- Less invasive technique: Endovenous Laser Treatment (EVLT).
- EVLT uses targeted laser
energy to seal the vein
shut.
Why ELVT – Advantages GSV treatment :
- Gentle, moderate and yet effective method of treatment
- Less traumatic
- Minimal discomfort
- Quick and easy to perform
- No scarring
- No general Anaesthesia required
- Excellent aesthetic results
- Recurrence rates are extremely low
- Outpatient Procedure
- A rapid return to normal activities
EVLT Procedure :
- A catheter is placed in the vein
through a needle utilizing
ultrasound guidance. - The laser is passed
through the catheter to the saphenofemoral junction which is confirmed by ultrasound.
Map the Course of the Vein :
Access to the Vein :
- Anaesthesia by local intradermal injection.
- Entry of the needle into the vein under Ultrasound Guidance.
- After the puncture the guide wire is inserted into the vein.
- The entry needle is withdrawn
and the introducer sheath and
dilator are inserted over the guide wire and into the vein. - The guide wire is then removed and the laser fibre is inserted into the introducer
sheath and advanced along its length. - The introduction of the laser
fiber can be monitored by
using the aiming beam. - The fibre is advanced to a position 2-3 centimeters below
the sapheno-femoral junction to
preserve the integrity of the
femoral vein from the first pulse
of laser energy.
Advantages :
- Relief of chronic pain symptoms
- Faster return to normal activity
- Improves venous stasis wound healing potential
- Decreases wound recurrence
- Minimal-to-no scarring
- Typically is covered by insurance
Post-op Care :
- Dress leg with compression bandage
- Class II compression stocking on POD 2
- Resume normal activities as tolerated
- Avoid hot baths
- Avoid vigorous gym workouts
Post-op :
- Mild Bruising can occur along the leg that has
been treated - A “tightening” sensation along the vein is
reported by many patients - Some mild tenderness along the vein
EVLT Before After photo :
