Endovenous Ablation
Laser or radiofrequency treatment for varicose veins
What is it?
Endovenous ablation is a minimally invasive treatment for varicose veins and chronic venous insufficiency. Using laser (EVLA) or radiofrequency energy (RFA), heat is applied inside the diseased vein, causing it to close and eventually be absorbed by the body.
Why is it done?
Used to treat varicose veins, chronic venous insufficiency, and venous leg ulcers. It replaces traditional surgical stripping in most cases.
How is it performed?
Under ultrasound guidance, a thin catheter is inserted into the affected vein through a tiny puncture. The laser or RF energy heats and seals the vein from the inside. Multiple sessions may be needed for extensive disease.
What to Expect
- Duplex ultrasound mapping of veins
- No special preparation needed
- Wear loose, comfortable clothing
- Local anesthesia along the vein
- Mild warmth or pressure sensation
- Procedure lasts 45-60 minutes
- Compression stocking immediately after
- Walk immediately after procedure
- Mild bruising and discomfort for 1-2 weeks
Recovery
Return to normal activities immediately. Avoid strenuous exercise for 1-2 weeks. Compression stockings worn for 2 weeks. Follow-up ultrasound at 1 week.