In the past, varicose veins were treated with a surgical procedure called vein stripping, where the vein was completely removed from the leg. Today, Endovenous Laser Therapy (EVLT) is used to deliver laser energy into the malfunctioning vein to seal it closed. It’s precise, painless, and quick.
Endovenous Laser Therapy (EVLT) is an innovative FDA approved non-surgical treatment for the permanent elimination of superficial venous insufficiency, which is a typical cause of large varicose veins, leg swelling, heaviness, cramps, brownish skin discoloration, and non-healing wounds. This technique has been used for over a decade and since 2005 it is considered to be the Gold Standard for the elimination of venous insufficiency and large varicose veins.
It involves a precise insertion of a very thin (less than one millimeter) laser fiber into the diseased veins under real-time ultrasound guidance, followed by an application of laser energy to heat and close the malfunctioning veins, which is called vein closure. Other healthy veins take over normal blood flow in the leg immediately. Over time, the treated veins are absorbed by the body.
Depending on the number of diseased veins more than one procedure may be required. The EVLT procedure is done in our offices, and it usually takes less than 15 minutes from the start of the procedure until it is completed. To prevent discomfort during the procedure we use a local anesthesia similarly to the one used in a dental office. Because of its minimally-invasive nature, an EVLT procedure will not interrupt your normal daily routine. You will be able to resume your normal activities immediately after EVLT treatment and even go back to work.
Schedule a consultation today to learn more about Endovenous laser Treatment (EVLT) treatment option.
Endovenous Laser Treatment (EVLT) Treatment
In preparation for the EVLT procedure, an ultrasound machine is used to examine and map out the shape and size of the veins in your legs. This venous map allows our ultrasonographers and physicians to accurately locate the unhealthy veins that need to be treated. Our physicians will also provide you with a personalized treatment plan that will include the estimated number of treatments that your leg may require.
During the EVLT procedure, you are awake and your leg is numbed with a local anesthetic. A small puncture is made in the leg near the location of the unhealthy vein. A thin fiber-optic probe is inserted through a needle into the vein using ultrasound guidance.
A highly concentrated beam of light from the laser heats the vein walls which makes them shrink. This causes the unhealthy vein to collapse. The precision of the laser allows the physician to target the vein without affecting the surrounding tissue. Once the vein is sealed closed, it slowly disintegrates while being absorbed by the surrounding soft tissues. The other healthy veins in your leg will then take over the normal blood flow toward the heart