Case of Painful, Bulging Varicose Veins, Secondary to Incompetent GSV, Successfully Treated With Endovenous Laser Ablation
Authors: Tae An Choi ANP-BC, Nay Htyte MD FACC, & Back Kim MD FACC.
Heart Vein NYC, New York, New York
Figure 1. Pre EVLT: Prominent varicosities from his calf extending up to distal thigh. The branch varicosities (figure 1a) originated from incompetent GSV (Great Saphenous Vein) (figure 1b).
Figure 1a: Transverse view of varicose veins in the sonogragram
Figure 1b: Retrograde flow (reflux) of incompetent GSV
Figure 2a. Peri-EVLT: Percutaneously Introduced the laser fiber into GSV.
Figure 2b: Activating the laser and withdrawing the fiber and sheath at the proper speed under guidance of ultrasound.
Figure 3. Post-EVLT: Immediately after successful saphenous laser ablation. Visually significant reduction of bulging varicose veins with almost complete relief of leg pain, achiness and heaviness.