Endovenous Laser Ablation (Venacure EVLT)
The procedure is performed in-office and under ultrasound guidance. An endovenous laser ablation, better known as an EVLT, is a minimally invasive procedure used to treat refluxing saphenous and varicose veins. During the procedure, a small sheath(tube) is inserted into the vein through a small skin nick made by the doctor. A thin laser fiber is guided through the sheath until we reach the top of the vein. Once the laser fiber is in place, a local anesthetic is used to numb around the vein and create a buffer to prevent burning of the surrounding tissue.
After the anesthetic has been administered around the vein, the laser fiber is turned on and slowly pulled out of the vein to ensure proper closure. Almost immediately blood is re-routed out of the unhealthy superficial vein, and other healthy veins pick up the remainder of the blood flow. After the procedure, there will be several small dressings placed along the length of the vein, and a compression sock will be worn for a total of seven days. There may be some slight swelling and bruising for the first few days following the procedure which is a normal part of the healing process. The in-office procedure takes approximately 30 minutes, and you can resume most daily activities the same day. We only ask that you avoid rigorous activity for the first week following the procedure.