Mechanochemical endovenous ablation: Latest varicose vein treatment

Superficial dilated veins known as varicose veins develop due to damaged valves. Treatment of varicose veins is very important to undertake because of its acute (bleeding and clot formation) and chronic complications (lipodermatosclerosis and venous ulcers). Various techniques have been used for their treatment in the form of endovenous laser treatment, radiofrequency ablation, steam ablation and others. Now mechanochemical endovenous ablation (MOCA) has emerged as the latest nonthermal technique for the varicose vein treatment. It can be done by two methods as follows: Clarivein (Vascular Insights, US) and Flebogrif (Balton, Poland). We have presented in this case report, efficiency of MOCA technique in a 40-year-old, very pain sensitive male with CEAP classification C3EpAsPrand no deep vein insufficiency. MOCA was done as a day care procedure under local anesthesia. Standard protocol for technique was followed. Postprocedure patient was discharged after 20 min of observation. Follow ups were done at 6 weeks, 3 months and 6 months. Skin changes settled at 6 weeks without complications. In this technique, complications which are usually seen in thermal techniques are comparatively rare. Overall MOCA technique is highly effective modality for the treatment of varicose veins with success rates reaching up to 94%.