At present, Laser Treatment for Varicose Veins is “the gold standard” in phlebology. Laser is used to obliterate the main varicose vein, either in the thigh (Great Saphenous Vein) or in the calf (Small Saphenous Vein). The procedure is called Endovenous Laser Ablation (EVLA) or Endovenous laser Thermoablation (EVLT).
Under local anaesthetic and ultrasound guidance, a laser catheter is placed into the vein and guided up to the origin. Fluid containing local anaesthetic is then placed around the vein to absorb heat and protect surrounding tissue, as the laser is slowly withdrawn down the vein. This does involve multiple injections. Unfortunately the laser fibre is too stiff to treat convoluted veins, and so is usually accompanied by sclerotherapy.
For many years we performed the procedure using Venacure® 1470nm laser with Never Touch fibres. Recently we have noticed that newly developed radial fibres are associated with lower pain after the procedure, so we started using new NeoV 1470nm laser generator with radial micro fibres for a better comfort of our patients.
All treatments include the usual follow-up visits.
- Bruising (Common).
- DVT and pulmonary embolus (Uncommon).
- Infection at site of fibre insertion.
- Inflammation of the treated vein or communication vein. Can be quite painful.
- Damage to adjacent nerve (Very rare).
- Discolouration of treated vein (Nearly always temporary).
- Skin burn (Rare).
- Allergy to Local anaesthetic.