The endovenous therapies for varicosal veins have partially replaced surgical procedures.
Beside thermal ablation based on laser or high frequency other, catheter based techniques
are at hand. The non thermal mechano-chemical ablation (MOCA), that can be performed
under local anesthesia, has developed as a safe and effective alternative at reasonable
costs since its certification in 2011. A combination of MOCA and surgical treatment
or foam sclerotherapy can be per-formed in the same setting or sequentially.
Keywords
MOCA - endovenous ablation - catheter based sclerotherapy - intumescence free procedure