Concomitant or Staged Tributary Treatment for Varicose Veins: Are We Asking the Wrong Question?

The optimal management of varicose tributaries remains one of the most persistent debates in modern venous intervention. The FinnTrunk randomised trial revisits this question by comparing concomitant and delayed or staged tributary treatment alongside axial (also called truncal) ablation.1 Despite several randomised trials and meta-analyses, clinical practice remains variable and implementation of existing evidence inconsistent.2–4 This variation is not solely a question of evidence interpretation.