A patient’s guide to Radiofrequency perforator ablation procedure

LJVascular2024-05-13T23:29:31-07:00

Radiofrequency perforator ablation emerges as a crucial procedure for addressing perforator veins, the short connections between deep and superficial veins. These veins, vital for maintaining proper circulation, can suffer from valve damage and retrograde blood flow, leading to various vein disorders and potential skin complications. Understanding the function of perforator veins and the treatment process for their dysfunction is paramount for individuals seeking relief from associated symptoms.

What are Perforator Veins?

Patient’s Guide to Radiofrequency Perforator Ablation

Perforator veins act as bridges between the superficial and deep venous systems in the extremities, facilitating the flow of blood from superficial veins to deep veins. Equipped with one-way valves, these veins prevent the backflow of blood and maintain efficient circulation. However, when these valves malfunction, reflux occurs, leading to an accumulation of blood and pressure, causing incompetence in both superficial veins and perforator veins. This dysfunction, particularly prevalent in the lower leg and ankle, can result in edema, skin discoloration, dermatitis, and even skin ulcers.

Indications for Treatment

Individuals experiencing venous leg ulcers, pre-ulcerative skin changes, persistent varicose veins, leg pain, or swelling may benefit from radiofrequency perforator ablation. By addressing the underlying cause of these symptoms, this outpatient procedure aims to restore proper venous function and alleviate discomfort.

How Does the Treatment Work?

Radiofrequency perforator ablation is a minimally invasive outpatient procedure performed in the doctor’s office. Using ultrasound guidance, a fine needle is inserted into the perforator vein, delivering radiofrequency energy to shrink and eliminate abnormal flow between deep and varicose veins. The procedure typically lasts around 10 minutes per perforator vein, with some patients requiring treatment for multiple veins on the same leg.

What to Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with optional mild oral sedation for patient comfort. Patients are positioned according to the vein being treated and offered amenities like watching a movie or listening to music. After sterile preparation and ultrasound mapping of the veins, a numbing agent is injected, followed by the insertion of the radiofrequency catheter. The vein is then painlessly treated with radiofrequency energy, and a compression stocking is applied for 72 hours post-treatment.

Aftercare and Possible Adverse Effects

Following treatment, patients are advised to walk for 30 minutes twice daily to alleviate discomfort and prevent blood pooling in the legs. Avoidance of strenuous activities, airline travel, saunas, and leg massages for specified periods minimizes the risk of complications. Common side effects include aching in the treated veins and bruising, which typically resolve within a few weeks.

Radiofrequency perforator ablation offers a promising solution for individuals suffering from vein disorders, providing effective symptom relief with minimal downtime. By addressing the underlying cause of venous reflux, this procedure promotes improved circulation and enhances overall vein health, allowing individuals to regain comfort and confidence in their daily lives. If you’re experiencing symptoms of vein disorders, consult with us today to explore the benefits of radiofrequency perforator ablation and take the first step towards healthier veins.

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care.

Nisha Bunke, MD, Sarah Lucas, MD, and Amanda Steinberger, MD are specialists who combine their experience and expertise to offer world-class vascular care.

Our accredited center is also a nationally known teaching site and center of excellence.

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330.

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A patient’s guide to Radiofrequency perforator ablation procedureLJVascular2024-05-13T23:29:31-07:00

Patient guide for an endovenous radiofrequency ablation (RFA) procedure
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Patient guide for an endovenous radiofrequency ablation (RFA) procedure

LJVascular2024-05-14T01:22:46-07:00

ClosureFast™, an endovenous radiofrequency ablation (RFA) procedure, offers a revolutionary solution for combating the backward flow of blood, known as “Venous reflux,” in the saphenous veins. These veins, namely the great saphenous veins and small saphenous veins, are pivotal superficial veins located along the inner and back of the leg, respectively.

This minimally invasive procedure, often completed in less than an hour, is designed to restore proper blood flow and alleviate symptoms associated with venous reflux. Patients typically experience a swift recovery and can resume their usual level of activity on the same day.

How Does the Treatment Work?

The ClosureFast™ procedure begins by numbing the skin with lidocaine. A tiny wire and the ClosureFast® catheter are then inserted into the affected vein. The catheter delivers radio-frequency energy to the vein wall, effectively sealing it shut. Despite this closure, blood circulation remains unaffected as the remaining healthy veins continue to efficiently transport blood back to the heart.

What Should I Expect on the Day of Treatment?

The procedure is performed under local anesthesia, with the option for patients to use a mild oral sedative, such as Valium, for added comfort. Patients are encouraged to wear a gown and leave their underwear on during the procedure. Depending on the vein to be treated, patients may lie on their back or belly, with special accommodations made for comfort, such as body positioning and the use of pillows.

To ensure comfort and relaxation, patients have the option to watch a movie on Netflix or listen to music during the procedure. Once settled, the skin around the affected vein(s) is prepped with a cleansing solution for a sterile procedure. The doctor then uses ultrasound to map the vein(s) to be treated before administering a numbing agent (lidocaine) into the skin.

A tiny puncture is made in the numb area of the skin to pass the radiofrequency catheter. Additionally, a combination of cool saline and local anesthetic is injected around the vein to be treated, numbing it and insulating it from the surrounding tissue. With the area adequately prepared, the vein is painlessly treated with radiofrequency energy.

Following the treatment, the leg is cleaned, and a compression stocking is applied, which the patient will wear continuously for 72 hours. Patients are encouraged to walk for 30 minutes before leaving the clinic to promote circulation.

ClosureFast™ Radiofrequency Ablation offers a highly effective and minimally invasive solution for addressing venous reflux and its associated symptoms. With its quick procedure time and rapid recovery, patients can reclaim comfort and confidence in their leg health with minimal disruption to their daily lives. If you’re ready to bid farewell to venous reflux, schedule a consultation with us today and take the first step towards healthier, happier legs.