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Reversal of deep venous insufficiency by aggressive treatment of superficial venous disease.- Venous Insufficiency Buffalo Niagara and Southern Ontario
Wednesday, August 14, 2013



A study by Ahmad and colleagues from the Robert Wood Johnson University Hospital in New Jersey, looked at the difference between aggressive or less aggressive treatments for superficial venous refluxx disease to determine its affects on deep venous insufficiency.


The study was conducted from a pool of 1,500 consecutive patients with superficial venous reflux disease in an outpatient clinic.  Of those, 100 patients were available for the study.  64 of the 100 patients underwent aggressive therapy which included ligation of the great saphenous vein at the saphenofemoral junction, treatment of the great saphenous vein with ablation techniques and ambulatory stab phlebectomy of varicose veins.  Follow-up Doppler studies done after aggressive treatment of superficial venous disease showed improvement or complete reversal of deep venous insufficiency in the majority of patients.  The study authors have shown, in the statically significant fashion, that aggressive treatment for superficial venous reflux disease as well as treatment of spider veins and reticular veins by treating perforator veins shows reversal or elimination of deep venous insufficiency.


Deep venous insufficiency is valvular insufficiency in the deep veins and to date, very few safe treatments are available to treat this condition other than valvuloplasty.  Treatments for deep venous insufficiency are fraught with complications such as deep vein thrombosis and as such, few physicians risk operating on the deep veins in the lower extremities.


In conclusion the study showed that aggressively treating superficial venous reflux disease can prevent or even eliminate deep venous insufficiency.  This study was published in the American Journal of Surgery, volume 191, pages 33 to 38.


For treatment of superficial venous insufficiency with the most up-to-date technologies including EVLT, laser technology, VNUS Closure  using radiofrequency energy and the Clarivein procedure contact Dr. Karamanoukian at the Vein Treatment Center with offices in Williamsville, New York and Clarence, New York.  Hratch Karamanoukian MD FACS is a board certified vein specialist (phlebologist).  Dr. Karamanoukian can be contacted directly through his website or or by calling 716-839-3638.


Self referrals and second opinions are welcome at the Vein Treatment Center in the Williamsville, New York and Clarence, New York.  We welcome Canadian patients at the Vein Treatment Center. and are partners with



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