These are office-based procedures done under local anesthesia or sedation. The goal is to seal the faulty veins from inside, so blood flows through healthier veins.
Endovenous Laser Ablation (EVLA)
- A thin fiber is inserted into the vein, and laser energy is used to seal it shut.
- No cuts, stitches, or hospitalization required.
- Quick recovery, minimal pain.
Radiofrequency Ablation (RFA)
- Uses heat via radio waves to close off the vein.
- Similar outcomes to laser, with low complication rates.
Endovenous Glue Therapy
- A special medical glue is used to seal the vein.
- No thermal energy or post-op stockings needed.
- Ideal for needle-phobic or elderly patients.
Microwave Ablation
- A newer modality that uses microwave energy.
- Efficient in treating large-caliber veins with minimal heat spread.
Sclerotherapy
- Suitable for smaller veins and cosmetic concerns (spider veins).
- A medicine is injected into the vein, causing it to collapse and fade.