minutes per day to prevent progression.

I have completed over 5,000 endovenous thermal ablations and I have NEVER had an EHIT progress to a blood clot in the deep veins. I do not do follow-up ultrasounds any longer, as studies show that it is not necessary.

Published on Sep 19, 2019

Answered by Physicians Vein Clinics (View Profile)

I would assume that you have something called an EHIT. This stands for Endothermal Heat-Induced Thrombus. This is a clot (thrombus) at the top of the vein where your physician started treatment of your great saphenous veins. The thrombus to a large degree is of little concern unless it extends into the deep system which is extremely rare. I would recommend that you stay active and walk a minimum of 30 to 60 minutes per day to prevent progression.

I have completed over 5,000 endovenous thermal ablations and I have NEVER had an EHIT progress to a blood clot in the deep veins. I do not do follow-up ultrasounds any longer, as studies show that it is not necessary.

Published on Jul 11, 2012


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