Thermoablation using the hedgehog technique for complex recurrent venous reflux patterns

Thermoablation using the hedgehog technique for complex recurrent venous reflux patterns

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Neovascularization after vein stripping is well recognized as a contributory cause Swimsuit of varicose vein recurrence.Treatment is challenging because of segment tortuosity and fibrous web formation.Surgical re-exploration is practiced, but foam sclerotherapy is becoming preferred.We suggest an alternative method using thermoablation with a technique originally intended for treatment of perforator vein reflux.This modification has not been Cot Mobile described in the context of recurrent neovascularization before.

By ultrasound-directed insertion of multiple intravenous cannulas into convoluted neovascularized segments, recurrences in the groin, popliteal fossa, and truncal vein strip tracks can be successfully ablated by endovenous laser ablation.