Endovenous laser ablation (EVLA), also known as Endovenous laser therapy (EVLT), is a minimally invasive procedure used to correct venous reflux disease, also called chronic venous insufficiency. Venous reflux disease is the underlying pathology that causes varicose veins, and tired, heavy, achy legs. The procedure is performed in the office under local anesthesia. Using ultrasound guidance, a laser fiber is inserted into the refluxing vein via a small nick in the skin. Laser energy is delivered to close the vein permanently. The procedure takes 30-45 minutes, and patients can drive after the procedure.

Once the procedure is complete, the blood is re-routed to healthy veins. Leg circulation actually increases after the procedure! The leg is wrapped in an ace bandage for 24 hours and a compression stocking is worn for 3 days. Walking is encouraged immediately following the procedure, and normal activities can be resumed the same day or the following day. Full activities can be resumed in 7-10 days. Mild pain medications are sometimes necessary. EVLT is highly effective in the treatment of venous reflux, with a long-term success rate of 97%.

Educational Videos

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