Review of intravascular approaches to the treatment of varicose veins.

This is an in-depth review article for intravascular approaches to the treatment of varicose veins. The review discusses thermocoagulation of abnormal veins performed by an endoluminal radiofrequency device or laser. The article sites specific findings and is based on our clinical experience and extensive literature search. It was found that the two techniques were less invasive, less expensive, and faster alternative to treat varicose saphenous trunks compared to ligation and stripping. Minor adjustments to the technique prevented or minimized side effects to patients. Ambulatory phlebectomy in conjunction with treatment produced optimal long-term results.