Vein Care - Endovenous Ablation

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Ablation involves destroying the inner lining of the vein so that it becomes fibrosed and later reabsorbed by the body. This can be done with chemicals, radiofrequency or laser. Chemical ablation is widely used in Europe; however, in the United States radiofrequency and laser are more popular. The catheter to be used is inserted into the vein to be treated under ultrasound guidance and actually seals the vein by destroying the inner lining with heat generated either by radiofrequency or laser energy. The vein has usually completely disappeared by 6 months and can no longer be detected by ultrasound. The veins selected to be treated in this fashion are usually large veins whose valves are incompetent resulting in venous hypertension in the lower leg. Causes of valve incompetence may be prior thrombophlebitis or more commonly are hereditary.

All procedures are performed in the office under local anesthesia and sedation. After most procedures your leg will be wrapped with a dressing and ace wrap which will be worn for 48 hours. After 48 hours you will remove the dressing and put on your support hose which will be worn for two weeks after ablations. After sclerotherapy alone hose are worn 5-7 days.