Image: The NeverTouch Direct procedure kit (Photo courtesy of AngioDynamics).

A new procedure kit for endovenous laser treatment (EVLT) helps reduce procedure steps in the treatment of varicose veins.

The NeverTouch Direct procedure kit is used in endovascular coagulation of the great saphenous vein (GSV) for patients with superficial vein reflux, for the treatment of varicose veins and varicosities associated with superficial reflux of the GSV, and for the treatment of incompetence and reflux of superficial veins of the lower extremity. The new kit simplifies the EVLT procedure by eliminating the need for a long guide wire or guiding sheath, thus reducing patient pain levels and causing less bruising when compared to bare-tip fibers.

The procedure kit is available in 25 cm, 45 cm, 65 cm, and 90 cm, and also is available with an .018” access system, which eliminates the need for a 5F micro-access sheath and does away with the need to subsequently exchange wires and size up, resulting in fewer procedure steps and a faster procedure time. The device is intended for use with the VenaCure EVLT ablation system. Both the NeverTouch Direct and the the VenaCure EVLT ablation system are products of AngioDynamics (Latham, NY, USA), and have been approved by the US Food and Drug Administration (FDA).

“NeverTouch Direct and the sheathless fiber option further expands the physician's ability to tailor treatment to each individual patient, and avoid one-size-fits-all approaches that limit the physician's ability to exercise their clinical judgment,” said Alan Panzer, Senior Vice President and General Manager of AngioDynamics.

EVLT involves the insertion of a catheter bearing a laser fiber into the GSV or small saphenous vein (SSV) through a small puncture. The catheter is then advanced under ultrasound guidance to the level of the groin or knee crease. The laser is activated while the catheter or laser fiber is slowly withdrawn, resulting in obliteration of the saphenous vein along its entire length. The treatment, which is performed without sedation, usually takes 1-2 hours and the patient walks out under his or her own power. Foam sclerotherapy or ambulatory phlebectomy is often performed at the time of the procedure or within the first 1–2 weeks to treat branch varicose veins.
 

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