Current standard of care is ablation of the saphenous veins with either laser or radiofrequency. However there are other new procedures including chemical foam ablation and a glue which are still not covered by insurance.
If you have vein reflux and symptoms, most insurance plans do cover the ablation and microphlebectomy. Varicose veins can be injected wtih foam sclero but it is much more efficient to remove the veins through tiny punctures requiring no stitches. These can all be done under local anesthetic in the office and at the same time if you have a surgeon doing the procedures. This not only saves your time as it is one visit but also saves both you and your insurance money. It also decreases risk of general/conscious sedation in a surgery center or hospital.

Published on Jul 11, 2012

ELVeS (endovascular laser venous system) treatment is indicated in situations where there is leg pain or swelling associated with abnormal venous flow or incompetence of saphenous veins. Although endovascular laser treatment is effective, it can potentially cause "collateral damage" secondary to heat transfer to the tissues surrounding the vein. Today, there are other techniques that produce the same results with less side effects.
Microphlebectomy is performed to remove non-saphenous varicose veins. It is highly effective and provides excellent clinical and cosmetic results after one session. Sclerotherapy is less effective and requires multiple treatments.

Published on Jul 11, 2012

I fully agree with the treatment plan. Symptomatic varicose veins associated with SFJ and truncal reflux is best treated by a closure procedure and microphlebectomies. Foam can be used for the varicose veins but it is a prolonged process whereas microphlebectomy is a one time procedure.

Published on Jul 11, 2012