Introduction to endovenous procedure

In the past, treatment of varicose veins was performed through a highly invasive and complex vein stripping (complete removal of the vein) procedure. This surgical procedure required general anesthesia and weeks, if not months of recovery time. Understandably, most people avoided treating their varicose veins with this older technique. New minimally invasive procedures have been introduced and made some of the surgical procedures unnecessary.

New minimally invasive procedures have been introduced in the vein world, and have made most surgical procedures unnecessary. Our physician team is highly trained and experienced in the endovenous laser and radio-frequency ablation procedure. Every procedure is specifically tailored by our physicians to treat your venous disease efficiently and effectively.

New alternative venous treatment/how treatment is performed

Endovenous radio-frequency ablation (RFA) and endovenous laser ablation (EVLA) are treatments intended as less invasive alternatives to traditional vein ligation and stripping for symptomatic varicosities of the great (greater) or small (lesser) saphenous vein. These procedures are performed using percutaneous tumescent anesthesia. For example, when we treat the greater saphenous vein, a catheter is inserted (usually at the knee) through a small incision at the distal end of the diseased vein to the up most part of the diseased vein. Proper placement is confirmed by duplex ultrasound imaging. The RF electrodes or the laser are slowly withdrawn, occluding the vein as the energy is applied by the thermal catheter. These procedures are also referred to as endoluminal or endovascular ablation. Once the affected varicose vein is closed, the blood flow will be redirected naturally through the deep venous system.

Benefits of EVLT and EVRFA

  • short treatment
  • minimally invasive
  • effective
  • no inpatient surgery needed
  • immediate return to normal activities

Post procedure expectations

After the EVLA or EVRFA, patients will be able to return home and assume normal activities or work the next day. Strenuous exercise and activity should be avoided for three weeks, but plenty of walking is highly encouraged. No stitching or suturing is needed after this procedure, the small puncture is able to heal on its own with minimal scarring.

The clinical results of the two procedures (EVLA & EVRFA) have been published showing overall success rates of 95.2%(EVRFA) and 94.2%(EVLA) at 1 year post procedure. For long term and effective results, we encourage our patients to engage in a healthy and active lifestyle as well as regular follow ups.