What is EVLT?

Endovenous laser ablation is one of the most effective treatments for chronic venous insufficiency, the root cause of most vein problems.

Is EVLT Safe and Effective?

Endovenous laser ablation is one of the safest and most effective procedures for chronic venous insufficiency. This procedure was pioneered in 2003 as a minimally invasive alternative to varicose vein surgeries, such as vein ligation, vein stripping, and venous bypass surgery. Until then, vein disease could only be treated with vascular surgeries that involved considerable downtime, hospitalization, and a relatively high risk of complications, such as infections and deep vein thrombosis.

Endovenous laser ablation was one of the first minimally invasive procedures to receive FDA approval. Unlike surgeries, this procedure only involves one small incision on the skin’s surface, through which a catheter is inserted into the diseased vein. The procedure concludes within an hour with no downtime, allowing you to resume your daily activities immediately. Furthermore, the risk of complications and vein disease recurrence is negligible. As such, endovenous laser ablation is safer and more effective than traditional vein treatments.

What to Expect from EVLT?

If you’re deemed to be a good candidate for endovenous laser ablation (after thorough examination and ultrasound diagnosis), the vein doctor explains the entire procedure and answers your questions. On the day of the procedure, you must remain hydrated and avoid caffeinated beverages. The medical team will ask you to lie down on the operating table, and your legs will be cleansed in preparation for the procedure.

The vein doctor will administer local anesthesia to numb a small part of your skin on the thighs. The incision will be an entry point for the vein doctor to insert a specialized catheter with a laser fiber into the diseased vein under ultrasound guidance. The laser fiber will be guided into the diseased vein and activated to generate laser energy, thereby making it collapse. The accumulated blood will flow into healthier leg veins, restoring optimal blood circulation.

Vein disease in legs

What are the Side Effects of EVLT?

The entire endovenous laser ablation procedure concludes within 60 minutes, following which you can resume your daily activities. However, you must arrive for the procedure at least 15 minutes in advance.

EVLT treatment side effects can include:

 

  • Mild bruising (common)
  • Mild stiffness (common)
  • Mild soreness (common)
  • Temporary numbness (rare)
  • Varicose veins recurrence (rare)
  • Infection (very rare)
  • Deep vein thrombosis (very rare)

 

Most patients only experience mild bruising, stiffness, and soreness after endovenous laser ablation. All other side effects can be avoided if you seek treatment from reliable vein clinics in Long Island.

What are the Advantages and Disadvantages of EVLT?

Advantages:

  • Leaves no scars and marks on the skin
  • You can resume your daily activities immediately
  • The procedure concludes within an hour
  • No risk of skin discoloration
  • You only experience mild to moderate discomfort

Disadvantages:

  • The procedure involves needles
  • It’s more uncomfortable than radiofrequency ablation
  • No need for strenuous workouts and heavy exercise

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