Superficial venous insufficiency is a common problem associated with varicose veins.
Venous insufficiency and varicose veins can be symptomatic, but more commonly they are
a cosmetic concern. In this article, we discuss the relevant anatomy and pathophysiology
of superficial venous insufficiency, review the current literature for varicose vein treatment,
and cover the technical aspects of diagnosing and treating superficial venous insufficiency.
Saphenofemoral junction incompetence with resultant greater saphenous vein reflux is the
most common cause of varicose veins; because this condition constitutes the majority of
patients encountered in practice, we will concentrate on this area. Endovenous laser
ablation and sclerotherapy are covered, including patient workup and selection, procedure
set-up, and anesthesia.
Semin Cutan Med Surg 27:264-275 Published by Elsevier Inc.

Superficial venous insufficiency is a common problem associated with varicose veins.
Venous insufficiency and varicose veins can be symptomatic, but more commonly they are
a cosmetic concern. In this article, we discuss the relevant anatomy and pathophysiology
of superficial venous insufficiency, review the current literature for varicose vein treatment,
and cover the technical aspects of diagnosing and treating superficial venous insufficiency.
Saphenofemoral junction incompetence with resultant greater saphenous vein reflux is the
most common cause of varicose veins; because this condition constitutes the majority of
patients encountered in practice, we will concentrate on this area. Endovenous laser
ablation and sclerotherapy are covered, including patient workup and selection, procedure
set-up, and anesthesia.
Semin Cutan Med Surg 27:264-275 Published by Elsevier Inc.