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EVLT versus RFA

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May 17, 2015

EVLT versus RFA |

How does EVLT & Surgery compare?

EVLT

Surgery

Treartment Daycare Hospital
Anesthesia local General
Recovery 1 day 2 weeks
Scarring None Multiple cuts
Satisfaction 99.8% No
S/E bruising < 30% > 50%
S/E Pain < 20% > 70%
S/E Numbness 0.08% 14%

How does EVLT & sclerotherapy compare?

EVLT

Sclerotherapy

Primary use Varicose veins Spider veins
Treats reflux Yes No
FDA clearance 2002 Foam – No; STD – 2004
Success rate (LSV) 93-98% 9-26% liquid68-80% foam
Complication (PE) Not reported Foam – CVA & embolism
No of treatment 1 3 or more

How does RFA & EVLT compare?

EVLT

RFA

Mechanism Laser Electricity
Success rate 94-100% 90-98%
Complications – DVT; Phlebitis 0.3% 2.1%
PE None 17 cases
S/E – bruising < 35% 35%
S/E – Swelling 25% 25%
numbness 0.08% 11%
Post – op experience Stocking + mobility tightness 4-7/7 Stockings + mobility
Procedures 2006 103,000 78,000
Satisfaction 99.8% 98.9%

Why is endovenous treatment so highly recommended?

  • Quick treatment –  one hour each leg
  • No overnight hospitalization
  • Up to 99% success rate
  • Immediate relief of symptoms
  • Back to normal activity immediately – with little or no pain
  • No general anesthesia ( Except some cases where Spinal or Local anesthesia is not possible )

Why is RFA gaining in popularity?

  • Much less painful post-operatively
  • Very quick treatment – < 5 minutes
  • Minimal chances of skin burns
  • Long term results and success like EVLT

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