Phlebology

Laser in Phlebology

The main indications for laser in phlebology is for the endovenous laser treatment (EVLT) of varicose veins. Varicose veins are enlarged, swollen and twisting veins. They can occur in any superficial vein, but they are most common in the legs and feet. They are often blue or dark purple in appearance. These develop when the veins stop functioning properly and allow blood to flow backwards and collect in the vein. This causes the vein to become enlarged.

 

Properly functioning vein
Properly functioning vein
Varicose vein
Varicose vein
What is EVLT?

Endovenous laser treatment is the global method of choice in the treatment of superficial venous incompetence in large veins.

How does it work?

EVLT is performed under local anaesthesia and ultrasound imaging is used to locate the target vein. The laser fibre is inserted into the vein and the laser energy is applied as the fibre is removed from the vein. This causes the varicose veins to shrink as the laser energy is absorbed by the vein wall.

How long does it take?

The procedure usually takes around 30 minutes to 1 hour.

Why EVLT?
  • Day case procedure
  • Local anaesthesia
  • Short treatment time
  • No incisions or post-surgical scars
  • Quick return to daily activities (usually 1-2 days)
  • Excellent patient outcomes
  • Great aesthetic results
  • High level of treatment safety
During the procedure?
  • The patient will lie on tipping bed to give best access to vein.
  • Local anaesthesia will be administered.
  • Ultrasound guidance is used to map the veins and identify the treatment site.
  • The optical fibre is inserted into the vein and the laser energy is applied for the appropriate length of time.

 

EVLT Stage 1 - Catheter insertion
EVLT Stage 1 - Catheter insertion
EVLT Stage 2 - Fibre insertion into vein
EVLT Stage 2 - Fibre insertion into vein
EVLT Stage 3 - Laser ablation of varicose vein
EVLT Stage 3 - Laser ablation of varicose vein
After the procedure?

EVLT is considered an outpatient procedure, meaning most patients will go home the same day after a follow up with the consultant. 

Restrictions after the procedure?

It is expected that the restrictions are minimal.

 

 

For more information about the laser devices and attachments we supply please do not hesitate to get in touch!