Radiofrequency Ablation of Veins (RFA) in Kyiv

Radiofrequency Ablation (RFA) of Veins is a modern, minimally invasive technique for treating varicose vein disease of the lower extremities. During the procedure, a catheter is inserted into the affected vein under ultrasound guidance. The inner wall of the vein is heated by radio waves of a specific frequency through the generation of a radiofrequency impulse. As a result, the vein coagulates and gradually disappears over time.

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What is varicose veins and when is radiofrequency ablation (RFA) indicated?

Varicose vein disease of the lower extremities is a condition characterized by damage to the venous system, caused by genetic factors and/or dysfunction of the venous valves. It is a chronic disease that, without treatment, progresses over time and may lead to serious complications.

The use of radiofrequency ablation to thermally damage the inner layer of the vein (endothelium) is widely regarded as the treatment of choice at certain stages of varicose vein disease. It is used to eliminate insufficiency of the affected veins of the lower limbs — including the trunks of the great and small saphenous veins, their tributaries, and perforating veins — without pain or scarring, and with a comfortable rehabilitation process.

How common is varicose vein disease?

Many people consider varicose veins to be merely a cosmetic issue and delay seeing a doctor. However, varicose vein disease is chronic and can lead to serious complications at various stages of the condition affecting the lower limbs.
According to statistics, in developed countries, varicose veins are observed in approximately 35% of women and 10–20% of men. In Ukraine alone, the number of affected individuals reaches around 14 million.
The World Health Organization (WHO) has declared varicose veins one of the leading widespread and potentially dangerous diseases of modern times.

What is CEAP and How Are the Stages of Varicose Veins Classified?

CEAP is an international classification system for chronic venous disorders of the lower extremities. It allows for a clear description of the patient’s clinical status and changes in the venous system, where:

С – Clinical manifestations, observed during physical examination

Е – Etiology of the disease:

“с” – Congenital disorder
“р” – Primary lesion
“s” – Secondary lesion

А – Anatomical changes (based on duplex ultrasound examination), where:

As – Involvement of superficial veins
Ad – Involvement of deep veins
Ap – Involvement of perforating veins

Р – Pathophysiological component of the disease, where:

“r” – Reflux
“о” – Obstruction
“r, о” – Reflux and obstruction

Stages of varicose vein disease according to CEAP: when is radiofrequency ablation (RFA) indicated

Visible varicose veins. The removal of lower limb veins using radiofrequency ablation (RFA) allows the patient to eliminate varicose tributaries and prevent the further progression of varicose disease.

Disease progression, when in addition to varicose veins, leg swelling is present. After radiofrequency ablation combined with miniphlebectomy, swelling and varicose veins of the lower limbs can be effectively eliminated.

Performing radiofrequency ablation (RFA) in severe cases of varicose vein disease allows for the removal of lower limb veins with incompetent valves and helps reduce trophic skin changes.

Radiofrequency ablation or other treatment methods allow for the elimination of refluxing veins and promote the healing of trophic ulcers.

Presence of open trophic ulcers. Radiofrequency ablation, performed through a single skin puncture, eliminates reverse venous blood flow and promotes the healing of the trophic ulcer.

Main causes of varicose vein development that lead to the need for treatment (including RFA)

Varicose veins, or varicose vein disease of the lower limbs, often have a hereditary component. However, lifestyle factors play an equally important role in the development of the condition — including physical inactivity, prolonged standing or sitting, and excess body weight. Age and hormonal changes are also significant contributors to the progression of vascular disease.

Timely consultation with a vascular surgeon or phlebologist is key to effective treatment and recovery. Radiofrequency ablation is a proven, high-quality solution for eliminating varicose veins in the lower extremities.

How to Recognize the First Symptoms of Varicose Vein Disease

Complaints of heaviness, swelling, pain, and night cramps are reasons to consult a phlebologist or vascular surgeon. The combination of hereditary factors and lifestyle plays a significant role in the development of the disease. Ignoring the appearance of spider veins can turn a cosmetic issue into an advanced stage of varicose vein disease.

Ігнорування симптомів — ускладнення варикозу

What Ignoring the Symptoms Leads To — Complications of Varicose Veins

Visible veins, swelling, cramps, pain, and skin pigmentation on the lower limbs are clear signs that you should see a vascular surgeon or phlebologist. It is important to treat varicose veins at the early stages rather than wait for complications such as ulcer formation or thrombosis.

Advantages of Radiofrequency Ablation (RFA) of Veins

The effectiveness and validity of using radiofrequency ablation (RFA) for vein treatment have been confirmed by numerous successful outcomes worldwide.
RFA is successfully used to treat both the great saphenous veins and the small saphenous veins, as well as accessory superficial veins.

The advantage of radiofrequency ablation over other thermal techniques lies in its sensor-controlled heat delivery. A temperature and impedance sensor located on the catheter minimizes the risk of vessel perforation and the associated pain and subcutaneous bleeding. The ClosureFAST catheter generation significantly reduces the duration of the procedure.

Why do patients choose RFA? Key advantages of the method

No incisions, scars, or pigmentation

Local anesthesia

Quick return to activity

Outpatient procedure that does not require general anesthesia or hospitalization

Excellent aesthetic result

Comfortable rehabilitation

Radiofrequency ablation — the optimal choice for varicose vein treatment

Radiofrequency obliteration (RFA) of the lower limb veins, like endovenous laser ablation, is considered one of the most optimal minimally invasive methods for treating varicose veins.

A significant clinical advantage of the radiofrequency obliteration (RFA) technique lies in the use of radio waves of a specific frequency, which results in minimal postoperative pain, a shortened recovery time, improved quality of life for patients, and comfortable rehabilitation.

Кому підходить радіочастотна абляція вен (РЧА)?

Who Is a Suitable Candidate for Radiofrequency Ablation (RFA) of Veins?

At the Phlebos Medical Center, radiofrequency ablation (RFA) is used as one of the minimally invasive thermal techniques for treating various stages of varicose vein disease, including in cases of excess weight, individual symptoms, and complications.

Advantages of RFA for Different Groups of Patients:

High precision targeting of affected vein segments, ensured by the use of ClosureFast catheters
Controlled heat delivery by the catheter, thanks to an integrated sensor, which minimizes the likelihood of pain syndrome
Minimally invasive nature, which eliminates harmful effects on surrounding tissues
Recommended and safe for patients of all ages, including the elderly
Highly effective, minimally invasive procedure that is well tolerated by patients
Rapid recovery and return to normal life, with comfortable rehabilitation

How Is the Radiofrequency Ablation (RFA) Procedure Performed?

During radiofrequency ablation (RFA) of the lower limb veins using a VNUS Closure catheter, radiofrequency energy is delivered through the catheter placed inside the vein. This energy causes the vein to contract and close as a result of collagen coagulation within the vein wall, leading to its occlusion.

Consultation and Duplex Ultrasound Diagnosis (DUS)

Consultation with a vascular surgeon and phlebologist, which includes duplex ultrasound scanning (DUS) of the lower limb veins

Selection of the treatment method and prescription of additional examinations or proceduresобстежень

Selection of the treatment method according to the stage of varicose vein disease and prescription of necessary tests for the patient

Performance of RFA (Radiofrequency Ablation)

The radiofrequency ablation procedure is performed, followed by a control duplex scan to verify vein closure. The patient walks for 20 minutes on a treadmill and then leaves the medical center independently.

Follow-up examination

The next day, the patient’s bandage is removed and an ultrasound check is performed to confirm vein closure.

Rehabilitation

For one month after laser vein removal, it is recommended to limit heavy physical exertion and strength training. Medical compression stockings are prescribed to be worn for a specified period.

Follow-up examination with ultrasound monitoring

The next ultrasound check is scheduled in 1 month, after which the patient can resume an active lifestyle.

Contraindications for Radiofrequency Ablation (RFA) of Veins

Radiofrequency obliteration is recommended for patients based on the prescription of a vascular surgeon. It is the physician who decides on the use of a particular minimally invasive intervention. During exacerbations of chronic illnesses, radiofrequency ablation of veins is postponed until the patient has recovered. Taking into account any existing contraindications is essential.

In which cases is RFA not prescribed

Severe general condition of the patient, exacerbation of chronic diseases
Chronic ischemic process in the lower limbs,
deep vein thrombosis
Limited mobility
Pregnancy, lactation period
Oncological diseases
шкірні, психічні захворювання

Why choose radiofrequency ablation (RFA) at Phlebos Clinic?

Guaranteed minimization of the risk of vessel perforation, reduced pain syndrome and bleeding during radiofrequency obliteration, and comfortable rehabilitation

The VNUS ClosureFAST catheter is used, which significantly shortens the duration of the procedure.

Guaranteed result of radiofrequency ablation – 100% vein obliteration, during which the catheter is inserted into the vein, the vein coagulates, and gradually disappears over time.

Experienced vascular surgeons and phlebologists, modern equipment, and a comfortable clinic in the center of Kyiv

Cost of endovenous laser ablation in Kyiv

The cost of radiofrequency ablation at Phlebos Clinic depends on the stage of varicose vein disease according to the CEAP classification (C1–C6), the extent of intervention, and the complexity of the procedure. The final price is determined during the initial consultation.

All prices

Service

Price

Patient Reviews

Over the years, our center has established key principles of care — exceptional professionalism, a personalized approach to each patient, multi-level diagnostics, high-quality varicose vein treatment, and full responsibility for the final outcome.

All Reviews

Lesia Chorna

July 9 2021

I recently had surgery performed by Serhii Petrovych.
To be honest, I was quite nervous before the procedure. While already on the operating table, I got scared that I might not be able to go through with it. But thanks to the doctor’s professionalism — and, I believe, his ability to sense how I was feeling — everything went quickly and almost imperceptibly. Dr. Shchukin Serhii Petrovych skillfully started a conversation about life, gently drew me into it... and just like that, the surgery was over.
A huge THANK YOU!!!
I hope the recovery process will be just as smooth and unnoticeable.
Once again — THANK YOU!!!

Yuliia Syniakova

December 14 2024

Vascular surgeons from the Phlebos Medical Center for Phlebology and Aesthetic Medicine took part as speakers on the topic “Management of Patients with Recurrent Varicose Veins.”

Olena Durytska

October 21 2022

I’m very glad that, on a friend’s recommendation, I ended up at this clinic for my surgery, which took place on 28.10.21.
A wonderful team — and Dr. Honcharov V.L., a young specialist who truly knows his field. Attentive and professional medical staff. I especially appreciated that the doctor thoroughly answered all of my questions, both before and during the procedure.
During the surgery, when I was feeling nervous, the nurses and medical assistant Dmytro helped calm me down.
I sincerely thank you for creating such a warm and reassuring atmosphere during the operation — something that is always stressful for any patient.
When you come to this clinic, you can truly feel that your health and comfort matter.
Now I’m in the post-operative period, under the attentive care and clear guidance of the doctor.
Wishing you continued success, growth, and many grateful patients!

Our doctors

The doctors at the Phlebos Medical Center specialize specifically in the treatment of venous disorders, including various and complicated forms and stages of varicose vein disease.

All doctors

Shchukin Serhii Petrovych

Experience: 28 years
Medical Specialty:
Chief Physician, PhD in Medicine, Top-Category Vascular Surgeon, Phlebologist, and Ultrasound Diagnostics Specialist

Honcharov Vyacheslav Leonidovych

Experience: 11 years
Specialization:
Vascular Surgeon, Ultrasound Diagnostics Specialist, Phlebologist

Alikberov Yurii Viktorovych

Experience: 18 years
Specialization:
Surgeon, Proctologist of the Highest Category

Frequently Asked Questions About Radiofrequency Ablation (RFA) of Veins

Radiofrequency ablation, like endovenous laser ablation, is a minimally invasive thermal technique and is one of the most commonly chosen treatment methods for varicose veins.

What causes visible bulging veins in the legs?

The cause of visible veins in the limbs is a disruption of the normal one-way blood flow. Due to excess blood volume in the vessels, the vein dilates, leading to insufficiency of the superficial venous system. During a consultation, the vascular surgeon or phlebologist uses diagnostic methods to identify areas of pronounced vein dilation, reticular varicose veins, or spider veins. Radiofrequency obliteration is an effective solution for these conditions.

How does radiofrequency ablation (RFA) differ from laser treatment (EVLA)?

Where is radiofrequency ablation performed in Kyiv?

How does thermal exposure to the vein occur during RFA?

How soon can we see the cosmetic effect after the radiofrequency ablation procedure?

Is a repeat procedure necessary?

Licenses and Certificates

The Phlebology and Aesthetic Medicine Center "Phlebos" operates in accordance with Ukrainian legislation and holds a state license along with all necessary permits and official documentation.