Perspectives in Vascular Surgery and Endovascular Therapy

 

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Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 19, No. 3, 309-314 (2007)
DOI: 10.1177/1531003507305885
© 2007 SAGE Publications

Radiofrequency Ablation of the Great Saphenous Vein Performed in the Office: Tips for Better Patient Convenience and Comfort and How to Perform It in Less Than an Hour

Lincoln Roland, MD

Danbury Hospital, Danbury, Connecticut

Alan M. Dietzek, MD, FACS, RPVI

Danbury Hospital, Danbury, Connecticut, alan.dietzek{at}danhosp.org

Radiofrequency ablation of the great saphenous vein has become increasingly popular for its decreased morbidity and greater patient satisfaction as compared with conventional saphenous vein stripping. Because of the relative simplicity and safety of this procedure and fueled by changes in reimbursement, endovenous radiofrequency ablation is now most often performed as an office-based procedure. This sets the stage for developing new technology that can achieve better results in a shorter time without compromise to patient safety and satisfaction. The balance between patient satisfaction and increased productivity is tenuous, and the former should never be sacrificed for the latter. The recipe for such a seemingly formidable task begins the moment the patient sets foot in the waiting area. Recognizing the steps that cause patient anxiety and strategically turning them into comfort zones takes a concerted effort between the surgeon and office staff. Here, we demonstrate how simple changes can transform an office-based endovenous practice into one in which patient and physician alike are maximally satisfied.

Key Words: endovenous radiofrequency ablation • tumescent anesthesia • great saphenous vein • saphenofemoral junction • ClosureFAST • duplex


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