Retrograde Injection Technique for Endovenous Chemical Ablation of Varicose Veins, A Case Study

Steven T. Deak, MD, PhD, FACS Rutgers Medical School, New Brunswick, NJ

Introduction & Objectives

The treatment of large superficial varicose veins requires a two step approach. First the incompetent greater saphenous vein is closed with endovenous thermal ablation followed by ambulatory phlebectomy of the residual varicose veins, either at the same time or at a later date. This study outlines an improved technique for treating the incompetent greater saphenous vein and the associated varicose vein tributaries at the same time with a single access site using endovenous chemical ablation with polidocanol injectable foam 1%.