When is vein ligation indicated for the treatment of venous insufficiency?

Updated: Oct 22, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Answer

In general, vein ligation is reserved for cases of chronic venous insufficiency (CVI) involving reflux in the saphenous system that causes severe symptoms. [31] Thus, a diagnosis of reflux must be established preoperatively, usually with photoplethysmography or duplex imaging. [#Contraindications]In patients with symptomatic varicosities of the great saphenous vein (GSV), deep occlusion must be ruled out; it is an absolute contraindication to vein ligation. Venography of the deep venous system before superficial vein ligation is imperative.


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