EVTA procedures are typically done on an outpatient basis, with only local anesthesia--0.05% to 0.1% lidocaine, injected as a perivenous tumescent solution under ultrasound guidance.
Temporary discomfort is common with EVTA. Mild bruising, swelling, and nodularity of the treated veins are the most frequent side effects.
(28) A meta-analysis of treatment for 12,000 limbs concluded that foam sclerotherapy and EVTA were as effective as surgical stripping.
The next step in EVTA is the delivery of tumescent anesthesia (TA), a dilute, large-volume local anesthetic, into the perivenous space of the vein to be treated.
Thermal ablation begins only after DUS is used to confirm once again that the tip of the EVTA tool is at the desired starting point.
Periodic DUS should always be performed to evaluate the treated vein segments after EVTA. (5,7) This is generally done in the first few weeks after therapy, again a few months later, and then at yearly intervals.
The European Voice Teachers Association (EVTA) grew from the ICVT and has collaborated for conferences in Finland and France.
I have attended European Voice Teachers Association (EVTA) meetings throughout Europe.
Other articles--all, of course, with Association permission --by Robert Edwin, for example, and Richard Miller, have appeared translated in various editions of Aktuell, the magazine of the BDG (Bundesverband Deutscher Gesangspadagogen) and Vox Humana, published by EVTA
(European Voice Teachers Association).
President, European Voice Teachers Association (EVTA