Endovenous Thermal Ablation

Endovenous Thermal Ablation

An office procedure that uses a catheter and a heat source to close a vein identified on ultrasound as being a principle source of insufficiency or reflux affecting the leg. 

The redundant nature of the venous circulation allows this procedure to be performed without creating other problems, alleviating the burden of venous insufficiency and its progressive effects. 

Compression stockings are a necessary and important part of treatment usually for a defined period of time. Recovery typically involves mild discomfort. Return to routine activity occurs over 2-3 days.

Highlights of Thermal Ablation

  • Office procedure
  • Local anesthesia
  • Mild post-operative discomfort
  • Return to routine activity in 3 days
  • Symptom relief expected, though variable between patients
  • Compression stockings are important to the treatment process
  • Chronic disease may improve over months

Foam Sclerotherapy

Also referred to as chemical ablation.

A foam composition of medicine injected into a vein using ultrasound guidance is an alternative way to perform vein ablation. 

This method of treatment can be useful when thermal ablation is not ideal and in some situations is used to complement thermal ablation. Foam sclerotherapy can require a series of injections over four to six week intervals depending on individual response and extent of disease.

Wound Care

Wound care is essential along with establishing effective strategy for compression stockings or garments. 

Referral to a wound care center for specialized wound treatment may be necessary.

Evaluation for venous disease is performed using imaging studies.  Once wound and infection issues are under control, treatment of underlying venous disease is completed to prevent recurrent disease.  Treatment of accompanying lymphedema is often a long term pursuit.

Cosmetic Sclerotherapy

Spider veins and slightly larger visible veins are injected to improve appearance.

Insurance providers define treatment of spider veins as outside of medical guidelines.

A consultation is important to determine who is a good candidate for sclerotherapy and to review a likely number of treatments expected to achieve goals.

Most patients see improvement after treatment but some patients do not respond as well.

Compression stockings are an essential part of healing for up to four weeks after sclerotherapy.

Treatment is generally not advised during the warmer months to avoid sun exposure and the need to endure stockings.