Efficacy and Security of Combined 1470 EVLA + Foam Sclerotherapy on the Management of C4 to C6 Patients

Endovenous laser ablation (EVLA) has become one of the standards of treatment for patients with chronic venous insufficiency due to superficial lower leg venous reflux. There have recently been multiple less invasive proposals of treatment toward patients with CEAP 4, 5, 6. Many of these patients with great saphenous vein (GSV) and small saphenous vein (SSV) reflux have below-the-knee (BTK) reflux and perforator vein insufficiency. Prevention of thermal damage to the BTK nerves and management of perforator associated incompetence has been addressed by multiple authors.