Varicose veins can be treated by Sclerotherapy or Phlebectomy. The former procedure almost invariably treats the entire very without leaving any untreated segments. Phlebectomy always removes small segments of the varicose vein and even with repeated treatments, there will be segments remaining behind.

Published on Jul 11, 2012

While we try to remove as much as possible at the same time as the EVLA, there may be residual veins present. Often the residual veins will shrink down after the pressure from the saphenous vein is removed/sealed. If they are much smaller, they may be treated with sclerotherapy however some insurances will not cover this..

Published on Jul 11, 2012

With many veins or very long veins it is not always possible to remove every vein or every portion of every vein. If this is the case then more than one microphlebectomy procedure may be required per leg. Sometimes, if a patient has an extensive amount of veins, I would just do the microphlebectomies in 2 stages.

Published on Jul 11, 2012