The gold-standard endovenous truncal ablation technique is laser ablation, though radio frequency ablation comes a very close second. Taken together, it is accepted that endothermal ablation, if possible, is likely to be the most applicable treatment for endovenous treatment. This is certainly the case for bilateral leg vein treatment, or multiple source vein treatments required in a single leg.  There are advantages of non-thermal techniques on occasion, in particular circumstances, however. Endothermal techniques mandate the use of dilute local anaesthetic solutions infused around the target veins (tumescent anaesthesia), which may not be ideal in certain situations.

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