Thanks

@mvitv1693

24 күн бұрын

It's our pleasure!

excellent review doc

@mvitv1693

10 ай бұрын

Thank you!

Doctor I appreciate your comprehensive video on dvt and leg ulcers! I myself have had dvt for over 40 years now but have been able to manage it with compression. During my early years, I had major problems with open ulcers and they could not be healed until I met a vascular surgeon with a different method. He called it a vascular pump have you heard of it?. It was so simple all he did was cut a piece of foam to fit properly over the ankle and wrap a tensor bandage around the leg and over it to add compression. After years of open ulcers and many different procedures that didnt work the ulcers healed in under 2 weeks. I use this foam to this day. Sometimes the simplest things are the most effective

@mvitv1693

7 ай бұрын

Thank you for your comment Ron! Getting to the root of the issue and improving circulation is crucial when it comes to wound care. Once circulation issues are addressed, using compression and various wound care treatments can help accelerate the healing process. We are happy to know that you are enjoying great results! Best Regards.

@ronlearn

7 ай бұрын

Thank you, doctor! It is incredible but most surgeons would hesitate to do any SCLEROTHERAPY with an open ulcer (some would talk about vein stripping or even removing the greater saphenous vein) they would always wait till the ulcer was closed. The only way the ulcer would close is with foam compression therapy. placing firm foam on top of the ulcer and compressing it with a tensor bandage. You too, I wish you the best and urge you to try a little foam :). You may be amazed!@@mvitv1693

wow, you explained that so us layman we can understand.If I was in New Haven I would come see you, unfortunately I am in Florida abut to have this procedure done today, wish me luck!

@mvitv1693

9 ай бұрын

Thank you so much. You are always welcome to our office in Milford! We will be happy to care for you.

@user-pq8vh7ed8u

9 ай бұрын

How did it go?

@lucillekochan

9 ай бұрын

left leg down, all went well, in 3 weeks the right leg@@user-pq8vh7ed8u

Thank you for this super informative video! I had DVT followed by extreme pain caused by post thrombotic syndrome with reflux in the short saphenous vein and sapheno-popliteal junction. I did laser ablation of my short saphenous vein and now I have more pain, great saphenous vein reflux and varicose veins and so much pain and Im only 24 and compression stockings haven’t been helping. Can I treat all this with laser ablation or other surgical methods when I’ve already done laser ablation of my short saphenous vein? :/ you mentioned theres currently no surgical treatment for deep vein reflux so in my case what could be done for the great saphenous vein reflux in your opinion? Isnt this reflux that causes varicose veins and we should treat the root cause? Thank you very much in advance

@mvitv1693

7 ай бұрын

Yes the great saphenous vein and varicose veins can still be treated which could help to lessen your symptoms. With underlying post-thrombotic syndrome and deep vein reflux, you may always have some degree of discomfort, but the goal would be to ease as much of your symptoms as possible. That being said, with the history of DVT and deep and superficial vein involvement at such a young age, I would also question the possibility of iliac vein compression. It might be worthwhile to have further imaging first, usually by CT scan to better evaluate the outflow tract in the pelvis area.

@angelmimo633

7 ай бұрын

@@mvitv1693 thank you very much for your reply and input! I really hope I find the suitable treatment because several doctors have told me this is a complicated case but this discomfort and achy heavy pain is unbearable and is affecting my quality of life greatly. My DVT was in the external iliac vein down to common femoral vein to superficial femoral vein but my recent ultrasound showed normal compressibility of distal external iliac and femoral veins with patent lumen but there are remnants of the old DVT showing as 'fine fibrous thread within proximal commit femoral veins'..would I still need further imaging? Also after SSV laser ablation shouldn't it not be compressible? but my report says it's patent and compressible when the surgery was supposedly successful? Can I also please know which vein is causing the deep vein reflux or did you mean due to the DVT or could it be reflux in the sapheno femoral junction even tho nothing was mentioned in the report? And usually would there be complications/danger in the future if I don't treat my refluxes and varicose veins regardless of the pain? Thank you so much in advance.

I have this disease. I am 67. Only symptom I have is the swelling right now, no pain or cramps or varicose veins. I have worn the medical stockings for maybe 2 years. My cardiologist recommends I have the ablation procedure now since my vein readings are a little bit worse every visit. Comments appreciated.

@mvitv1693

9 ай бұрын

It is recommended to have treatment sooner than later as the vein damage is quite progressive. Once you have swelling, blood will accumulate in the lower legs leading to more swelling, more varicose veins and possibly blood clots, which are very dangerous. We also recommend you see a board certified vascular surgeon as they are best qualified for these procedures.

@kevinpyne5808

9 ай бұрын

@@mvitv1693 Thank you !

Please how doni visit your clinic.i am not in USA

@mvitv1693

8 ай бұрын

Please contact our office at (203) 418-7386 to discuss your options. Thank you.

What happens after gsv ablation if the vein recanalization happens? Study's on Internet point to that being a long term issue. Will a clot form? It's scary

@mvitv1693

2 ай бұрын

The risk of clot formation, known as deep vein thrombosis (DVT), after vein recanalization following GSV ablation is generally low but not entirely ruled out. However, the risk depends on various factors, including the extent of recanalization, underlying venous insufficiency, and individual patient characteristics. Studies have shown that vein recanalization after ablation can occur in a small percentage of cases, and it may require additional treatment to address the recurrent symptoms effectively. The recurrence of symptoms such as pain, swelling, or discomfort in the legs may prompt further evaluation to assess the need for additional interventions. It's important for individuals who have undergone GSV ablation and experience recurrent symptoms to consult their healthcare provider for further assessment and management.

The vascular surgeon i saw said that there's nothing surgery they can do when it's in the main, large vein in the leg. Do you agree with this or is there something new that can be done now?

@mvitv1693

7 ай бұрын

This is a difficult question to answer without knowing exactly what your ultrasound showed. It may be that the main vein that they mentioned is a deep vein rather than a superficial vein. It is correct that there is no surgical treatment for DEEP vein reflux at this time.

What would cause a vein to reopen after evlt or rfa? I've read alot of people say there vein reopened months later or even a couple years and they now have swelling or pain they never had before then what happens??

@mvitv1693

9 ай бұрын

Yes this can occur months or even years after an initial procedure, though it is not the norm. When this happens it is often due to a perforator vein in the area. A perforator vein is a connecting vein between the superficial and the deep system. If the perforator vein becomes incompetent it can put a lot of pressure on the closed superficial vein and over time the pressure can cause the vein to recannulize. More often than not however if someone is having retreatment down the road it is not on the same vein that was previously treated. Often it is a new superficial or varicose vein that has developed. When you have a history of venous disease, you are more prone to developing varicose veins. This is why we recommend routine follow-up once your vein treatments have been completed. This way we can catch something early as it is developing and treat it before it becomes a bigger issue.

Does the surgeries cure CVI or just help? I thought there was no direct cure for CVI at the moment

@mvitv1693

8 ай бұрын

The procedures to treat venous insufficiency are highly effective at improving symptoms and quality of life. Venous insufficiency is considered a chronic disease process and therefore once you have been fully treated we will continue to follow up with you on a regular basis. The treatment plan and length of time to fully treat the veins varies person to person.

that's all very well unless its so severe that it's crippled me and I cant walk

@mvitv1693

3 ай бұрын

We are sorry to hear that. That is the reason why we encourage people to discover and treat it as early as possible.

What is called Conservative Therapy I call inaction. If your in pain who wants to told to keep their legs elevated when surgical treatment is available, Lol. CVI is like a bad tooth. It doesn’t get better.

@mvitv1693

19 күн бұрын

Thank you for your comment. Yes, venous insufficiency is usually quite progressive, however, each patient is unique and conservative therapy may be appropriate in some cases.