As founding medical director of Virginia Vein Care, Lawrence J. Markovitz, MD, performs a number of corrective procedures for patients with varicose veins. Dedicated to the use of minimally invasive options, Dr. Lawrence J. Markovitz performs endovenous laser treatment (EVLT) as well as radiofrequency ablation (RFA).
Both EVLT and RFA treat varicose veins by heating the vessel to a level that damages its structure. RFA uses radiofrequency energy that shrinks the collagen inside the vein wall, so that the vein itself shrinks to the degree that the walls meet and close. EVLT introduces laser heat that injures the vein, which then grows scar tissue that meets to close the vein.
Both procedures take place using a catheter, which the physician passes through a small incision into the vein. Because the procedure is minimally invasive, patients typically experience less pain than those who undergo traditional vein surgery. Procedures are typically ambulatory and involve a short recovery period.
EVLT is effective in approximately 94 percent of patients, while RFA has an 95 percent effectiveness rate. Should a vein fail to close, the patient may undergo the same treatment again or opt for an alternative.