Venous Ligation
Tying off a failing vein surgically when its size or path rules out a catheter based approach.
Venous ligation is the open surgical version of closing a failing vein. Through a small incision, the vein is tied off at the point where it joins the deep system, which stops blood from flowing backward down the leg.
Not every vein suits a catheter. Veins that are very large, unusually twisted, or sitting close to the skin can be difficult to treat with ablation, and some patients have had an ablation that did not fully close the vein. Ligation is the answer in those cases.
Ligation is done under local anesthetic or light sedation depending on the vein involved. You go home the same day. Expect a small incision to care for, compression stockings for a short period, and about a week before heavy activity.
FAQ
Frequently asked questions
The things patients ask us most about venous ligation, answered plainly.
Ablation works through a catheter, and some veins are too large, too twisted, or too shallow for that to work reliably. Your ultrasound tells us which approach fits your anatomy.
Ligation ties the vein off. Stripping removes a segment of it. They are related but not the same, and what is done today is far less involved than the operation people remember from decades ago.
The incision is small and placed in a skin crease where possible. It fades over time but does leave a mark.
That depends on the vein and on you. Many ligations are handled in the office. Dr. Caruso will tell you which setting your case calls for before you schedule.
Symptomatic vein disease is generally covered. We check your benefits and handle any prior authorization first.
Still have questions?
We're happy to help — reach out and our team will get you the answers you need.
Ready when you are
Schedule Your Visit Today
Book a consultation and get a clear read on your circulation — what is happening, what it means, and what to do next.