I need to have EVLT again after re-canalization. Is there a risk to waiting or is it just related to re-appearance of symptoms?

I had EVLT and stab phlebectomy performed on both legs 5 months ago. After the procedure, an EHIT was found, which resulted in 2 weeks of anticoagulation treatment. I now have partial recanalization of both GSVs. US guided sclerotherapy was not effective. My surgeon wants to re-laser, but wants to wait for several months before proceeding. Is there any danger in waiting? Because of the EHIT, I'm not hypersensitive to the idea of a blod clot and don't want to wait if there is an increased risk.

Answers from doctors (3)


More About Doctor Allure Medical

Published on May 07, 2018

If your symptoms aren't that bad, it is fine to wait. It is the choice you and your doctor make, and there is no correct or incorrect answer. But you are not putting yourself in danger by waiting.

Answered by Allure Medical (View Profile)

If your symptoms aren't that bad, it is fine to wait. It is the choice you and your doctor make, and there is no correct or incorrect answer. But you are not putting yourself in danger by waiting.

Published on Jul 11, 2012


Normand Miller, MD, FACS, RPVI, RVT

Published on May 03, 2018

There is minimal risk in waiting. Keep in mind that a partially recanalized vein may not respond as well to laser treatment, i.e the risk of failure is clearly higher. I am concerned by the fact that both GSVs recanalized over that period of time. Since any reintervention carries with it 1) a greater risk of failure 2) a similar risk of EHIT (blood clotting complication), I would be inclined to hold off unless you develop bothersome symptoms. In that case, particularly if the vein is only partially recanalized, consideration should be given to US guided sclerotherapy with Varithena (commercially available foam), which has a better chance of closing the vein (compared to liquid sclerotherapy).

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Answered by Normand Miller, MD, FACS, RPVI, RVT

There is minimal risk in waiting. Keep in mind that a partially recanalized vein may not respond as well to laser treatment, i.e the risk of failure is clearly higher. I am concerned by the fact that both GSVs recanalized over that period of time. Since any reintervention carries with it 1) a greater risk of failure 2) a similar risk of EHIT (blood clotting complication), I would be inclined to hold off unless you develop bothersome symptoms. In that case, particularly if the vein is only partially recanalized, consideration should be given to US guided sclerotherapy with Varithena (commercially available foam), which has a better chance of closing the vein (compared to liquid sclerotherapy).

Published on Jul 11, 2012


Desert Vein Institute

Published on May 02, 2018

Waiting is the best thing and there is no increase risk. You would need to see if the EHIT goes completely away before retreating.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/8613_1523561715.jpg
Answered by Desert Vein Institute

Waiting is the best thing and there is no increase risk. You would need to see if the EHIT goes completely away before retreating.

Published on Jul 11, 2012


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