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Spider Veins & Reticular Veins - Dr. Gitter has questions & Dr. Bush responds
Last Updated: 9/11/2012Responses
| Absolutely and have seen it many times.
Submitted by Ron Bush, MD, FACS - 9/11/2012
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| thank you do you feel these localized areas of incompetence are enough to cause cutaneous venous hypertension and persistent spiders? Submitted by Richard Gitter MD - 9/11/2012
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| Do an US guided phlebectomy
Submitted by Ronald Bush, MD, FACS - 9/10/2012
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| proximal third of medial thigh approx 7 cm superior to medial epicondyle of knee arises from gsv but gsv is competent Submitted by richard gitter/ gitter vein institute - 9/10/2012
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| Where exactly is this refluxing segment and what is the source? I prefer to do an US directed phlebectomy for these refluxing larger vessels. This gets rid of the problem and decrease the chance of angiogenesis secondary to repeated injections.
Submitted by Ronald Bush, MD, FACS - 9/7/2012
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middle aged female slightly over ideal body weight with persistent spider and reticular complex despite dual modality therapy with foam/liquid/ and D940 x 3.
Repeat ultrasound has finding of single venovenous refluxing segment with persistent reflux although isolated to this segment.
We plan to foam this using guidance then repeat our spider therapy.
Do you feel this localized refluxing segment could pressurize the superficial reticulars to an extent to be the culprit for the persistent spiders?
Are we missing something here?
Suggestions?
thx
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Bush Venous Lectures: www.bushvenouslectures.com
Vein Experts: www.veinexperts.com
Varicose Vein Consulting: www.vvcllc.com
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