EVLT Endovenous Laser Treatment For Medical & Cosmetic Vein
Endovenous laser treatment (EVLT)
EVLT is a quick, minimally invasive laser treatment that
effectively treats varicose veins.
Varicose veins are a medical condition, not simply a cosmetic
problem. They are often a sign of a more serious vein problem known
as “venous reflux”. Venous reflux can not only cause varicose
veins, but swelling, aching, heaviness, discoloration, and skin
breakdown of the legs. If not treated this condition can lead to
weeping wounds and ulcerations. As a medical condition, most
insurance plans and Medicare cover the treatment of diagnosed
During EVLT, a small laser fiber is inserted through a needle into
the varicose vein using ultrasound guidance. The laser is activated
and, as the optic fiber is removed from the vein, it heats and
closes the vein. Once the vein is closed, the blood that was
circulating through the vein is naturally re-routed to other
healthy veins. Over time, the closed vein is absorbed by the body.
During the procedure, an anesthetic will be administered along the
course of the vein so that the patient will not experience much
pain, and a cooling technique is used to ease any pain, generally
described like a rubber band snap. The procedure takes an hour or
less, and the patient is discharged immediately after the
procedure. A designated driver must drive the patient home as the
patient cannot drive for several hours after the procedure.
After EVLT, temporary bruising and darkening of the skin may result
and will disappear in several days or weeks. Improvement can be
seen immediately after the procedure is completed but it may take
several months to see final results.
After the Procedure
Patients will be able to walk and resume normal activities
immediately after the procedure. Following the procedure, Dr.
Coatti will prescribe compression stockings, which the patient will
be asked to wear for two weeks. He will also prescribe mild
exercise, such as walking. Some bruising is normal.