Endovenous Laser Treatment  

• A minimally invasive image-guided technique in which a catheter bearing a laser fiber is inserted under ultrasound guidance into the great saphenous vein (GSV) or small saphenous vein (SSV) through a small puncture. This causes the vein to close as the fiber is gradually removed, allowing blood to be diverted to normal veins with functional valves.

Microphlebectomy (Ambulatory Phlebectomy)

• A treatment for superficial varicose veins.  The procedure involves the removal of the varicose veins through small 2-3 mm incisions in the skin overlying the veins.  The procedure may be performed in a hospital or outpatient setting.  This procedure can be preformed with tumescent local anesthesia, such as lidocaine.

Ligation 

• Is the act of making a ligature (tie).  In medicine, a ligature is a device, similar to a tourniquet, usually of thread or string, tied around a limb, blood vessel or something similar to restrict blood flow.  This procedure is used when Varicose Veins are not amenable to laser or Sclerotherapy.

Sclerotherapy

• A procedure used to treat blood vessels or blood vessel malformations (vascular malformations) and also those of the lymphatic system.  A medicine is injected into the vessels, which makes them shrink.  It is used for children and young adults with vascular or lymphatic malformations.  In adults, sclerotherapy is often used to treat varicose veins or spider veins.