At The Vein Institute of Toronto all patients undergo a comprehensive venous assessment which is performed by a interventional radiologist or a vascular surgeon specially trained in performing minimally invasive treatments using imaging guidance. This assessment is comprised of a careful focused venous history with attention to the patient’s symptoms and concerns along with the past medical history. The patient then undergoes a detailed venous physical exam mapping out the location and types of veins involved.

Following this the patient undergoes a duplex ultrasound to assess the venous anatomy, vein valve function and venous blood flow changes, which can assist in diagnosing venous insufficiency. The doctor will map the greater and lesser saphenous veins; followed by an examination of the deep and superficial venous systems to determine if the veins are open and to pinpoint any reflux. The patient will also be screened for deep venous thrombosis.

Based on the findings from the above three segments of the patient’s venous exam, a individualized treatment plan will be formulated and outlined to the patient.

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