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infection","Pregnancy","Severe peripheral arterial disease (relative if compression needed)","Severely limited mobility (relative)","Very tortuous or aneurysmal target vein unsuitable for catheter passage","Thrombophilia or high thrombotic risk (relative)","Allergy to local anesthetic"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure for a single truncal vein; patient goes home the same day."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking is encouraged immediately; strenuous exercise and heavy lifting resume after about 1-2 weeks."},"final_result_months":{"min":1,"max":3,"unit":"months","qualifier":"Bruising and tightness fade over weeks; vein closure confirmed within 1-3 months. Residual surface veins may need extra treatment."},"fly_home_after_days":{"min":1,"max":3,"unit":"days","qualifier":"After post-procedure duplex check excludes thrombus extension; walking during flight and compression stockings advised; longer if high thrombotic risk."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":1,"max":3,"unit":"days","qualifier":"Duplex ultrasound check for vein occlusion and exclusion of thrombus extension before flying home."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"Later clinical and ultrasound review of occlusion and symptoms; can be done locally."}}],"indications":["Symptomatic varicose veins due to great saphenous vein reflux","Small saphenous vein incompetence with reflux","Chronic venous insufficiency with heaviness, swelling, aching or skin changes","Venous ulcer or lipodermatosclerosis associated with truncal reflux"],"main_risks":["Bruising, tightness and pain along the treated vein","Superficial phlebitis","Skin burns or hyperpigmentation","Paresthesia from thermal nerve injury (especially lower leg)","Deep vein thrombosis or endothermal heat-induced thrombosis (uncommon)","Recanalization or recurrence of reflux","Residual varicosities needing further treatment","Infection (rare)"],"pain":"Mild to moderate discomfort during tumescent anesthetic injection; 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light activity in 1-3 days; compression for about 1-2 weeks."},{"name":"Radial fiber EVLA (1470 nm) with tumescent anesthesia","suits_whom":"Adults wanting less bruising and pain; suits straight, moderately sized saphenous trunks.","recovery":"Walking immediately; light activity in 1-3 days; compression for about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"For one treated truncal vein (unilateral); bilateral or additional procedures take longer."},"initial_assessment_documents":["Lower limb venous duplex ultrasound report","Recent photos of legs, standing, front and back","Current medication list including blood thinners","Previous deep vein thrombosis or vein treatment records"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single outpatient session; stay about 1-3 days including the post-procedure duplex check. 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