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• Patient provides a description of symptoms and rates intensity on a scale of (1-10)
• The physician carries out a physical examination of the extremities.
• Continuous wave Doppler and duplex ultrasound imaging is performed to determine the origin of reflux and to map the Greater Saphenous Vein (GSV).
• Transverse measurements of the Greater Saphenous Vein are made 2 - 3 centimeters below the Sapheno-Femoral Junction and along the course of the GSV.
• Hard copy documentation of GSV diameter and reflux are obtained.
• Note length of vein to be treated.
• Photographs are taken of the leg.
• The patient signs informed consent document.
• If patient is anxious sedation can be given prior to the procedure (e.g. Xanax 0.5 mg PO 1 hour prior to procedure.)
• Patients with thrombus in the vein segment
to be treated
• Patients with an aneurysmal section in
the vein segment to be treated
• Patients with peripheral arterial disease
as determined by an Ankle-Brachial Index <
0.9
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