McKeown Medical
167 Bath Street, Glasgow, G2 4SQ
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins, but what’s the difference?
Date posted — 29.09.24
Radiofrequency ablation (RFA) and endovenous laser ablation (EVLA) are two minimally invasive treatments used to effectively treat varicose veins. Both procedures aim to close off problematic veins, preventing them from causing further symptoms and leading to their eventual absorption by the body.
RFA uses radiofrequency energy to generate heat within the vein. A thin catheter is inserted into the vein through a small incision, and once inside, the radiofrequency energy is delivered through the catheter, causing the vein walls to heat up, collapse, and seal shut. This treatment is performed under local anaesthetic, and most patients experience little discomfort, with a quick recovery time and minimal scarring.
Endovenous laser ablation (EVLA) works on a similar principle but uses laser energy instead of radiofrequency to achieve the same result. During EVLA, a laser fiber is guided into the affected vein, and when activated, the laser’s heat damages the vein walls, causing them to collapse and close off.
Like RFA, EVLA is performed under local anaesthetic and is considered highly effective for treating varicose veins. Both RFA and EVLA offer excellent outcomes with low risk of complications, making them preferred options over more invasive surgical treatments. These procedures allow patients to resume normal activities relatively quickly, with significant improvement in both the appearance of the legs and the symptoms associated with varicose veins.
Although RFA and EVLA are very similar in terms of success rates at shutting down larger varicose veins, several studies have suggested that RFA may be associated with lower complication rates and so RFA is our preferred traditional endovenous method.
An even newer endovenous technique known as Venaseal™, however is an exciting addition to our practice. The success rate of Venaseal™ is similar to both RFA and EVLA, however, it uses glue rather than heat to close the veins and is associated with even less discomfort.
The benefits of Radiofrequency Ablation (RFA) for treating varicose veins are numerous, making it a popular choice for both patients and doctors. RFA is minimally invasive, requiring only a small incision to insert a catheter into the affected vein. This results in less pain, minimal scarring, and a quicker recovery time compared to traditional surgical methods.
The procedure is typically performed under local anaesthetic, reducing the risks associated with general anaesthetic. RFA is highly effective, with a success rate of over 90%, and provides long-term relief from the symptoms of varicose veins, such as pain, swelling, and leg fatigue. Additionally, patients can usually return to their normal activities within a day or two, making it a convenient option for those looking for an effective and efficient treatment.
Dr Alex Vesey is our expert consultant vascular surgeon who heads up our varicose vein team. Listen to him explain the Radiofrequency Ablation (RFA) treatment.
Radiofrequency Ablation (RFA) is considered better than Endovenous Laser Ablation (EVLA) for treating varicose veins in our practice because it’s generally a more comfortable experience and has lower risk of complications.
RFA typically causes less post-procedural pain and bruising because it uses radiofrequency energy, which generates a gentler heat compared to the intense heat from laser energy used in EVLA. This can result in a smoother recovery with less discomfort for patients.
Additionally, RFA has a slightly lower risk of nerve damage, particularly in areas where veins are close to nerves, such as the lower leg. The procedure’s outcomes are highly successful and comparable to EVLA, but with a more favourable side effect profile, making RFA a preferred option for many patients and clinicians.
Recently, we have introduced the Venaseal™ procedure. Venaseal™ is even less invasive because it avoids the use of heat all together which causes even less discomfort, whilst still achieving excellent closure rates and long term outcomes for patients.
If you’d like to find out if Radiofrequency Ablation (RFA) is the right treatment for you, the first step is to fill out our online consultation form. From there, our team will be able to arrange an initial consultation and ultrasound scan and we can work together to create a treatment plan that is tailored to your needs.
If you're struggling with the discomfort, swelling, or unsightly appearance of varicose veins, Radiofrequency Ablation (RFA) could be the solution...
When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.
1 / 3
2 / 3
3 / 3
If you're struggling with the discomfort, swelling, or unsightly appearance of varicose veins, Radiofrequency Ablation (RFA) could be the solution...
When it comes to treating varicose veins, VenaSeal™ has emerged as a revolutionary option that offers a minimally invasive and...
Varicose veins are enlarged, twisted veins that often appear just under the skin, primarily in the legs and feet.