Q ) Endovenous Laser Ablation (EVLA) of varicose veins is best suited for those :
a) With needle phobia
c) Excess tortuousity
d) Primary varicose veins
EVLA is thermal ablation of varicose veins in which laser fibre is inserted in the lumen and ablation is done from inside. It is a good modality for primary and recurrent varicose veins and work in both long and short segments.
This treatment is not effective in cases where there is needle phobia or the veins are having excessive tortuousity or thrombophlebitis. This procedure is done under ultrasound guidance and wire is passed from the superficial to the deep veins.
Tumescent local anesthesia also helps
Ref Bailey: Page 909