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Dr. César García Madrid has performed 1,100+ laser vein procedures and pioneered non-surgical varicose vein treatment with 200+ published articles. Endovenous Laser Ablation (EVLA) at Centro Médico Teknon may cost around $10,000 – typically covering the laser procedure, local anesthesia, compression stockings, and follow-up visits. The JCI-accredited clinic specializes in same-day outpatient treatments with immediate mobility return. Dr. García Madrid trained in angiology and vascular surgery, focusing exclusively on minimally invasive vein solutions.

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Centro Médico Teknon is a private multi-specialty medical center in Barcelona, Spain, and part of Quirónsalud, Spain’s largest private hospital group. The center specializes in neurosurgery, orthopedics, oncology, and heart surgery, with expertise also covering cardiology, fertility, ophthalmology, and advanced diagnostics. JCI accredited and recognized as one of Barcelona’s leading private hospitals, Centro Médico Teknon treats complex cases and welcomes international patients, including public figures, athletes, and celebrities. The center serves adults only and welcomes around 10,000 patients each year, with patients most often coming from Russian-speaking countries, Europe and the Commonwealth, the USA, Canada, and Australia.

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Hospital HM Nou Delfos is part of Spain's largest hospital network, specializing in advanced surgical treatments. The clinic offers laser treatment for varicose veins using state-of-the-art equipment, including CT and MRI for precise diagnostics. HM Delfos maintains collaborations with Institut Guttmann for neurorehabilitation and holds JCI, AQU Catalunya, and ISO quality certifications.

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Pioneer in non-surgical varicose vein treatments like endoluminal radiofrequency and VenaSeal. Head of the Vascular Institute Garcia-Madrid at Centro Médico Teknon.

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This therapy seals off abnormal blood vessels to halt bleeding or prevent rupture, improving patient safety.

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Minor events excluded."},"contraindications":["Active deep vein thrombosis or acute superficial thrombophlebitis","Pregnancy","Severe peripheral arterial disease","Significant immobility that prevents walking after the procedure","Active local or systemic infection","Veins too tortuous or unsuitable for catheter access (relative)","Very large or aneurysmal saphenous trunk (relative)","Known allergy to local anesthetic","Uncontrolled hypercoagulable state (relative, requires specialist assessment)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Performed as an outpatient procedure on one leg with no overnight stay."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":1,"max":2,"unit":"weeks","qualifier":"Walking is encouraged immediately. Strenuous exercise and heavy lifting usually resume after about 1-2 weeks."},"final_result_months":{"min":1,"max":6,"unit":"months","qualifier":"Vein closes within days to weeks; bruising settles in weeks, appearance improves over months. Residual surface veins may need treatment."},"fly_home_after_days":{"min":1,"max":14,"unit":"days","qualifier":"Short flights usually fine after a few days; long-haul flights wait about 1–2 weeks because of clot risk."},"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":1,"max":14,"unit":"days","qualifier":"Early check, often with duplex ultrasound, to confirm vein closure and exclude clot extension."}},{"purpose":"result_review","requirement":"routine","after":{"min":30,"max":180,"unit":"days","qualifier":"Later review to assess outcome and any residual veins."}}],"indications":["Symptomatic varicose veins with great or small saphenous vein reflux","Leg heaviness, aching, swelling or night cramps from venous insufficiency","Skin changes or venous eczema from chronic venous insufficiency","Healed or active venous leg ulcer associated with reflux","Visible varicose veins with confirmed truncal vein reflux"],"main_risks":["Bruising and tenderness along the treated vein","Skin burns or pigmentation changes","Superficial thrombophlebitis","Temporary or, rarely, permanent nerve irritation causing numbness or tingling","Deep vein thrombosis or thrombus extension (uncommon)","Incomplete closure or recurrence needing retreatment","Infection (rare)"],"pain":"Mild to moderate discomfort during tumescent anesthetic injections, little pain during laser. Afterwards, mild pulling, tightness and tenderness along the vein for days to 1-2 weeks, eased with simple analgesia.","preparation":["Duplex ultrasound mapping of the leg veins before treatment","Clinician reviews medical history, clot risk and current medicines","Shave the leg area if needed and wear loose clothing","Plan to walk afterwards; bring compression stockings if needed","Avoid applying creams to the leg on the day"],"recovery_timeline":[{"phase":"First 24-48 hours","description":"Compression bandage or stocking applied and regular walking started right away. Mild tightness and bruising are common.","restrictions":["Avoid prolonged standing or sitting","No heavy lifting or strenuous exercise"]},{"phase":"Days 3-14","description":"Compression stockings are worn for about 1-2 weeks as advised. Bruising and cord-like tenderness gradually improve.","restrictions":["Avoid hot baths, saunas and intense exercise as advised","Avoid heavy lifting"]},{"phase":"Weeks 2-6","description":"Return to normal activity. Most bruising and tenderness resolve and the vein shrinks.","restrictions":[]},{"phase":"Months 1-6","description":"Cosmetic appearance continues to improve as the closed vein is absorbed. Review as needed for residual veins.","restrictions":[]}],"rehabilitation_days":{"min":1,"max":7,"unit":"days","qualifier":"Daily activities resume the same or next day; mild tightness and bruising last several days."},"result_longevity":"Treated trunk veins usually stay closed long term, but new varicose veins can develop elsewhere because venous disease is progressive. Recurrence depends on the patient and the technique.","revision_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Repeat treatment of residual or recanalized trunk vein or tributaries within about 1-5 years; varies with vein size and technique."},"scars":"No surgical incision. There is only a tiny needle puncture at the access site that usually heals with little or no visible mark. Temporary bruising or pigmentation can occur.","sessions_or_stages":{"sessions":{"min":1,"max":2,"unit":"visits","qualifier":"Usually one session for the main trunk vein of one leg; a second for the other leg or tributaries."},"stages":[{"code":"laser_ablation","label":"Endovenous laser ablation of the incompetent trunk vein","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed at the initial session."}}],"qualifier":"Counts treatment appointments only. Follow-up ultrasound checks are listed separately."},"success":{"metric":"Anatomical success of EVLA (great saphenous vein occlusion or abolition of reflux on duplex ultrasound)","value":92,"unit":"percent","horizon":"3 months after treatment","evidence_status":"limited","population":"Adults with great saphenous vein incompetence treated with EVLA"},"techniques":[{"name":"Endovenous laser ablation (EVLA) with bare or radial fiber","suits_whom":"Patients with great or small saphenous reflux and a straight, accessible vein of suitable diameter.","recovery":"Walk at once and return to usual activity within days. Compression is worn for about 1-2 weeks."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":1,"unit":"hours","qualifier":"Per session for endovenous laser ablation of the main trunk vein of one leg."},"initial_assessment_documents":["Leg duplex ultrasound report","Photos of both legs standing","List of blood thinners","History of leg blood clots (if available)","Previous vein treatment records (if available)"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Outpatient session; stay 1–2 weeks for duplex check and long-haul clearance. Second trip only for later tributary treatment."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team who will treat you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you are satisfied with the facility's standards before treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Confirm the specialist explains which treatment suits you, including its benefits and risks","scope":"procedure","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"The specialist will explain which treatment may be best for you, and the benefits and risks.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Make sure you talk to the surgeon who will perform your procedure before you consent","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure that you talk to the surgeon who will be performing your procedure before you give your consent to have surgery.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that a named doctor, not just a helpline, will deal with any complications","scope":"treatment_abroad","source":{"url":"https://www.rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Marketing cosmetic surgery as a holiday package is a warning sign","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Beware of any hospital which markets cosmetic surgery as a holiday package.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Treatment advice from sales staff or administrators is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Do not accept advice from a travel agent, sales representatives or administrators.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"A consultation that gives you no chance to change your mind is a red flag","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"You should be given the opportunity to change your mind during this consultation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"The clinic will not let you speak to the treating doctor before booking","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Speak directly to the doctor, dentist or nurse who will be carrying out your treatment before you book your trip.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-12","next_check_at":"2027-02-10"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Shows which medicines were prescribed so the home doctor can continue them","document":"prescriptions and medicine list","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Records the scan findings the home doctor needs for follow-up decisions","document":"scan and x-ray reports","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Endothermal ablation is not suitable for you","name":"Foam sclerotherapy","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/","host":"nhs.uk","quote":"You'll usually be offered foam sclerotherapy if endothermal ablation is not suitable for you.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You prefer the affected veins removed through incisions","name":"Varicose vein surgery","source":{"url":"https://my.clevelandclinic.org/health/treatments/16965-endovenous-thermal-ablation","host":"my.clevelandclinic.org","quote":"During varicose vein surgery, your surgeon removes the affected veins through several incisions.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"endovenous-laser-ablation","name":"Endovenous laser ablation (EVLA) with bare or radial fiber","how_it_works":{"text":"A laser seals off the varicose vein","source":{"url":"https://my.clevelandclinic.org/health/treatments/16965-endovenous-thermal-ablation","host":"my.clevelandclinic.org","quote":"During endovenous thermal ablation, your provider seals off varicose veins with a laser or high-frequency radio waves.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"event":"back_to_daily_activities","min":0,"max":0,"unit":"days","label":"Same day","source":{"url":"https://www.nhs.uk/conditions/varicose-veins/treatment/","host":"nhs.uk","quote":"You may have some pain and bruising, but you should be able to go back to most of your usual activities straight away.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=spain/city=barselona/procedure=lazernoe-udalenie-varikoznogo-rasshireniya-ven/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":24},"manualSeo":[],"updatedAt":"2026-11-11T02:10:06.000Z","activeCountries":["TR","AT","ES","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}