Certain embodiments of the disclosure provide improved vein closure
techniques, such those using radio-frequency radiation. Particular
methods include cutting the tip of a catheter. Further examples include
locating an incision point by placing a catheter proximate a patient's
groin. Yet further examples include sequentially advancing and retracting
the catheter during its insertion. Anesthetic may be instilled as the
catheter is advanced and retracted. Further embodiments of the disclosure
provide improved tumescence fluids, such as those including about 0.1% to
about 0.2% lidocaine, about 0.1 to about 1 mg epinephrine per 500 cc of
solution, and/or about 10-20 cc of an 8.4% sodium bicarbonate solution
per 50 cc of solution. Yet further embodiments provide improved
phlebectomy techniques, such as selecting a phlebectomy hook that has the
opposite hand of a phlebologist.