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


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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).

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Figure 1a: Transverse view of varicose veins in the sonogragram    

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Figure 1b:  Retrograde flow (reflux) of incompetent GSV

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Figure 2a.  Peri-EVLT: Percutaneously Introduced the laser fiber into GSV.

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Figure 2b: Activating the laser and withdrawing the fiber and sheath at the proper speed under guidance of ultrasound.

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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.

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