EVLA is the latest method for the treatment of major veins, previously treated by "stripping" surgery. With ultrasound guidance, a laser fiber is placed into the abnormal vein through a tiny incision. The vein is then numbed with local anesthetic, and the laser activated as the fiber is slowly removed. This produces a reaction in the vein wall along the treated section, resulting in collapse and sclerosis of the vein wall with minimal discomfort. The published success of EVLA treatment is between 95-98%, with far fewer complications than surgery. With the addition of EVLA to Ultrasound Guided Sclerotherapy, it is expected that varicose vein surgery will be performed much less frequently in the future.
A duplex ultrasound is used to map out your vein. The local anesthetic is then applied. A thin laser fiber is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to seal the faulty vein. Walking immediately after the procedure is encouraged. Normal daily activity can be resumed right away - just avoid rigorous activities such as gym workouts. There may be minor soreness and be bruising. Any discomfort can be treated with over-the-counter, non-steroidal anti-inflammatories only after consultation and discussion
How does EVLA work? The laser energy damages the vein walls, shrinking them and closing the faulty vein so that the blood cannot flow through it. This eliminates vein bulging at its source. Is loss of the vein a problem? No. After treatment, the blood in the faulty veins will be diverted to the many normal veins in the leg. Am I at risk from the laser? No. Just as a precaution against accidental firing of laser energy outside the body, you will be given a pair of special glasses to protect your eyes. How successful is EVLA Published clinical studies show that EVLA has a 98% initial success rate with excellent long-term results.
