Evan Lipsitz, MD
Trends in the treatment of venous disease have mirrored those of arterial pathology with the development and advancement of minimally invasive technologies.
Patients with venous ulcerations or painful varicosities whose only option had previously been only traditional saphenous vein ligation and/or stripping or open perforator ligation can now be treated with a variety of endoluminal approaches. These procedures may also be combined with microphlebectomy. The goal of open and endovenous therapy is to obliterate the affected veins, thereby eliminating reflux, reducing pain, and preventing recurrence of venous ulcers
The decision as to which therapy is appropriate for any given patient depends on the patients clinical presentation, anatomy, medical co-morbidities, and treatment goals. Patients with large, tortuous varicosities and extensive reflux are best served with an open ligation and stripping. Patients with less challenging anatomy are candidates for endovenous intervention.
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