Endovenous Laser Therapy for Varicose Veins 

 No surgery - no scarring - minimal downtime
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The latest and most promising medical treatment for varicose veins is Endovenous Laser Therapy (EVLT®). This is an advanced, ultrasound-guided technique used to treat varicose veins caused by Venous Reflux. Venous Reflux is a condition resulting from a build up of back pressure due to leaky valves in veins that allow blood to flow backwards (see About Varicose Veins).

The Procedure:

A catheter bearing a laser fiber is inserted under ultrasound guidance into the long saphenous vein through a small puncture at the level of the knee. The catheter is then advanced (also under ultrasound guidance) to the level of the groin. Local anesthetic is delivered around the entire length of vein to be treated (tumescent anesthesia).

The laser fiber is then activated resulting in obliteration of the saphenous vein. As the laser is activated, the resulting heat at the tip produces a reaction in the walls of the vein, causing them to stick together. The varicosities associated with this vein then disappear as blood from the lower leg reroutes through the deeper circulation. The catheter is then slowly withdrawn and the saphenous vein is sealed along its entire length. Foam sclerosant may be added through the catheter as required to treat large side branches.

- See the Results
- About Varicose Veins
- Costs of Treatments
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