Joel Gotvald, MD, FACS, RPVI
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Endovenous Vein Ablation Treatments | Vein Closure Austin Round Rock Texas

Endovenous Vein Ablation Definition

endovenous vein ablation treatmentsWhat is endovenous ablation? It is the most state-of-the-art and minimally invasive method used to “ablate” or remove abnormal leg veins, most notably defective varicose veins of the legs. The term “endo” refers to “within” a vein, since the therapies target the inner lumen of the vein. There are many methods of effective endovenous ablation therapy available and all of them are considered safe and effective. Unlike traditional vein surgery that involves removing, ligating, or physically stripping a vein from the leg, endovenous therapy involves insertion of an IV or needle into the vein to ablate the abnormal vein. The benefit of endovenous ablation are multiple.  These benefit include the lack on incisions, decrease in pain, much faster recovery, less chance of scarring, and much lower risk. Use of endovenous therapies rather than open surgery decreases the risks of blood clots, nerve injuries, unsightly scars on the legs, and recurrence of the veins. In addition, with endovenous ablation there is no need for hospitalization or more dangerous anesthesia since the procedures can all be done in the doctors office through an IV line. Patients are generally more satisfied with the results of endovenous therapy over traditional vein surgery.

Types of Endovenous Ablation Therapy for Leg Veins

EndoVenous Laser Ablation Treatment

EndoVenous Laser Ablation Treatment, also known by the abbreviation EVLT or EVLA, is a common therapy utilized to treat varicose vein conditions in the legs. It utilizes targeted laser heat energy that is delivered within the vein lumen to ablate defective leg veins. It is a very successful therapy (98% success rate) and is very safe. It is performed in our vein center and takes about 30 minutes to perform.

Endovenous Radiofrequency Vein Ablation Treatment

Endovenous Radiofrequency Vein Ablation Venefit
Endovenous Radiofrequency Vein Ablation, also known by the synonyms of RFA, Venefit, or VNUS Closure procedure, is another very common therapy utilized to treat varicose vein disease of the legs. It targets the underlying venous insufficiency in the leg to also minimize the chances of varicose vein recurrence. The treatment has an over 97% success rate and can be performed in the physicians office in about 30 minutes. This technology generates heat energy inside the abnormal veins by using high frequency sound waves. Radiofrequency treatments ablate with an alternating current in the range of 350–500 kHz. Since the heat generated by an RF catheter is much lower than than delivered by a laser catheter, the discomfort, inflammation, and bruising encountered after the treatment is less than laser therapy. This translates into higher patient satisfaction.

Endovenous Chemical Vein Ablation Treatment

Endovenous chemical vein ablation legs austin texasEndovenous Chemical Vein Ablation, known more more familiarity as “sclerotherapy” is the most common vein ablation therapy applied to smaller leg veins. It is frequently utilized to treat both spider veins and reticular veins of the legs. A small needle is inserted into the lumen of an abnormal vein cluster and then a chemical is injected into the defective veins. The medication then causes a chemical reaction that ablates the veins. This causes the veins to collapse, die, then fade away. Sclerotherapy is very safe and effective when used for treatment of small leg veins under 3 mm in diameter. Sclerotherapy can also be performed on larger varicose veins of the legs, although the risks do increase with larger veins (including higher risk of skin damage, skin discoloration, and recurrence of the veins). Endovenous chemical ablation is very frequently utilized for cosmetic purposes for spider veins and reticular veins of the legs, but it can also be utilized for more significant vein problems as well.  A new medication called Varithena can be utilized to treat larger varicose veins and venous reflux disease.

Endovenous Clarivein Vein Ablation Treatment

This therapy uses a uniquely designed vein catheter that combines mechanical rotary ablation with chemical ablation. It is indicated in the treatment of saphenous vein reflux that leads to varicose veins of the legs. This therapy is unique in that no anesthesia is required, including no need for injection of Xylocaine / Novacaine.

Endovenous Varithena Vein Ablation Treatment

Endovenous varithena vein ablation austin texasThis is a newer from of endovenous chemical ablation that uses a patented delivery system to deliver “foam” medication to larger defective vein in the legs, thereby treating varicose veins. “Foam” has the consistency of shaving cream and acts only locally at the site of injection and them deactivates immediately after killing the defective vein. This FDA approved “foam sclerotherapy” with polidocanol can be quite effective for treatment of tortuous or serpentine segments of varicose veins that may not be amendable to catheter based therapy with lasers or radiofrequency energy.

Endovenous Venaseal Vein Ablation Treatment

The VenaSeal procedure is the only non-tumescent (no injection of numbing medication needed as it is painless), non-thermal (no laser heat or radiofrquency heat needed), and non-sclerotherapy (no sclerosant medication utilized) vein procedure approved for use in the United States. It uses a specially formulated medical adhesive to close abnormal leg veins, essentially “gluing” the veins closed. This unique approach can typically eliminate the risk of nerve injury that is sometimes associated with certain thermal-based procedures. The procedure is administered without the use of tumescent anesthesia, minimizing the need for multiple needle sticks. Patients also report minimal or no bruising after the procedure.

Contact us at one of our Vein Center locations in Austin or Round Rock / Cedar Park Texas to schedule your physician consultation with our board-certified Vein Specialist:

Austin Vein Specialists
12319 N. Mopac Expwy, Suite 250
Austin, TX 78758

Round Rock Vein Specialists
(512) 994-9108
170 Deep Wood Dr #102
Round Rock, TX 78681


Last updated on October 4th, 2017 at 09:05 pm

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