Endovenous Laser Ablation

Endovenous Laser Ablation (EVLT) is a minimally invasive, office setting and ambulatory procedure that involves insertion of a small intravenous wire into a leg vein. The tip of the wire has a laser on the tip. The laser causes changes to the inner walls of the vein to become like a glue. Afterward, the laser wire is removed and the leg is wrapped to permit the walls of the vein to stick to each other.

As a result, blood no longer travels in that vein and there is decreased congestion in the leg vein. EVLT is intended to be a permanent solution to vein problems. EVLT is only performed on veins not working properly. Some individuals have more than a single vein needing closure. Generally, EVLT is performed on a single vein each session.

Venous stasis symptoms including aching pain and heaviness will go away often immediately. After ILiac vein stenting, leg swelling and discoloration will reduce more gradually over months.

Common indications for Endovenous Laser Ablation

  • Persistent and life-limiting venous insufficiency symptoms despite conservative ways such as compression stockings, weight reduction, daily exercise and periodic leg elevation.
  • Vein Sores (Venous Stasis Ulcers)
  • Bleeding from varicose veins
  • Advanced skin change (Venous Stasis Dermatitis)

How to prepare for Endovenous laser ablation:

  • Review your medications, especially blood thinners with your provider or nurse at least 1 week before the procedure.
  • Have something light to eat two hours prior to your appointment.

Duration of Endovenous Laser Ablation:

20 – 30 Minutes.

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