Understanding Endovenous Ablation Therapy
Endovenous ablation therapy is a minimally invasive procedure that uses thermal energy to close varicose veins, improving blood flow and alleviating symptoms such as leg pain, swelling, and fatigue. It works by delivering heat through a catheter inserted into the vein, causing the vein to collapse and seal shut. This outpatient treatment is safe, effective, and requires minimal downtime, making it a popular option for managing superficial venous disease.
What to Expect During the Procedure
- Preparation: Wear loose, comfortable clothing and avoid wearing jewelry. Your doctor may sometimes advise stopping blood thinners or NSAIDs, such as aspirin or ibuprofen, a few days before the procedure to minimize bleeding risks. If pain relief is needed, Tylenol (acetaminophen) is recommended as it does not affect blood clotting.
- Procedure: The treatment is performed under local anesthesia in an outpatient setting. Using ultrasound guidance, a small catheter is inserted into the affected vein through a tiny incision. Radiofrequency energy is delivered through the catheter, gently heating the vein walls, which causes the vein to collapse and seal shut. Blood flow naturally reroutes to healthier veins. The entire procedure typically takes 30–60 minutes per leg.
- Post-Procedure: A small bandage is applied to the incision site, and compression stockings are worn for a few days to support healing and improve circulation. Most patients can resume daily activities immediately but should avoid heavy lifting, intense exercise, or prolonged standing for a few days. Walking regularly is encouraged to promote blood flow and prevent clot formation.
Potential Risks & Side Effects
Mild and temporary side effects may occur, including:
- Pain, swelling, or bruising at the treatment site, which typically resolves within a few days.
- Skin tightness or tenderness along the treated vein as it heals.
- Nerve irritation, which may cause mild numbness or tingling near the treated area.
- Skin discoloration (hyperpigmentation) over the vein, which usually fades over time.
- Blood clots (deep vein thrombosis), though extremely uncommon with proper post-procedure care.
Recovery Tips:
- Elevate your legs while resting to reduce swelling and improve blood flow.
- Walk regularly to promote circulation and prevent blood clots. Short, light walks throughout the day are ideal.
- Wear compression stockings as recommended to support healing and vein closure.
- Avoid high-impact activities and heavy lifting for at least one week to allow the treated veins to heal properly.
