Endovenous Ablation

Endovenous ablation is considered a minimally invasive procedure to remove non-functioning varicose veins that are enlarged and causing signs and symptoms of Chronic Venous Insufficiency (CVI). It has all but replaced a surgical procedure known as Vein Stripping and Ligation. CVI may present as Varicose Veins; alteration in color or texture of the legs, ankles or feet; or symptoms of pain, cramping or swelling.

What is Endovenous Ablation Treatment?

Endovenous ablation involves the removal of unwanted, non-functioning Varicose Veins by using thermal energy (heat) to denature the vein, sealing it closed and resulting in its eventual absorption by the body. The body uses adjacent, normal functioning veins to carry blood that previously pooled in the non-functioning
Varicose Veins.

How is Endovenous Ablation Performed?

The procedure involves the placement of a narrow catheter inside the enlarged, non-functioning vein under duplex ultrasound guidance, which ensures precise targeting within the vein. Once in its proper position, the catheter heats the surrounding vein for its full length using radiofrequency (Venefit™) or laser energy (EVLA). After the vein has been heated, the catheter is removed. During the subsequent weeks the body absorbs the denatured vein so that it is no longer a source of increased venous pressures in the leg and its associated risks.

Why treat Varicose Veins?

Varicose veins are non-functioning veins that pool blood, resulting in increased venous pressure in the leg. Increased venous pressure interferes with normal circulation and may eventually produce signs and symptoms of CVI.

What veins are treated with Endovenous Ablation?

This procedure is used, primarily for the Saphenous Veins. These veins are not usually visible but are often the cause of the protruding Varicose Veins that are seen under the skin as well as a source of signs (changes in skin color and texture) and symptoms (pain, cramping, and swelling) of CVI.

Where is Endovenous Ablation performed?

Treatment is performed in the office. The entire procedure takes about one hour and is done using local anesthesia.

Are there any limitations after treatment?

Immediately after Endovenous Ablation, almost all activities may be resumed. It is necessary to wear a compression stocking on the leg for at least 2 weeks after treatment. The compression stocking may be removed for bathing.

What can I expect after treatment?

There is often some bruising after treatment. In addition, there may be some tenderness and discomfort. These symptoms resolve in the ensuing days or weeks.


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For an appointment call: 301-907-7250


10.32.09: Delegation and Assignment of Performance of Cosmetic Medical Procedures and Use of Cosmetic Medical Devices. This is a Maryland safety regulation which governs who can legally perform medical cosmetic procedures.  Dr. Green administers all injectable treatments (including Botox™, Juvederm™, Voluma™ , Kyblella™ and other fillers & Sclerotherapy) and laser treatments.

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