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Treatment Plan
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Negative for Reflux
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Venous Treatments
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Conservative Venous
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Active Venous Ulcers
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RFA
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Venaseal
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Right Leg
|
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GSV Prox Right Leg RFA
|
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Foam? (Prox GSV R Leg RFA/Sclero)
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Tortuous/Short/SVT
• • •
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GSV Prox Right Leg Venaseal
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Foam? (Prox GSV R Leg Venaseal/Sclero)
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Tortuous/Short/SVT
• • •
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GSV BK Right Leg Sclero
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AAV 36475 Right Leg RFA/Sclero
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AAV 36476 Right Leg RFA/Sclero
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Foam? (AAV R 36475 Leg RFA)
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Tortuous/Short/SVT
• • •
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Foam? (AAV R 36476 Leg RFA)
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Tortuous/Short/SVT
• • •
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AAV 36482 Right Leg Venaseal/Sclero
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AAV 36483 Right Leg Venaseal/Sclero
|
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Foam? (AAV R 36482 Leg Venaseal)
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Tortuous/Short/SVT
• • •
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Foam? (AAV R 36483 Leg Venaseal)
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Tortuous/Short/SVT
• • •
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PAV 36475 TX Right Leg (RFA)
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PAV 36476 TX Right Leg (RFA)
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Foam? (PAV 36475 R Leg RFA)
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Tortuous/Short/SVT
• • •
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Foam? (PAV 36476 R Leg RFA)
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Tortuous/Short/SVT
• • •
|
|
PAV 36482 TX Right Leg Venaseal
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PAV 36483 TX Right Leg Venaseal
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Foam? (PAV 36482 R Leg Venaseal)
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Tortuous/Short/SVT
• • •
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Foam? (PAV 36483 R Leg Venaseal)
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Tortuous/Short/SVT
• • •
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SSV Right Leg (RFA/Sclero)
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SSV >= 5.0mm? (R RFA/Sclero)
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SSV <= 5.0mm? (R RFA/Sclero)
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Foam? (SSV >5 R Leg RFA/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (SSV <5 R Leg RFA/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
SSV Right Leg (Venaseal/Sclero)
|
|
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SSV >= 5.0mm? (R Venaseal/Sclero)
|
SSV <= 5.0mm? (R Venaseal/Sclero)
|
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Foam? (SSV >5 R Leg Venaseal/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (SSV <5 R Leg Venaseal/Sclero)
|
Tortuous/Short/SVT
• • •
|
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VOG Right Leg (RFA)
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Foam? (VOG R Leg RFA)
|
Tortuous/Short/SVT
• • •
|
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VOG Right Leg (Venaseal)
|
|
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Foam? (VOG R Leg Venaseal)
|
Tortuous/Short/SVT
• • •
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ASV AK Right Leg
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ASV BK Right Leg
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Single Vein Sclero (R leg Sclero)
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Multi Vein Sclero (R leg Sclero)
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MC TV Right Leg (MC Sclero Single)
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MC TV Right Leg (MC Sclero Multi)
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LC TV Right Leg (MC Sclero Single)
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LC TV Right Leg (MC Sclero Multi)
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AC TV Right Leg (MC Sclero Single)
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AC TV Right Leg (MC Sclero Multi)
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PC TV Right Leg (MC Sclero Single)
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PC TV Right Leg (MC Sclero Multi)
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MT TV Right Leg (MC Sclero Single)
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MT TV Right Leg (MC Sclero Multi)
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AT TV Right Leg (MC Sclero Single)
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AT TV Right Leg (MC Sclero Multi)
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LT TV Right Leg (MC Sclero Single)
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LT TV Right Leg (MC Sclero Multi)
|
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PT TV Right Leg (MC Sclero Single)
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PT TV Right Leg (MC Sclero Multi)
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IP 1 Right Leg
|
Perf Location
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IP 2 Right Leg
|
Perf Location
|
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IP 3 Right Leg
|
Perf Location
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Free Text
|
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Left Leg
|
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GSV Prox Left Leg
|
|
|
Foam? (Prox GSV L Leg RFA/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
GSV Prox Left Leg Venaseal/Sclero
|
|
|
Foam? (Prox GSV L Leg Ven/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
GSV BK Left Leg (Sclero)
|
|
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AAV 36475 Left Leg (RFA)
|
AAV 36476 Left Leg (RFA)
|
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Foam? (AAV 36475 L Leg RFA)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (AAV 36476 L Leg RFA)
|
Tortuous/Short/SVT
• • •
|
|
AAV 36482 TX Left Leg (Venaseal)
|
AAV 36483 TX Left Leg (Venaseal)
|
|
Foam? (AAV 36482 L Leg Venaseal)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (AAV 36483 TX L Leg Venaseal)
|
Tortuous/Short/SVT
• • •
|
|
PAV 36475 TX Left Leg (RFA)
|
PAV 36476 TX Left Leg (RFA)
|
|
Foam? (PAV 36475 L Leg RFA)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (PAV 36476 L Leg RFA)
|
Tortuous/Short/SVT
• • •
|
|
PAV 36482 TX Left Leg Venaseal/Var
|
PAV 36483 TX Left Leg Venaseal/Var
|
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Foam? (PAV 36482 L Leg Venaseal/Var)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (PAV 36483 L Leg Venaseal/Var)
|
Tortuous/Short/SVT
• • •
|
|
SSV Left Leg (RFA/Sclero)
|
|
|
SSV >= 5.0mm? (L RFA/Sclero)
|
SSV <= 5.0mm? (L RFA/Sclero)
|
|
Foam? (SSV >5 L Leg RFA/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (SSV <5 L Leg RFA/Sclero)
|
Tortuous/Short/SVT
• • •
|
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SSV Left Leg (Ven/Sclero)
|
|
|
SSV >= 5.0mm? (L Ven/Sclero)
|
SSV <= 5.0mm? (L Ven/Sclero)
|
|
Foam? (SSV >5 L Leg Ven/Var)
|
Tortuous/Short/SVT
• • •
|
|
Foam? (SSV <5 L Leg Ven/Var)
|
Tortuous/Short/SVT
• • •
|
|
VOG Left Leg (RFA)
|
|
|
Foam? (VOG L Leg RFA)
|
Tortuous/Short/SVT
• • •
|
|
VOG Left Leg (Venaseal/Sclero)
|
|
|
Foam? (VOG L Leg Ven/Sclero)
|
Tortuous/Short/SVT
• • •
|
|
ASV AK Left Leg
|
ASV BK Left Leg
|
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Single Vein Sclero (L leg Sclero)
|
Multi Vein Sclero (L leg Sclero)
|
|
MC TV Left Leg (Sclero Single)
|
MC TV Left Leg (Sclero Multi)
|
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LC TV left Leg (Sclero Single)
|
LC TV Left Leg (Sclero Multi)
|
|
AC TV Left Leg (Sclero Single)
|
AC TV Left Leg (Sclero Multi)
|
|
PC TV Left Leg (Sclero Single)
|
PC TV Left Leg (Sclero Multi)
|
|
MT TV Left Leg (Sclero Single)
|
MT TV Left Leg (Sclero Multi)
|
|
AT TV Left Leg (Sclero Single)
|
AT TV Left Leg (Sclero Multi)
|
|
LT TV Left Leg (Sclero Single)
|
LT TV Left Leg (Sclero Multi)
|
|
PT TV Left Leg (Sclero Single)
|
PT TV Left Leg (Sclero Multi)
|
|
IP 1 Left Leg
|
Perf Location
|
|
IP 2 Left Leg
|
Perf Location
|
|
IP 3 Left Leg
|
Perf Location
|
|
Free Text
|
|
|
Conservative Plan
|
|
|
Free Text
|
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