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Endovenous thermal ablation (EVTA) is an ultrasound-guided treatment for varicose veins. It involves catheterization and the use of either heat or a laser to seal off veins. Itâs a minimally invasive procedure that can be performed in an outpatient setting in a hospital or in a doctorâs office. EVTA can be used for cosmetic purposes to get rid of varicose veins, or as a medical procedure to relieve pain and other symptoms.