Endovenous Laser Ablation

Varicose veins
Varicose Vein Treatment

Endovenous Laser Ablation

Before medical advances, the best treatment choice for varicose veins was thought to be ligation and stripping. However, minimally invasive endovenous laser ablation has now become the treatment of choice for vascular specialists. It far outweighs ligation and stripping, which was performed under general anaesthesia, unnecessarily invasive and often required up to two weeks to recover before patients could return to normal duties.

For an EVLA, a tiny puncture is many in the leg, which does not require stitching and only local anaesthesia is needed. Laser energy is then used to heat-damaged veins and seal them closed. A laser fibre is used to shut the varicose vein from the inside without the need for a scalpel. This fibre is inserted through a small cut in the skin around the knee or ankle into the varicose vein.

It is guided into place by ultrasound and the laser is then fired, which delivers laser energy to the vein wall. Inflammation of the vein wall then occurs over weeks or months, resulting in fibrosis which then closes off the vein.

Endovenous Laser Ablation
Success Rate

There is a very high success rate associated with this procedure, with more than 95% of patients reporting improved symptoms. After five years, the recurrence rate of varicose veins is 5-20%, compared with 20-80% with surgery. It is common to have sclerotherapy (injecting a solution to eliminate varicose veins) in the following months or years after treatment.

Possible complications - typical

There are risks involved with any medical procedure. However, Dr Altaf will work with you to ensure that these are minimal. Complications can include:

These after-effects are all part of the healing process and are quite normal. They can last between three to six weeks following the procedure.

Possible complications – infrequent

More infrequent complications include: