Abstract

Treatment of venous insufficiency has been revolutionized by introduction of various less invasive procedures. The echo-sclerosis hemodynamic conservative (ESEC) technique is a completely new treatment of varicose veins that combines ultrasound-monitored sclerosis, innovative sclerotherapy findings, and hemodynamic principles. The objective of venous stasis suppression is achieved by the ESEC technique through a conservative and functional approach that preserves venous drainage and saphenous vessel integrity. The technique is efficient, simple, safe, in-office manageable, and easily repeatable, although it obviously requires training and skill. It may be considered as the primary treatment for most varicose patients. Evaluation of long-term results, with regard to comparison with other techniques, should assess cost efficacy from a lifelong point of view.

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