01

Ultrasound Mapping

Comprehensive duplex ultrasound assessment identifies incompetent venous segments, maps anatomical variations, and determines optimal access points.

02

Percutaneous Access

Single micropuncture below the knee provides minimally invasive catheter introduction. Only local anesthesia at puncture site required.

03

Catheter Positioning

Laser-guided catheter advanced to saphenofemoral junction under ultrasound visualization. Positioned 5cm from deep venous confluence.

04

Adhesive Delivery

Controlled injection of cyanoacrylate adhesive with manual compression. Each 3cm segment treated with 0.1ml adhesive and 3-second compression.

05

Immediate Recovery

Patient ambulates immediately after procedure. Return to normal activities same day. No mandatory compression therapy or activity restrictions.

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