Varicose Vein Removal - Endovenous Laser Ablation Treatment (E.V.L.T.)
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2 Park Central Drive, Suite 210 Southborough, MA 508-481-4SPA (4772) info@bbaesthetics.com
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Endovenous Laser Ablation Treatment or
EVLT, is an alternative to surgical stripping of
certain underlying veins that are the source of
surface varicose veins. Endovenous Laser
Treatment is done in-office under local
anesthesia. It works by heating the inside of
the vein, which causes it to seal shut and
disappear.
The EVLT technique requires that a very thin
laser fiber be inserted into the damaged
underlying vein. To perform the procedure,
the doctor uses an ultrasound machine to
map the vein, and then numbs the area with
local anesthesia.
You are advised to wear compression stockings and walk a lot after
treatment. As a result of the treatment, the blood re-routes through the
remaining normal veins much more efficiently, thereby reducing the abnormal
pressure on the remaining veins.
Endovenous laser is a widely accepted procedure with a very good success
rate and low complication rate.
The doctor places a needle into the lower end of the diseased underlying
vein, through which a small sheath is put into the vein. The laser fiber is then
placed through the sheath and advanced to the upper end of the diseased
vein. Local anesthesia is then delivered to the entire vein. The laser fiber
heats the inside of the vein as it is slowly withdrawn back down the vein.
Do I need General Anesthesia?
The EVLT procedure uses a technique called Tumescent Anesthesia.
Tunescent anesthesia uses a special numbing solution that is administered into
the surrounding tissues under ultrasound guidance. Patients are awake, alert
and comfortable before, during and after their treatments.
Does it hurt?
Patients are offered a mild sedative for the office procedure if they feel the
need. Due to the tumescent anesthesia, patients do not feel pain when the vein
is treated.
Before After