I have a patient with a history of Factor V leiden deficiency, but no prior history of DVT. He is not on anticoagulation regularly. He is scheduled for a great saphenous vein (GSV) radiofrequency ablation. I am trying to decide if he needs to be started on an anticoagulant prior to, during, or after treatment.
Should anticoagulation be started in a patient with Factor V Leiden deficiency prior to undergoing venous radiofrequency ablation?
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