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Why can a vein not be removed if there is clotting in it?

This question was asked in Canton, Michigan and has 1 answer(s) as of 12/31/2015.
I have been having treatment for a varicose vein in my leg. First they used the laser to close the greater and lesser saphenous veins. Then they did a microphlebectomy on a section on vein bulges in my calf. They wanted me back a week later to do the microphlebectomy on the bulges on the inside of the knee. They started that procedure, but stopped because there was a blood clotting in that vein. Why can't the vein be removed if there is clotting in it? What other procedures can be done to improve the appearance of the vein bulges?


Doctors Answers (1)

Varicose veins can increase the chance of getting a blood clot (phlebitis) in the superficial veins close to the skin, which is different from a deep vein thrombosis (DVT) which is a clot in a deep vein that is located at the level of the muscles. The clot you have is behind the knee where the superficial Small Saphenous Vein (SSV) flows into the deep vein system. There is a chance of the superficial blood clot extending and becoming a DVT due to its location, so it is better to treat the phlebitis and monitor the clot as it is re-absorbed. After the clot has resolved, the varicose vein can be removed later to prevent further recurrences of clotting in that area.

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