What is laser vein removal - EVLA?

A new and widely accepted method for eliminating damaged veins is based on the complete closure of the vein by applying laser radiation to the inner wall of the vein. Effective application of laser energy to the vein wall and extremely low depth of penetration of the radiation wavelength, allows closing the vein using minimal energy and avoiding sensitive disorders or burns on the skin. In addition, the need for local anesthesia can be reduced to a minimum. EVLA treatment is a minimally invasive method that is performed on outpatient basis under local anesthesia and takes only 30-45 minutes. During this method, EVLA radial probe through a small skin incision is introduced into the diseased vein. The probe is then used to guide the laser light into the vein using targeted radial emission. Laser then closes the vein. During or after the treatment, patients feel little or no pain. Immediately after treatment with EVLA, patients can resume regular activities.

When applied?

EVLA is recommended for the treatment of insufficiency of saphenous vein and parve vein.

Advantages of this treatment are the following:

  • easy to apply
  • less time than the usual classical treatment
  • almost painless for the patient and without the need of giving analgesics in postoperative period
  • excellent early postoperative and final medical and cosmetic results
  • incomparably faster full recovery of the patient, significantly reduced the duration of sick leave, and many early return to regular activities and work


What is the optimal method for me?

The plan of treatment for varicose veins should be “tailored” for each patient individually.
Method of treatment depends of the type of the underlying cause. If it is only a localized extensions then we consider foam sclerotherapy, or removal of varicose veins (phlebectomy). The situation is more complicated if there is a failure of those veins. In this case it is necessary to resolve the failure, which usually means a radiofrequency ablation of saphenous vein (main surface vein that runs from the ankle to the groin), with an additional sclerosing of remaining vein.
Sometimes, in order to achieve an optimum result of the treatment, it is necessary to combine different operational (classical and EVLA) techniques. Therefore, the operator must be competent to treat varicose veins as endovenous lead and traditional surgical methods. Since every medical procedure, including vein surgery carries potential complications, it is important that whoever deals with operations vein able to recognize and treat possible complications, which are above all vascular surgeons. They are trained to be able to look at the problem of varicose veins from all aspects and provide optimal treatment for varicose veins all methods available to modern medicine and modern vascular surgery.
Each of these methods has its own characteristics and the patient should be familiar with each of the methods. Taking into account medical indications but also the wishes of the patient can reach the optimal method of treatment of varicose veins for each patient.