Endovenous Thermal Ablation

What You Should Know About Endovenous Thermal Ablation

Endovenous thermal ablation is a minimally invasive procedure used to treat varicose veins. 

During the procedure, a thin catheter is inserted into the affected vein using an ultrasound device. The catheter delivers thermal energy, either in the form of laser or radiofrequency, to heat and close off the vein. This causes the vein to collapse and eventually be reabsorbed by the body, leading to improved blood flow and a reduction in symptoms. 

Endovenous thermal ablation effectively treats varicose veins and offers a faster recovery than traditional surgical methods.

What Are The Different Types Of Endovenous Thermal Ablation?

There are two main types of endovenous thermal ablation used to treat varicose veins:

• Radiofrequency 

• Laser

These techniques generate heat to seal the affected vein and improve blood flow. The choice between laser and radiofrequency ablation depends on individual factors and our doctor’s recommendation.

Why Is Endovenous Thermal Ablation Needed?

Endovenous thermal ablation is needed to address the underlying causes and symptoms of varicose veins. Varicose veins occur when the valves within the veins become weak or damaged, leading to improper blood flow and pooling. This can result in discomfort, pain, swelling, and cosmetic concerns. 

Endovenous thermal ablation provides an effective solution by closing off the diseased vein, allowing the body to reroute blood through healthier veins. By targeting the source of the problem, this procedure not only alleviates symptoms but also helps prevent complications such as ulcers and blood clots.

What Are The Possible Risks And Complications?

While endovenous thermal ablation is generally safe and well-tolerated, there are potential risks and complications associated with the procedure.

These complications may include: 

• Pain 

• Swelling

• Bleeding 

• Infection 

• 1% risk of deep vein thrombosis

Serious complications are rare when the procedure is performed by a skilled and experienced vascular surgeon. It is important for patients to discuss their medical history and any concerns with Dr Desmond Ooi before undergoing endovenous thermal ablation.

Pre-Procedure

Before undergoing endovenous thermal ablation, a pre-procedure evaluation is typically conducted to ensure the patient's suitability for the treatment. This evaluation often involves an assessment of the venous system using ultrasound imaging. The ultrasound helps to identify the location and extent of the affected veins, allowing Dr Desmond Ooi to plan the procedure accordingly. 

In addition, patients may be advised to discontinue certain medications before the procedure.

What Happens During The Endovenous Thermal Ablation Procedure?

During the endovenous thermal ablation procedure, several steps are involved. 

1. Local anaesthetic is administered.

2. The affected vein is identified through ultrasound. 

3. A small incision is made in the leg.

4. A catheter is inserted through the incision and guided to the affected vein. 

5. A specialised tool is guided through the catheter to generate laser or radiofrequency waves.

6. A numbing fluid is injected around the vein.

7. The affected vein is sealed off.

8. A bandage is placed over the incision.

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Post-Procedure

After undergoing endovenous thermal  ablation, there are several important post-procedure instructions to follow. 

These include: 

• Elevating the leg when sitting down to promote blood circulation 

• Wearing compression socks to aid in healing 

• Keeping the incision clean and dry 

• Remaining active with regular walking to promote blood flow 

By adhering to these instructions, patients can optimise their healing and achieve the best possible outcomes from the endovenous thermal ablation procedure.

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Will My Blood Flow Normally After The Procedure?

Blood flow will return to normal after endovenous thermal ablation. The body will reabsorb the treated veins, and blood will flow through healthy veins. In fact, endovenous thermal ablation can improve blood flow by reducing the amount of blood that pools in the affected veins.

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What Is Recovery Like After The Procedure?

Patients can generally expect to return to work within a week or so, depending on their individual healing progress. While exercise is encouraged, it is recommended to start with simple activities such as walking and gradually increase intensity, taking it easy during the first week. 

Some individuals may experience a pulling sensation in the thigh area, but this is typically temporary and should diminish within a couple of weeks.