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Endovenous saphenous vein obliteration in the form of radiofrequency or laser therapies has quickly ascended to a position of prime importance in the treatment of reflux within the superficial venous system. The technical aspects of these procedures, as well as their decreased morbidity when compared with saphenous vein stripping, make them highly appealing to both practitioners and patients alike. Less bruising, less pain, and less postoperative recovery are associated with these endovenous techniques than with the historical "gold standard" of saphenous vein stripping. Efficacy exceeds that of sclerotherapy, the other nonsurgical option. These improvements have led to greater acceptance by patients and consequently greater patient demand for endovenous ablation procedures. Practitioners should therefore become well versed in the techniques of performing these procedures safely and effectively for patients.

This article describes a safe and easy method to position a tracheoesophageal catheter correctly. The procedure is carried out under fluoroscopic guidance and requires neither general nor local anesthesia. The only modification necessary was removal of the tip of the hollow rubber catheter, to create an opening through which the guide wire could be passed.