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Dr. Michael Leary

Dr. Leary has been recognized as a leading Orange County vein specialist and is Board Certified on the American Board of Phlebology and the American Board of Emergency Medicine.  He has had a successful career in a Level 1 trauma center, and now has treated over 10,000 patients in his vein practice over the last 8 years.

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Is Foam Sclerotherapy used for the ablation of the Saphenous vein like EVLT or ligation?


Foam sclerotherapy is a good alternative to EVLT, but I find that the laser ablation is more complete. Over ninety nine percent closure rate. I also find it to be less painful then foam procedures, especially when using the newer laser frequencies such as the 1470. Nerve injury would be a very rare complication from the EVLT. The only nerve injury we have ever encountered is a temporary superficial numbness. This usually resolves in a few weeks and again is very rare. I find the laser the best way to close the large saphenous vein, and the foam procedures are best to close the connecting trunk veins. So a combination of the two procedures is ideal. This avoids all surgery.