11 doctors weighed in:

Do I have to get some blood tests before doing a laser treatment of leg veins?

11 doctors weighed in
Dr. David Rosen
Phlebology
3 doctors agree

In brief: It Depends

First, it depends upon which type of laser treatment you are referring to: treatment of superficial spider veins vs endovenous ablation of incompetent superficial veins.
For the former, likely not necessary. Before endovenous ablation, depends on a patient's comorbidities, current medications (e.g. Warfarin). For specific recommendations for you, consult with your primary physician.

In brief: It Depends

First, it depends upon which type of laser treatment you are referring to: treatment of superficial spider veins vs endovenous ablation of incompetent superficial veins.
For the former, likely not necessary. Before endovenous ablation, depends on a patient's comorbidities, current medications (e.g. Warfarin). For specific recommendations for you, consult with your primary physician.
Dr. David Rosen
Dr. David Rosen
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Dr. Steven Zimmet
Aesthetic Medicine
3 doctors agree

In brief: No blood tests

Lasers can be used to treat leg spider veins, although sclerotherapy is usually more effective.
No blood test is needed before spider vein laser treatment. Endovenous laser ablation can be used as an alternative to stripping to treat underlying veins such as the great saphenous. In this situation, a blood test might be indicated if there was concern about an underlying risk for blood clots.

In brief: No blood tests

Lasers can be used to treat leg spider veins, although sclerotherapy is usually more effective.
No blood test is needed before spider vein laser treatment. Endovenous laser ablation can be used as an alternative to stripping to treat underlying veins such as the great saphenous. In this situation, a blood test might be indicated if there was concern about an underlying risk for blood clots.
Dr. Steven Zimmet
Dr. Steven Zimmet
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Dr. Thomas Wright
Phlebology
1 doctor agrees

In brief: Rarely

Blood test depend on the treatment being considered and medical history.
For endovenous laser treatment usually no test are necessary. Occasionally patients with risk factors for a DVT may need blood test to better understand their risk because the laser treatment has a very s small risk of dvt. For surface laser treatments and sclerotherapy of spider veins blood test are almost never needed.

In brief: Rarely

Blood test depend on the treatment being considered and medical history.
For endovenous laser treatment usually no test are necessary. Occasionally patients with risk factors for a DVT may need blood test to better understand their risk because the laser treatment has a very s small risk of dvt. For surface laser treatments and sclerotherapy of spider veins blood test are almost never needed.
Dr. Thomas Wright
Dr. Thomas Wright
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Dr. John Landi
Phlebology
1 doctor agrees

In brief: Usually not.

For spider veins on the skin nothing is necessary.
For laser treatment to close the refluxing valves and remove the varicose veins, I do not routinely get blood tests even with patients on blood thinners. I do obtain a baseline ekg on anyone over 40. The endovenous technique is done under tumescent anesthesia and, therefore, the patient is awake. It would be rare to obtain blood tests.

In brief: Usually not.

For spider veins on the skin nothing is necessary.
For laser treatment to close the refluxing valves and remove the varicose veins, I do not routinely get blood tests even with patients on blood thinners. I do obtain a baseline ekg on anyone over 40. The endovenous technique is done under tumescent anesthesia and, therefore, the patient is awake. It would be rare to obtain blood tests.
Dr. John Landi
Dr. John Landi
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Dr. Otto Placik
Surgery - Plastics

In brief: It depends

Possibly no tests but if you are to undergo anesthesia some basic tests such as a pregnancy test, if female, may be required

In brief: It depends

Possibly no tests but if you are to undergo anesthesia some basic tests such as a pregnancy test, if female, may be required
Dr. Otto Placik
Dr. Otto Placik
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Dr. Ted King
Phlebology

In brief: Not usually

For most people, there is no need for routine blood testing before laser treatment for varicose veins.
The only exception to that would be if you have had a personal history that is suggestive of abnormal blood clotting, if you have a strong family history of blood clotting in close relatives, or if you know that there is a thrombophilia (blood clotting disorder) that runs in your family.

In brief: Not usually

For most people, there is no need for routine blood testing before laser treatment for varicose veins.
The only exception to that would be if you have had a personal history that is suggestive of abnormal blood clotting, if you have a strong family history of blood clotting in close relatives, or if you know that there is a thrombophilia (blood clotting disorder) that runs in your family.
Dr. Ted King
Dr. Ted King
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