Predicting Recurrent Veins

Have you ever wondered why your patients often seem to present with new symptoms of neovascularity after GSV ablation?  Dr. John Kingsley of the Alabama Vascular and Vein Center suggested a "blowout phenomenon," which describes a sudden occurrence of varicose veins along the path of the AAGSV following the ipsilateral GSV ablation.  This phenomenon is due to a very common oversight by many vein procedurists.  Hint: It correlates with AP diameter.  You can read more about recurrent veins by clicking the above link.