A patient presents with varicose veins. Color Doppler evaluation shows sapheno femoral junction incompetence and dilatation of GSV. Deep veins appear normal. Management options include all of the following except:
Sclerotherapy is used for telangiectatic vessels and varicose veins less than 3 mm in diameter. -- Schwaz. So here in this case where great saphenous vein is insufficient along with SFJ incompetence sclerotherapy would be of no use. For incompetent SFJ and GSV, Flush ligation and stripping of the saphenous system is performed. This is traditionally performed by ligating the saphenofemoral junction and the major proximal saphenous vein branches through a small incision in the groin. Then the saphenous vein is removed to the point of clusters of varicosities. The saphenous vein can also be ablated by either radiofrequency ablation or endovenous laser treatment.
Endovascular stripping
Amputation
Sclerotherapy
Saphenofemoral flush ligation with stripping
Vascular surgery