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A 30-year-old member asked:

can you share the experience.is radio_frequency ablation (rfa) any better than evlt?

3 doctor answers4 doctors weighed in
Dr. Shoaib Shafique
Vascular Surgery 34 years experience
RFA: Has been better in my experience since the delivery of energy is better controlled. Newer evlt machines are fairly good but I do not have personal experience.
Dr. Kevin Nolan
Vascular Surgery 35 years experience
RF v EVLT: Though there are some subtle differences it would not be unfair to characterize the two procedures as the same but simply using a different energy source.
Dr. Thomas Wright
Phlebology 29 years experience
Both have Advantages: Rfa radiofrequency ablation has some studies showing less pain in bruising compared at least to some of the older lasers. Evlt endovenous laser ablation, has some studies that showed it have better long term closure. They are both very effective and well tolerated. I use both in my practice using the laser for the biggest veins and rfa on the smallest.No bad options here to treat saphenous reflux.

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Last updated Dec 28, 2014

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