Ambulatory Phlebectomy

Ambulatory Phlebectomy

After the initial step of endovenous thermal ablation, you’ll likely need one of our other treatments—such as Ambulatory phlebectomy—to fully treat your vein disease.

We perform Ambulatory phlebectomy, or microphlebectomy, when patients have large, visibly bulging varicose veins that persist after endovenous thermal ablation. These veins are typically too twisted for an endovenous catheter to pass through them, so they must be treated in another manner.

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No Hospitalization

This procedure is done in office usually in around two hours.

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High Success Rate

This is needed after EVLT to clear up remaining problem veins.

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Pain Free

Using only local anesthesia this procedure is easy and pain free.

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Covered By Insurance

If your vein disease is causing a medical issue, insurance will cover it.

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No Scars

You’ll have healthier, younger looking legs after treatment.

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Return To Work

This procedure allows you to return to normal life same day.



For most patients, RFA is the best starting point to treat their vein conditions like varicose veins. Ambulatory Phlebectomy is often required after to fully clear up the problematic veins. When deciding a treatment plan, there are some factors we consider like if the patient is pregnant or breastfeeding, or if the patient presents other reasons why this procedure may not be suitable for them.

Our staff will go over your specific treatment during your consultation.

Dr. Brittany Clayton and Andrea Kooch, East Tennessee Vein Clinic

What Are Varicose Veins?

Varicose veins affect 30-40% of the population and occur when the one-way valves that are meant to pump blood from the legs and feet toward the heart weaken. When this happens, blood is allowed to pool in the veins. Over time the pooled blood builds pressure, and the veins swell, which may cause symptoms such as leg swelling, aching, heaviness, burning, throbbing, or pain. Without treatment, the condition may grow worse over time.


Three Easy Steps To Happier, Healthier Legs

At ETVC, we’ve spent years perfecting our treatment plans for patients with common disorders and conditions. Because of our expertise in this field, we’ve simplified the process and most patients see results in as little as two treatments.

Step One: An In-Office Procedure That Takes Around 2 Hours

As with endovenous thermal ablation, Microphlebectomy is an in-office procedure that requires only local anesthesia, no hospitalization. It is typically completed in 1-2 hours. We anesthetize the vein locally and then make a small needle puncture over it to allow a “knitting hook” type instrument to extract the vein. We don’t use a scalpel, and you won’t need stitches. The only thing you’ll feel is some pressure.

Step Two: You Can Get Back to Your Day Immediately Afterwards

We will put a bandage on your leg that you can remove after two days, and our physicians will advise you to wear a compression stocking for a week. The treatment should cause most of the visible veins to disappear, and there is usually no visible scar. Any bruising or firm lumps will typically dissipate as the leg continues to heal.

Step Three: Schedule the Next Steps

You can have legs that look and feel better. Enjoy reduced pain and more youthful-looking legs with our vein treatments. Leave the bandages intact and follow our release instructions to ensure your legs and veins heal properly.

We will usually follow up with patients at this point to see how the treatment is doing and if further treatments will be necessary.

Worried about vein disease? We can help!

Take the first step to treat your pain today! Give us a call to setup an appointment.

(865) 686-0507