One of the newer treatments to treat varicose veins and spider veins is the Ablation technique. This technique has been adopted by many physicians of different specialties who have started treating varicose veins.The Saphenous vein is a straight, tiny vein under the skin which travels from the groin to the ankle and is believed to be responsible for the formation of the varicose and spider veins in a great majority of patients.
The assumption behind the Ablation technique is that the Saphenous vein is the only source of varicose veins and spider veins. In the old fashioned stripping method, this vein was also being removed by multiple incisions under anesthesia.
However, many recent studies have shown recurrence of the veins and spiders in great number of these patients!
In VNUS closure, a wire is advanced inside the Saphenous vein from below the knee and to the groin. Then, the temperature of the probe is raised high enough to burn this vein. The extreme heat burns the Saphenous vein and leaves the non-viable, dead vein inside the thigh.
Some physicians will use a laser fiber to accomplish the same task. This is called Endo-laser, the EVLT procedure.
Over 60% of our new patients have had these procedures performed in the past once or twice already.
REASONS FOR FAILURE AFTER EVLT:
1- Presence of a second system in the groin responsible for varicose veins and spiders(40%)
2- Veins arising from pelvis( Pelvic source such as heavy children)
3- Source(leak) in the back of the knee(20%)
4- large incompetent leaks in the calf(80% of patients)
Another rare but more serious side effect of ablation technique has been the formation of clots in the deep veins (DVT) with the serious potential risks. Many physicians do not allow patients to fly for two weeks due to this potential risk.
With all of these concerns and drawbacks, we do not recommend Ablation techniques as the Primary and the only choice to treat varicose veins. Ideally any procedure must be done once to eliminate all the leaks
The Veno-Merse® Technique will achieve this. All patients can resume their activity immediately after treatment and even fly back home when visiting the office from across the country or abroad. By separating the connections of superficial veins to the deeps system, the chance of clotting in deep system is eliminated too.
We use our lasers at the end of our treatment course to treat all the residual tiny spider veins AFTER all the leaks and feeders are sealed. This approach has creates near perfect legs in over 99% of clients.