Doctor Opinions About EVLT and VNUS Closure

I have used both Laser and RF for venous insufficiency and both work well.  The data are pretty equal in closure rates.   I personally prefer laser.  In my hands, I have seen better results in closure rates, short and long term.  It is best to find someone who has significant vascular experience with veins.  Good luck!

Both of these treatment options are great for treating and closing the Great Saphenous Vein (the vein that most often is responsible for varicose vein disease).  In general, they both work very well and have excellent (95%) long-term success rates.  The RFA procedure tends to lead to less pain and bruising for the first 3-4 days after the procedure.  Beyond the first 4 days, patients seem to have very minimal pain with both procedures. 

With the higher wavelengths for EVLT, especially the 1470nm laser there is no significant difference in procedure success rates, complications and post-op pain compared with VNUS.  I have tried both but now use exclusively laser as a matter of personal preference and because it allows for the treatment of a wider range in vein size. I have always gotten consistently good results with the EVLT 1470nm laser.