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Endovenous Laser Treatment - A minimally invasive image-guided technique in which a catheter bearing a
laser fiber is inserted under ultrasound guidance into an valvular incompetent refluxive diseased vein through a
small puncture. Thermal energy from the laser fiber causes the vein to sclerose (close) as the fiber is
gradually removed. This causes blood to be diverted to normal veins with functional valves. This procedure is perfromed
in an outpatient setting with local tumescent anesthesia and mild sedation.

Microphlebectomy
- A treatment for
superficial varicose veins. Thisprocedure involves the removal of the varicose veins through small 2-3 mm incisions
in the skin overlying the veins. This procedure is performed in an outpatient setting utilizing tumescent
local anesthesia, and mild sedation.
Ligation - A treatment for larger superficial veins not amenable to Laser,
Microphlebectomy, or Sclerotherapy. This procedure involves a small surgical incision usually 2-3mm in length and
the "tying off" of the diseased vessel with suture or a metal clip. This procedure is perfromed in an outpatient
setting with local anesthetic and mild sedation.
Sclerotherapy
- A procedure used
to treat small superficial vessels from telangectasia (spider veins) to larger reticular veins. This procedure
consists of a solution injected into the vessels under translucent guidance causing the vessel to sclerose (shrink and
close off). This procedure is performed in an outpatient setting without anesthetic either in conjunction with
other vein treatments or alone in cosmetic treatments for spider veins.
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