Endovenous laser treatment (EVLT) is a procedure that uses laser heat to treat varicose veins.
Varicose veins are swollen and enlarged veins. They occur most often in the legs. Varicose veins can develop when valves in your veins become damaged. This causes problems with blood flow. Over time, too much blood collects in the veins. The veins may bulge, twist, and stand out under your skin. They can also cause symptoms such as aching, cramping, or swelling in your legs.
During EVLT, heat created using a laser is sent into the vein through a thin, flexible tube (catheter). This closes off blood flow in the main problem vein.
Getting ready for your treatment
Follow any instructions from your healthcare provider.
Tell your healthcare provider if you:
Tell your provider about any medicines you are taking. You may need to stop taking all or some of these before the procedure. This includes:
Follow any directions you’re given for not eating or drinking before the treatment.
The day of your treatment
The treatment takes 45 to 60 minutes. The entire treatment (including time to prepare and recover) takes about 1 to 3 hours. You can go home the same day. For the treatment:
Your veins pump blood from the heart throughout other areas of your body. The process completes itself as this blood is pumped back to the heart again. In order for the circulation of blood flow to reach extremities, such as your legs and feet, the muscles must contract and valves within the veins must open, allowing the blood to pass. In the case of people with varicose veins, these valves fail to work properly, causing the blood to pool in spots.
This can result in venous diseases such as varicose veins or spider veins, a milder and common variation. Varicose veins are typically large and dark purple or blue in color, often appearing right below the skin’s surface, while spider veins tend to be smaller and may appear as red, blue, or purple. You may notice either of these issues seem to appear suddenly, and unfortunately tend to increase over time. While they may be painless at first, varicose veins can eventually cause the following symptoms:
If you are experiencing any of the above symptoms, our staff and board certified Interventional Radiologists at Advanced Vein Therapy may be able to help. You may be a candidate for endovenous laser ablation treatment, a common, safe, and highly effective minimally-invasive procedure.
Endovenous laser treatment (EVLT) is a minimally invasive procedure that can provide patients with relatively fast and highly effective relief from the painful symptoms and unsightly appearance of varicose veins.
At Advanced Vein Therapy, we can schedule you an initial consultation with our physicians to review your medical history and the symptoms you are currently experiencing. We can then discuss your diagnosis, the potential health ramifications, and all of the treatment options that may be available in your particular situation. Once you and your doctor decide on EVLT as the best course of action, we will create a customized treatment plan and set a date to schedule the procedure.
On the day of your treatment, our staff will warmly greet you and escort you to the procedure room, while helping you relax and answering any last-minute questions or concerns you have. At this point, they will also begin preparing your leg for the treatment. The following information explains exactly how EVLT works and what to expect on the day of the procedure:
The entire procedure generally takes between 60 to 90 minutes per leg. Once the varicose vein is closed, the blood will eventually reroute to another, healthier vein.
After completing endovenous laser treatment, the results patients experience can vary. In some cases, varicose veins disappear completely during the recovery period. In other situations and in more severe cases, it may take up to a year for the unhealthy vein to no longer be visible. Most people are likely to fall somewhere in the middle of these timeframes. The following highlights what to expect post-treatment:
It is important for patients with varicose veins and other venous diseases to realize that there is no permanent solution to this type of problem and that the issue may reappear again at some point in time. However, in terms of long-range results, endovenous laser ablation treatment is credited with having an excellent recovery rate.
The National Institutes of Health (NIH) reports that EVLT is among the most successful of treatments. In addition to the obvious advantages of using state-of-the-art lasers rather than more invasive surgical techniques, studies show that over a five-year period following treatment, EVLT is also proven to be highly effective in preventing a recurrence of varicose veins.
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