HOW ENDOVENOUS LASER ABLATION WORKS

 

Endovenous laser ablation is performed in a comfortable and safe office environment & not in the hospital.

ENDOVENOUS LASER ABLATION

• After local anesthesia vein is accessed.
• Laser Fiber is advanced into the vein.
• Tumescent anesthesia is administered around the vein.
• Laser energy is carefully delivered to treat the vein.
• Veins get treated as the laser fiber is pulled out slowly.

ENDOVENOUS RADIO FREQUENCY ABLATION (CLOSUREFAST)

The benefit is similar to endovenous laser ablation as far as treatment steps are concerned, the only difference is the energy used is radio-frequency instead of a laser.

• A local anesthetic is used to numb the skin.
• Radio-frequency fiber is advanced centrally.
• Compression wraps are applied to the leg.
• A vein is treated is stepwise 7 cm long segments.
• Access into the diseased vein is gained.
• Radio-frequency fiber is removed.
• Tumescent anesthesia is used around the vein.

HOW DO WE DECIDE BETWEEN LASER & RF BASED PROCEDURES

Both procedures are safe and have a high success rate but have subtle differences

• Venefit is relatively less painful.
• Endovenous Radiofrequency Ablation procedure has less bruising compared to endovenous laser ablation.
• Endovenous Radio-frequency ablation cannot be used in patients with pacemakers or ICDs.
• Laser fiber can be maneuvered in relatively more tortuous varicose veins due to thicker wire in them.