Select Page
What Are the Long-Term Side Effects of a Vein Ablation Procedure

What Are the Long-Term Side Effects of a Vein Ablation Procedure?

May 30, 2024 | Blog, Vascular Issues

Vein ablation is a minimally invasive medical procedure used to treat varicose veins and chronic venous insufficiency. During the procedure, a small catheter is inserted into the affected vein, and heat (either laser or radiofrequency) is applied to seal the vein shut. This redirects the blood flow to healthier veins to improve circulation and alleviate symptoms.

Some of the long-term side effects include skin changes, swelling, phlebitis, nerve damage, etc. While the procedure is generally safe and effective, being aware of the risks can lead to better post-procedure care and prompt management of any adverse effects, ensuring optimal outcomes.

If you’re considering vein ablation or have any concerns about long-term side effects, At CACVI, our Advanced Cardiac and Vascular Center offers comprehensive peripheral procedures. With over 30 years of practice, our expert team is dedicated to providing advanced care and ensuring your well-being. Contact us now for a free consultation.

In this blog, we will cover vein ablation and its benefits. We will also look at the possible long-term side effects and share tips for managing and mitigating these side effects.  

What Is Vein Ablation?

What Is Vein Ablation?

Vein ablation, also known as endovenous ablation, is a minimally invasive procedure designed to treat varicose veins and chronic venous insufficiency. The primary purpose of vein ablation is to alleviate symptoms, improve appearance, and prevent complications associated with these vascular conditions.

The two common types of vein ablation are radiofrequency ablation and laser ablation. Radiofrequency ablation works as the name implies by using radiofrequency energy delivered through a thin catheter to heat and close the varicose veins. On the other hand, laser ablation, also known as endovenous laser ablation, uses laser energy to achieve the same result by generating heat to seal the affected veins. Vein ablation is typically performed under local anesthesia. The procedure involves making a small incision near the treatment site to insert a thin catheter into the affected vein. Then, radiofrequency or laser energy is delivered through the catheter to heat the vein walls, causing them to collapse and seal shut. The accumulated blood then reroutes to healthier veins, improving blood flow and reducing symptoms. The entire process is minimally invasive and has a low risk of complications.

When Is Vein Ablation Necessary?

Vein ablation is necessary when varicose veins or chronic venous insufficiency cause significant symptoms or complications like blocked veins in the legs. This procedure is usually indicated when other treatments, such as compression stockings or sclerotherapy, have failed to provide relief. 

What Does Vein Ablation Treat?

Vein ablation is an effective treatment for various vascular conditions, particularly those affecting the leg veins. It is widely used to treat issues like varicose veins, spider veins, and chronic venous insufficiency. 

What Are the Risks of Vein Ablation Treats?

Vein ablation is an extremely safe procedure with a low risk of complications. However, as with any minimally invasive procedure, there are potential risks and side effects like nerve injuries, pulmonary embolism, skin burns, phlebitis, deep vein thrombosis (DVT), etc. 

Vein Ablation Immediate Effects and Short-Term Recovery

Vein Ablation Immediate Effects and Short-Term Recovery

Patients typically experience several immediate post-procedural effects after vein ablation. Some of these common post-procedural effects are mild pain and discomfort, bruising and swelling, redness and tenderness, numbness or tingling, and minor skin burns. The recovery timeline for vein ablation is generally short, given that it is a minimally invasive procedure. It typically shouldn’t go beyond one month. 

Within the first 24 hours after the procedure, patients are usually able to walk immediately although some pain and discomfort at the treatment site are expected. Swelling and bruising are common during the first week, but wearing compression stockings helps reduce these symptoms and promotes healing. From week two to week four, most of the immediate post-procedural effects, such as bruising and tenderness, typically heal. Then, patients may start noticing improvements in their symptoms of varicose veins or venous insufficiency.

To manage short-term recovery, you should stay active by engaging in light walking and regular movement to promote circulation and prevent blood clots from forming. Furthermore, elevate your legs when resting, and avoid prolonged standing or sitting. Staying hydrated, eating a healthy diet, and wearing compression stockings are also helpful. Importantly, ensure to follow instructions and any specific guidelines provided by your vein doctor including the use of medications and follow-up appointments. 

Long-Term Side Effects of Vein Ablation

Long-Term Side Effects of Vein Ablation

Vein ablation is a minimally invasive procedure that uses radiofrequency energy or laser energy, and is generally safe and effective for treating varicose veins and chronic venous insufficiency. However, like any medical procedure, it can have potential long-term side effects. They include nerve injury, recurrence of varicose veins, scarring, etc. 

Physical Side Effects of Vein Ablation

Physically, some patients may experience ongoing pain or discomfort in the treated area even after the initial recovery period. Furthermore, they may notice skin changes as the treated leg veins may undergo changes in pigmentation or texture. It could be hyperpigmentation (darkening of the skin) or hypopigmentation (lightening of the skin).

Additionally, there is a risk of nerve damage. It usually manifests as persistent numbness, tingling, or a burning sensation around the treatment site.

Vascular Side Effects of Vein Ablation

Recurrence of varicose veins is one of the vascular side effects of vein ablation. Although vein ablation is effective, there is a possibility that varicose veins can reappear in the same or other veins over time. 

Deep Vein Thrombosis (DVT) is another vascular side effect. It involves the formation of blood clots in the deeper veins. This can lead to significant health issues if not promptly addressed. In addition, there could be changes in venous pressure due to the rerouting of blood flow. This then affects the overall health of the leg veins.

Psychological and Lifestyle Impact of Vein Ablation

Post-procedure, patients may need to make lifestyle adjustments. This includes the use of compression stockings, regular follow-up appointments, and potentially modifying physical activities to avoid complications. 

Chronic pain or discomfort, as well as the recurrence of varicose veins, can affect a patient’s mobility and ability to perform daily activities. They can also have psychological effects on an individual, especially when skin changes and aesthetic concerns come into play. This leads to decreased quality of life. 

Risk Factors of Vein Ablation Procedure and Prevention

Risk Factors of Vein Ablation Procedure and Prevention

Some of the risk factors that increase the likelihood of severe long-term side effects include pre-existing conditions, age, obesity, smoking, and inactivity. Patients with a history of DVT, chronic venous insufficiency, or blood clotting disorders are at a higher risk of complications. Likewise, older patients or those with significant underlying health issues may experience slower recovery and higher chances of side effects.

In addition, excess weight can put additional pressure on leg veins, which complicates the healing process and increases the risk of the recurrence of varicose veins. Smoking also negatively affects blood circulation and healing, raising the risk of complications such as DVT and pulmonary embolism, and lack of movement post-procedure can lead to a blood clot forming in the treated veins, increasing the risk of DVT.

To minimize these risks, there are certain preventive measures to follow like wearing compression stockings and staying active. Wearing compression stockings post-procedure helps improve blood flow, reduce swelling, and minimize the risk of blood clots. You should also engage in light physical activities like walking to promote circulation and prevent blood pooling in the leg veins. 

It also helps to maintain proper hydration and a healthy diet to support overall vascular health and healing. Furthermore, patients should quit smoking before and after the procedure to enhance circulation and healing.

Importantly, you must maintain regular follow-up care with your healthcare providers. Through these visits, your vein doctor will monitor the treated veins, manage any side effects, and ensure optimal recovery. During these appointments, you can detect complications at an early stage, monitor vein health, and adjust treatment plans if needed. 

Comparing Vein Ablation With Other Treatments

Vein ablation is recommended when varicose veins or chronic venous insufficiency cause significant symptoms or complications that affect daily life. It is particularly suitable for patients who experience persistent leg pain, swelling, or discomfort, have not found relief with conservative treatments like compression stockings or lifestyle changes, or suffer from complications such as skin changes, ulcers, or bleeding varicose veins. It is also suitable for those seeking a minimally invasive treatment with a quick recovery time or those who have large varicose veins that are not suitable for sclerotherapy treatment. 

Sclerotherapy also serves as a vein treatment. It involves injecting a sclerosing solution into the vein, causing it to collapse and be reabsorbed by the body. Long-term side effects include hyperpigmentation, matting, and in rare cases, blood clots or allergic reactions. This procedure is effective for small spider veins and smaller varicose veins. It is less invasive than varicose vein surgery. However, multiple sessions may be needed for this procedure, and it is not as effective for large veins. There is also potential for skin pigmentation changes.

Another type of vein treatment is vascular surgery. This is the surgical removal of the affected veins through small incisions (vein stripping and ligation). Its long-term side effects include scarring, infection, nerve injury, and possible recurrence of varicose veins. It serves as a permanent solution for large varicose veins. However, it is an invasive procedure and the recovery time is longer. There is also a higher risk of complications compared to other procedures. 

What Happens if You Don’t Get a Vein Ablation Procedure?

What Happens if You Don't Get a Vein Ablation Procedure?

If varicose veins or chronic venous insufficiency are left untreated without undergoing a vein ablation procedure, the condition can worsen over time, leading to more severe health issues. Untreated varicose veins can lead to increased pain, swelling, and discomfort in the legs. The affected leg veins may become more prominent and painful. It also leads to skin changes, ulcers and sores, bleeding, deep vein thrombosis (DVT), chronic pain and mobility issues, etc. 

Is Vein Ablation Worth It?

Yes, vein ablation is worth it as it comes with numerous benefits. It requires a short recovery time and comes with minimal discomfort. It also gives effective results and helps with improved appearance with a low risk of complications.

Vascular Diagnosis and Treatments in Los Angeles

Being aware of the potential long-term side effects of vascular treatments, including vein ablation, is important for making informed decisions about your health. Knowledge of possible complications such as nerve injuries, skin changes, and recurrence of varicose veins enables patients to weigh the benefits and risks effectively. This awareness helps in preparing for post-treatment care and managing any adverse effects promptly, ensuring better health outcomes.

Given the complexity of vascular conditions and the variety of treatment options available, it is essential to seek personalized advice from a qualified medical professional. A vein doctor can provide a thorough evaluation of your specific condition, recommend the most appropriate treatment, and guide you through the recovery process.

For those in Los Angeles seeking expert vascular diagnosis and treatments, CACVI offers comprehensive services, including cardiac and vascular diagnostic procedures. At our Center for Advanced Cardiac and Vascular Interventions in LA, our team of specialists is dedicated to providing advanced care to ensure your vascular health. Explore our service today by scheduling a free consultation!


If you were told you need an amputation, get a second opinion! We are board certified consultants in endovascular interventions committed to improving the quality of your life and the lives of those you love!

Please enable JavaScript in your browser to complete this form.
Share This
Call Now!