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Vein Experts Updates - February 17, 2012Last Updated: 2/17/2012
February 17, 2012 Vein Experts Updates
Arterialization of Previously Ablated Vein
Richard Mueller MD – 2/14/12
I have a patient who has had gsv evlt twice (12 mm vein that didn''t close the first try)
Now has a 2-3 cm long partially open mid thigh segment (closed proximally and distally) with a strongly arterialized signal in the lumen, which is traceable to a common femoral artery branch, likely a pudendal or circumflex iliac artery
So it looks like what is rarely reported, an AV fistula post ablation
Would you advise surgery ? observation ? compression?
AVF Abstracts 2012
C A Engelhorn, et al. 2011. Progression of reflux patterns in saphenous veins of women with chronic venous valvular insufficiency.
Veritas De Vena - an online journal, written by Ronald Bush, MD.
· Chapter 2: All About Perforators
· Chapter 3: Using Tumescent Successfully
· Chapter 4: Aneurysms of the GSV, SSV, & AAGSV
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