BY MAYFAIR DIAGNOSTICS

Chronic Venous Recanalization

Chronic venous occlusion occurs when a vein has been blocked for a long period of time—often months or years—most commonly after a prior deep vein thrombosis (DVT). Over time, the vein can become scarred and narrowed, leading to poor blood flow and ongoing symptoms.

Patients may experience chronic leg swelling, pain, heaviness, skin discoloration, varicose veins, or in severe cases, non-healing ulcers. These symptoms can significantly affect mobility, comfort, and quality of life.

Chronic venous recanalization is a minimally invasive procedure designed to reopen these long-standing blockages and restore more normal venous blood flow.

Chronic venous occlusion occurs when a vein has been blocked for a long period of time—often months or years—most commonly after a prior deep vein thrombosis (DVT). Over time, the vein can become scarred and narrowed, leading to poor blood flow and ongoing symptoms.

Patients may experience chronic leg swelling, pain, heaviness, skin discoloration, varicose veins, or in severe cases, non-healing ulcers. These symptoms can significantly affect mobility, comfort, and quality of life.

Chronic venous recanalization is a minimally invasive procedure designed to reopen these long-standing blockages and restore more normal venous blood flow.

Specialized Venous Care at SAVI

At SAVI, chronic venous disease is managed by subspecialty-trained interventional radiologists with advanced expertise in complex venous reconstruction. We work closely with your referring physician to determine whether recanalization is appropriate and to design a treatment plan tailored to your anatomy and symptoms.

When Is Chronic Venous Recanalization Considered?

Chronic venous recanalization may be recommended when:

  • Symptoms persist despite compression therapy and medication
  • There is evidence of long-standing vein blockage or severe narrowing
  • Quality of life is significantly affected
  • Imaging shows anatomy that is suitable for minimally invasive treatment (CT or MRI)

Not all chronic venous blockages require intervention. Careful evaluation and imaging are essential to identify patients most likely to benefit.

Procedures are typically performed with light sedation or anesthesia. Hospital stays are usually short, and many patients go home the same day or the next day. Over time, patients often experience:

  • Reduced leg swelling and pain
  • Improved mobility and endurance
  • Healing of venous skin changes or ulcers
  • Better overall quality of life

Follow-up includes imaging and clinical assessment to ensure the vein remains open and symptoms continue to improve.

A Long-Term, Vein-First Approach

At SAVI, our focus is not just reopening the vein—but durable, long-term improvement. We emphasize careful patient selection, meticulous technique, and structured follow-up to protect vein health and prevent recurrence.

Minimally Invasive Treatment Options

Chronic venous recanalization is performed through a small puncture, usually in the leg or neck. Techniques may include:

  • Crossing and reopening the blocked vein using specialized wires and catheters
  • Thrombectomy using specialized suction catheters to remove or debulk the chronic clot
  • Balloon angioplasty to widen narrowed segments
  • Venous stent placement to keep the vein open long term and improve blood flow

These procedures avoid open surgery and are designed to relieve venous pressure and improve circulation.

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Related in Venous Diseases

Acute Deep Vein Thrombosis (DVT) Management

A successful DVT management strategy involves collaboration between primary care physicians, hematologists, vascular surgeons, and interventional radiologists (IR).

Book or inquire about this procedure

Mayfair’s interventional radiologists perform general IR procedures at Rockyview General Hospital and interventional vascular procedures at the Peter Lougheed Centre in Calgary.