Had evlt 2 weeks ago, now hospital confirmed acute thrombus involving long saphenous vein. discharged with no medication/ treatment. is this ok?

Yes: Developing occlusion of the great saphenous vein is part of the treatment. This thrombus along with the laser therapy will induce fibrosis in the wall of the vein and eliminate blood flow and reflux.

Yes: Evlt is performed to ablate a vein and the resultant thrombosis is present and ultrasound in two weeks will show this. There is no need to treat this, and the resultant discomfort often present in the inner thigh peaks during the second week and nsaids will help relieve the discomfort.

Saphenous thrombosed: The purpose of the evlt procedure is to close the incompetent saphenous vein. Trapped blood in the vein is an acute thrombus and is part of the healing process. It should not however extend into the common femoral vein. If you are experiencing pain, you may obtain relief with wearing a compression stocking.

Yes: Developing occlusion of the great saphenous vein is part of the treatment. This thrombus along with the laser therapy will induce fibrosis in the wall of the vein and eliminate blood flow and reflux.

Ask details: Evlt damages the inside of the vein causing it to close. This is a different appearance than acute thrombus and the ultrasound tech should be able to distinguish. I would ask for details. Very rarely, thrombus can form in the femoral (deep) vein right where it connects to the saphenous. Make sure the doctor that did your evlt procedure has seen your study and ask him if the deep vein is involved.

Evlt: this does not sound like a venous thrombosis but is the healing process after evlt i would discuss with the md that performed the procedure to differentiate if this is evlt reaction it will improve with time.

Yes: Developing occlusion of the great saphenous vein is part of the treatment. This thrombus along with the laser therapy will induce fibrosis in the wall of the vein and eliminate blood flow and reflux.

Normal finding: Laser or radiofrequency ablation of the saphenous vein results in the vein being heated by the catheter which in turn causes the vein to contract, scar and ultimately be reabsorbed by the body. During this process the blood in the saphenous will clot. This is a clot induced by the procedure and is the normal sequence of events. An ultrasound done within one month of the procedure will show this.

Evlt: This is normal after the thermal ablation,it is the healing process