Endovenous Laser and Radiofrequency Treatments

  • Rachel Redenius
  • Margaret MannEmail author


Chronic venous disease affects approximately 15% of men and >25% of women in the United States and can cause significant morbidity in those affected (2c) (Beebe-Dimmer et al., Ann Epidemiol 15:175–184, 2005). The preferred treatment options have shifted in the last decade from surgical ligation and stripping in the operating room to minimally invasive procedures such as endothermal ablation in the outpatient setting. Endovenous laser ablation (EVLA) and radiofrequency ablation (RFA) are the two most commonly used thermal techniques. The heat produced by these methods causes denaturation of collagen proteins in the vessel wall resulting in inflammation, thrombosis, and fibrosis of the vein. RFA received Food and Drug Administration (FDA) approval for the treatment of varicose veins in 1999 followed shortly by EVLA with an 810-nm wavelength in 2002. Additional available lasers include the 810-, 940-, 980-, 1319-, 1470-, and 1500-nm diode lasers and the 1064- and 1320-nm neodymium-doped yttrium aluminum garnet (Nd:YAG) lasers. The procedures are safely performed under local anesthesia and are well tolerated with minimal downtime for the patient. Due to their clinical effectiveness and safety profile, endothermal treatments are increasingly supplanting surgery as the treatment of choice for chronic venous disease.


Varicose veins Endovenous ablation Chronic venous disease 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Department of DermatologyCase Western Reserve University School of MedicineClevelandUSA
  2. 2.University Hospitals Cleveland, Case Western Reserve UniversityBay VillageUSA

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