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Telangiectasia in the legs is often related to the presence of venous reflux within underlying varicose veins. Flow abnormalities in smaller veins known as reticular veins or feeder veins under the skin can also cause spider veins to form, thereby making a recurrence of spider veins in the treated area less likely.
The distal veins are removed following the complete ablation of the proximal vein. This treatment is most commonly used for varicose veins off of the great saphenous vein, small saphenous vein, and pudendal veins. [60] Follow-up treatment to smaller branch varicose veins is often needed in the weeks or months after the initial procedure.
Most cases of CVI can be improved with treatments to the superficial venous system or stenting the deep system. Varicose veins, for example, can now be treated by local anesthetic endovenous surgery. Rates of CVI are higher in women than in men. [4] [5] Other risk factors include genetics, smoking, obesity, pregnancy, and prolonged standing. [6]
[33] All veins which are between the skin and the superficial fascia are tributaries, and all veins which cross the deep fascia to join the deep venous system are perforator veins. [34] Three anatomic compartments can be described, as networks: N1 contains the deep veins, also known as the deep compartment.
Sclerotherapy is the "gold standard" and is preferred over laser for eliminating large spider veins telangiectasias. [Telangiectasia is a condition in which broken or widened small blood vessels that sit near the surface of the skin or mucous membranes create visible], and smaller varicose leg veins. [18]
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A study of 516 treated veins over 69 months by Elmore and Lackey reported a success rate of 98.1%. [ 6 ] Endovenous thermal ablation (EVTA) by radiofrequency or laser is a safe and effective treatment of refluxing great saphenous veins [ 7 ] (GSVs) and has replaced traditional high ligation and stripping in official recommendations of various ...
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