Abstract

Many recent developments in the care of venous disease have dramatically changed the options for office-based treatments. Traditionally relegated to patient education, compression, and wound care, office-based care is witnessing a dramatic change in treatment of patients particularly diagnosed with the full spectrum of chronic venous disease. These treatments primarily involve sclerotherapy, ambulatory phlebectomy, and percutaneous venous ablation. Although these procedures can be delivered in a general vascular surgery clinic, more effective and streamlined care may be best provided by forming a specialty vein clinic created specifically for patients with varicose veins or all stages of chronic venous disease. An overview about sclerotherapy, ambulatory phlebectomy, and percutaneous venous ablation treatments that can be safely performed in the office and the benefits of forming a clinic dedicated only to venous treatment are present.

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