Recurrent varices:
classify before you treat
Five difficult calls where duplex reflux is only the start of the story.
Preparing your clinical challenge…
Recent questions. Carefully qualified answers.
Abbreviations used in this edition
REVAS: recurrent varices after surgery · PREVAIT: presence of varices after interventional treatment · GSV: great saphenous vein · AASV: anterior accessory saphenous vein · SSV: small saphenous vein · SFJ: saphenofemoral junction · DUS: duplex ultrasound · QoL: quality of life · RCT: randomized controlled trial · EVLA: endovenous laser ablation · HLS: high ligation and stripping · AVF: American Venous Forum · AVLS: American Vein and Lymphatic Society · ESVS: European Society for Vascular Surgery.
Evidence checked 11 October 2026. Recent-evidence window: 11 October 2025–11 October 2026; older sources are clearly labeled. Original, AI-assisted educational cases; not independently reviewed by a clinician. Apply current guidance and individual clinical assessment. This edition provides no accredited CME credit. Quiz answers remain in this browser. Submitted names and comments are stored on the website and displayed publicly beneath the relevant question.