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How do you choose between laser and radiofrequency treatments?

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Hi, I'm Dr. Steve Epstein. I'm a clinical specialist here at Vascular Epicenter. I'm board-certified in diagnostic and interventional, or invasive, radiology, and I've been in clinical practice for more than 20 years. How do you choose between laser and radiofrequency treatments? Laser has a fiber. It's thin, thinner than the catheter that we use for radiofrequency. The catheter is more of a blunt-tipped device. It tracks nicely by itself, and we're able to float it beyond a very short introducer device. The laser fiber is much thinner, which is nice, but it's less compliant. It can lacerate the vein if you float it up without being covered by a very long introducer. So, we decide based on the anatomy of the vein that we're treating, and the individual patient, which of the two is the better choice. Either one will give heat therapy to eliminate and exclude the saphenous vein being treated.

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