Endovenous Laser Ablation

Endovenous Laser Ablation (EVLA) is one of the most effective and least invasive ways to treat the largest of varicose veins. Endovenous laser ablation has replaced traditional vein stripping procedures which are performed in hospital, require general anesthesia, have long recovery times and higher recurrence rates.  The EVLA procedure is an effective office-based treatment that allows patients to promptly return to everyday activities.

What happens during the EVLA procedure?

In the comfort and convenience of our office, laser ablation is performed in an less than an hour, requiring local anesthetic. It is performed by guiding a laser fiber into the abnormal varicose vein through an IV (intravenous )catheter. The laser is activated, energy from the laser is transmitted to the vein wall and the vein is sealed. After the vein closes, it is reabsorbed by the body over the next several months. Any blood within the varicose vein is rerouted through other healthy veins. Multiple large, source varicose veins may require treatment with EVLA , depending on the individual patient’s ultrasound findings.

What should I expect after the EVLA procedure?

Following the laser procedure, a graduated compression stocking is placed on the leg and moderate activity is encouraged. The compression stocking is worn over-night and then daily, until an ultrasound exam is performed the following week. Minimal bruising and soreness is common and is managed with over-the-counter pain medication.