Varicose tributaries:
timing and vein preservation
Treat together, stage selectively, or preserve the trunk?
Preparing your clinical challenge…
Recent questions. Carefully qualified answers.
Abbreviations used in this edition
GSV: great saphenous vein · SFJ: saphenofemoral junction · EVLA: endovenous laser ablation · ASVAL: ambulatory selective variceal ablation under local anesthesia · SAPTAP: isolated phlebectomy with optional later trunk ablation versus combined thermal ablation and phlebectomy · AVULS: ambulatory varicosity avulsion later or synchronized · C2: varicose veins in the clinical CEAP classification · RR: risk ratio · OR: odds ratio · CI: confidence interval.
Evidence checked 6 October 2026. Recent-evidence window: 6 October 2025–6 October 2026; older sources are clearly labeled. Original, AI-assisted educational cases; not independently reviewed by a clinician. Apply current guidance and individual clinical assessment. This edition provides no accredited CME credit. Quiz answers remain in this browser. Submitted names and comments are stored on the website and displayed publicly beneath the relevant question.