Radiofrequency ablation is performed in the office as a minimally invasive method for treating reflux in the saphenous veins. Under ultrasound guidance, a tiny catheter is inserted directly into the vein. The catheter uses radio frequency energy to heat the inside of the vein wall. This causes the vein to seal shut. This procedure is performed through a small nick in the skin and local anesthesia. The patient walks out of the office and may return to his or her normal daily routine within 24 hours. This technique can be combined with ambulatory phlebectomy for the treatment of ropy varicose veins, along with follow-up sclerotherapy to eliminate any remaining spider veins.

RF ablation is a safe and effective and has been approved by the FDA for treatment of saphenous vein reflux. Overall success rate greater than 97%. These results are considered better than those of traditional surgery.

After the procedure, most patient’s experience some mild discomfort along the treated vein. Pain is managed most commonly with over the counter medications. Patients are expected to wear a compression stocking for one week after the procedure. There are few restrictions, but patients are advised to avoid hot tubs, saunas and vigorous aerobic activity for one week.

There are very few potential complications. Your doctor will discuss these with you at your visit and answer any questions you may have.