Endovenous Thermal Ablation

Endovenous Laser Therapy & Radiofrequency Ablation

 

Understanding Endovenous Thermal Ablation

Endovenous Thermal Ablation (EVTA) is a minimally invasive procedure that has revolutionized the treatment of certain venous disorders, such as varicose veins, spider veins, reticular veins, and chronic venous insufficiency. It is an outpatient procedure that is highly effective, safe, and has a low risk of complications. ETVA can be performed using two methods: Endovenous Laser Therapy (EVLT) and Radiofrequency Ablation (RFA). These procedures use heat energy to seal the affected vein and redirect blood flow to healthy veins.

What is Endovenous Laser Therapy (EVLT)?

Endovenous laser therapy (EVLT) is a minimally invasive procedure that utilizes laser energy to treat varicose veins. A thin fiber is inserted into the affected vein, and the laser energy is used to heat the vein, causing it to collapse and eventually be absorbed by the body.

What is Radiofrequency Ablation (RFA)?

Radiofrequency ablation (RFA) is another form of endovenous thermal ablation that uses radiofrequency energy to heat and close off the affected veins. Similar to EVLT, a catheter is inserted into the vein, and the radiofrequency energy is applied, causing the vein to shrink and eventually be absorbed.

Who is a Candidate for Endovenous Thermal Ablation?

Endovenous thermal ablation procedures like EVLT and RFA are typically recommended for patients with symptomatic varicose veins or chronic venous insufficiency. Common symptoms include pain, swelling, leg heaviness, fatigue, and skin changes. These treatments are typically suggested when conservative measures, such as compression stockings and lifestyle modifications, have proven insufficient.

Procedure Process

Pre-procedure Preparation

Prior to the procedure, your doctor will review your medical history, conduct a physical examination, and may order imaging studies to determine the extent of your venous disease. They will provide you with instructions on how to prepare, such as stopping certain medications and arranging for transportation post-procedure.

During the Procedure

Both EVLT and RFA are performed under local anesthesia and typically take less than an hour to complete. The affected vein is accessed through a small incision, and the catheter is inserted with the help of ultrasound guidance. Once positioned correctly, the laser or radiofrequency energy is applied, causing the vein to collapse and seal shut. The catheter is then removed, and a small bandage is placed over the incision site.

Post-procedure Care

After the procedure, you will be advised to wear compression stockings for a specific duration to promote healing and reduce the risk of complications. You will also be encouraged to walk and resume normal activities as soon as possible to promote blood flow and reduce the risk of blood clots.

Benefits of Endovenous Thermal Ablation

Both ELVT and RFA have similar benefits as a treatment option, such as:

  • Minimally invasive: EVLT and RFA requires only a small incision and minimal downtime.

  • High success rate: Studies have shown a high success rate for both EVLT and RFA.

  • Reduced pain and discomfort: EVLT and RFA typically causes less post-procedure pain compared to traditional vein stripping surgery.

  • Quick recovery: Most patients can return to normal activities within a day or two after the procedure.

Potential Risks and Complications

Although endovenous thermal ablation procedures like EVLT and RFA are considered safe, there are some potential risks and complications. These may include infection, bleeding, thrombophlebitis, deep vein thrombosis, nerve damage, and skin burns. The risk of these complications is relatively low, and your healthcare provider will discuss these risks with you before the procedure.

Recovery and Aftercare

Initial Recovery

The recovery period for both EVLT and RFA is relatively short. You will be encouraged to walk and resume normal activities soon after the procedure to promote blood flow and reduce the risk of blood clots. You may experience some bruising, swelling, and mild discomfort, but these symptoms should resolve within a few days to a week.

Long-term Care

To maintain the success of the procedure and prevent the recurrence of the venous disorders, it is essential to address the underlying causes of venous insufficiency. This may involve lifestyle modifications such as maintaining a healthy weight, exercising regularly, avoiding long periods of standing or sitting, and wearing compression stockings as recommended by your healthcare provider.

Endovenous Thermal Ablation at Indiana Vascular

Endovenous Thermal Ablation is a safe and effective treatment option for certain venous disorders, such as varicose veins, spider veins, reticular veins, and chronic venous insufficiency. Both Endovenous Laser Therapy (EVLT) and Radiofrequency Ablation (RFA) are highly effective methods of ETA. Patients should discuss the benefits and risks of the procedures with their doctor to determine if it is the right treatment option for them.

At Indiana Vascular, we offer a facility filled with state-of-the-art equipment and a staff of experienced doctors that specialize in Endovenous Thermal Ablation. We will work with you in creating a treatment plan tailored to your individualized needs, and will walk with you every step of the way to ensure a favorable outcome and swift recovery.

Do not allow venous disorders to negatively impact your quality of life. Schedule an appointment with us today to receive a consultation and gain insight into the condition, as well as discover how we can enhance your overall health.

Frequently Asked Questions

  • The procedure typically takes less than an hour to complete, and patients can usually return home the same day.

  • Patients are generally encouraged to walk and resume normal activities as soon as possible after the procedure. However, strenuous activities and heavy lifting should be avoided for a short period as advised by your healthcare provider.

  • Symptom improvement is typically noticed within a few days to a week following the procedure, although it may take longer for the appearance of the treated veins to improve.

  • While pelvic congestion syndrome is not life-threatening condition, it can cause significant pain and discomfort to those suffering from it.

  • Both EVLT and RFA involve small incisions that typically heal well and leave minimal scarring.

Is Endovenous Thermal Ablation Right For You?