The latest data show a lower recurrence rate for endovenous laser ablation and less bruising and post-procedure discomfort for radiofrequency ablation. But both work well.
Published on Jul 11, 2012
In my opinion, and those of the other physicians at our practice, we feel that radiofrequency ablation has a slight edge. Both EVLA and RFA have over 95% effectiveness; radiofrequency, however, has no forward fire like the laser does, so placement of the heat is much more exact. And since radiofrequency doesn't "boil the blood" like laser, you have less extravasation of blood, which equates to less bruising, pulling and itching afterward treatment.
Published on Jul 11, 2012
Endovenous laser ablation and radiofrequency ablation are safe and effective methods that close veins with heat. There are several differences in the technologies, although the steps of the procedures are almost identical.
Lasers come in a variety of wavelengths. Higher wavelength lasers, in the 1300 nanometer range or greater, are referred to as cool lasers because they target the water in the cells of the vein walls rather than hemoglobin, like lower wavelength lasers. Cool lasers also typically cause less bruising.
Studies have shown no significant difference between cool lasers and radiofrequency in terms of comfort levels or effectiveness. The major factors in my practice that affect my decision in terms of which one to use are the depth of the veins, length of veins, and whether I am closing a perforator or connecting vein.
Published on Jul 11, 2012
Both procedures are minimally invasive and should be done in office under strictly local anesthesia. Studies have shown that laser is superior due to thermal inertia, meaning the amount of heat applied to the tissue while closing the vein, has a greater advantage over long-term successful closure of the vein involved.
Published on Jul 11, 2012
Both are safe and effective.
Published on Jul 11, 2012
To begin with, neither procedure is surgical, but both have comparable results and are greater than 90 percent successful.
Published on Jul 11, 2012
Both are the same.
Published on Jul 11, 2012
They are equal in outcome. I offer both and the decision regarding which one to use is often more based on anatomy (size and length of vein) than anything else. I believe a vein specialist should offer all available
treatment modalities.
Published on Jul 11, 2012
In our office we use radio-frequency ablation. It is less painful for patients, involves less bruising and requires less healing time. Our patients return to work the next day. As for laser ablation, you would need to contact an
office that uses laser.
Published on Jul 11, 2012
Great question. I use laser ablation which we have done for many years. In the early years of radiofrequency there was a higher failure rate and higher risk of deep vein thrombosis. The procedure was slow and more expensive. The newer RF generators are improved and claim to offer less pain and bruising. Laser ablation is the most commonly used device and, when used by an experienced surgeon, produces little bruising and discomfort. The new 1470 laser wavelength produces great results as does the 940. If you seek an evaluation by a Board Certified vascular surgeon (by the Board of Medical Specialties) who is specialized in these treatments, my preference is laser ablation.
Published on Jul 11, 2012
These are both very similar.
Published on Jul 11, 2012
Both are equivalent in the best of hands. That being said, there are quite different ability , skill and judgement levels of practitioners performing these techniques. This can translate into side effects. Generally, RF has a higher failure rate and laser may be slightly more painful. What is most important though is to question
the doctor on the follow up protocol, as that is where potential for recurrence is controlled.
Published on Jul 11, 2012
Both are excellent and provide equivalent results.
Published on Jul 11, 2012
Both techniques and ssytems have been compared and are both essentailly the same, very effective and very safe.
Published on Jul 11, 2012
Both procedures work well and the preference is usually dependent on the experience of the operating physician. I have used both but I feel that laser ablation is far superior to RF.
Published on Jul 11, 2012
They are equally good and safe in the right hands. I prefer laser. The skill and experience of the doctor is more important.
Published on Jul 11, 2012