Pretreatment Photo
Post Treatment
A nonhealing wound in the lateral (outside) aspect of the left leg after an injury.
This had been treated at a local wound center with multiple debridements and
dressings with nonresolution of the wound. The wound healed after laser ablation
and medical sclerotherapy. No additional ulcers have developed since treatment,
an important point as venous ulcers usually recur without treatment.
This had been treated at a local wound center with multiple debridements and
dressings with nonresolution of the wound. The wound healed after laser ablation
and medical sclerotherapy. No additional ulcers have developed since treatment,
an important point as venous ulcers usually recur without treatment.
This nice lady presented to our clinic with an incredibly painful ulceration in the medial (inside) aspect of her left
leg for the last 8 months. Ultrasound examination was performed and showed a single abnormal perforating
vein with high flow. Laser ablation of the perforating vein was performed as well as medical sclerotherapy.
Note the improved blood flow, the more shallow nature and drier appearance of the wound. It healed completely
in under 3 weeks and her pain was essentially resolved on her 6 day visit. Oddly enough, some insurance
companies consider treatment of abnormal perforating veins to be investigational. Our experience, as well as
that of other vein centers, has shown obvious patient improvement with treatment of abnormally functioning
perforating veins and we often recommend treatment of these abnormally functioning vessels.
leg for the last 8 months. Ultrasound examination was performed and showed a single abnormal perforating
vein with high flow. Laser ablation of the perforating vein was performed as well as medical sclerotherapy.
Note the improved blood flow, the more shallow nature and drier appearance of the wound. It healed completely
in under 3 weeks and her pain was essentially resolved on her 6 day visit. Oddly enough, some insurance
companies consider treatment of abnormal perforating veins to be investigational. Our experience, as well as
that of other vein centers, has shown obvious patient improvement with treatment of abnormally functioning
perforating veins and we often recommend treatment of these abnormally functioning vessels.
4 days after treatment
3 months after initial
treatment, 2 weeks after
laser ablation of the
perforator underlying the top
edge of the ulcer.
treatment, 2 weeks after
laser ablation of the
perforator underlying the top
edge of the ulcer.
Initial presentation, nonhealing
ulceration after attempted
saphenous vein harvest. Wound
had been present for approximately
3 months.
ulceration after attempted
saphenous vein harvest. Wound
had been present for approximately
3 months.
This gentleman had undergone a coronary artery bypass graft 2 months prior to presentation to our clinic. The
surgeon had attempted to remove the right greater saphenous vein for the heart surgery but did not remove it
due to technical issues. The wound failed to heal. The right greater saphenous vein was noted to have
abnormal reflux and given the risk in working at an open wound, treatment was performed with foam
sclerotherapy below the wound to the level of the knee (closely monitored by ultrasound). Marked improvement
resulted as shown on follow up pictures 4 days after the procedure. He continued to have a small area at the
top of the wound that would not completely close and a laser ablation of a perforator at the upper end of the
initial wound was performed and the wound closed completely. Staged treatment of ulcerations is often
necessary and we routinely have patients with ulcers return in 3 months to assure complete healing.
surgeon had attempted to remove the right greater saphenous vein for the heart surgery but did not remove it
due to technical issues. The wound failed to heal. The right greater saphenous vein was noted to have
abnormal reflux and given the risk in working at an open wound, treatment was performed with foam
sclerotherapy below the wound to the level of the knee (closely monitored by ultrasound). Marked improvement
resulted as shown on follow up pictures 4 days after the procedure. He continued to have a small area at the
top of the wound that would not completely close and a laser ablation of a perforator at the upper end of the
initial wound was performed and the wound closed completely. Staged treatment of ulcerations is often
necessary and we routinely have patients with ulcers return in 3 months to assure complete healing.
6 days after treatment
| The Vein Center 11219 Financial Centre Parkway Suite 215 Little Rock, Arkansas 72211 (501) 225-8346 (225-VEIN) Fax (501) 217-9819 |
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