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EVLT® and VNUS® Venous Closure Procedure-
Minimally Invasive Treatments For Varicose Veins


Treatment of varicose veins has traditionally involved surgically removing the troublesome vein from the leg — this is called varicose vein ligation and stripping.

Endovenous Radiofrequency Obliteration (VNUS® closure procedure) and Endovenous Laser Treatment (EVLT®) are two new, less invasive alternatives to vein stripping surgery. Instead of removing the vein, the vein is sealed off by causing it to collapse. Once the diseased vein is closed, the blood flow out of the legs is taken over by healthy veins.

Both EVLT® and VNUS® closure procedure are performed as outpatient procedures with no overnight stay in the hospital required. Local anesthesia is given to numb the treatment area. A very small opening is made in the vein and a thin tube (catheter) is inserted and threaded up into the vein (figure 1). EVLT® uses laser energy to treat the vein while VNUS® closure uses radiofrequency (RF) energy to close the vein. Once inside the vein, the catheter delivers the energy to the vein walls from the inside (figure 2) and, as the catheter is slowly pulled back, the vein collapses shut (figure 3). The catheter is completely removed following the procedure and a small bandage is placed over the catheter insertion site. The collapsed vein is left in place.
Improvement in appearance and symptoms is generally immediate. Elastic compression stockings may be prescribed for a few days. There is a quicker return to normal activities with the minimally invasive closure procedures as compared to vein stripping surgery.

Not all people with varicose veins are candidates for EVLT® or VNUS® closure. You should see a doctor that specializes in vascular disease to determine the appropriate treatment for your particular condition. Drs Mureebe, Karwowski, Morrissey and Nowygrod perform the EVLT® and VNUS® closure procedure treatment of varicose veins. To make an appointment with Dr Mureebe, Karwowski, Morrissey or Dr Nowygrod. click here.

For more information on EVLT® and VNUS® closure visit their company websites at www.vnus.com and www.evlt.com.
 
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Columbia University College of Physicians and Surgeons Weill Medical College of Cornell University