How does the procedure actually
work?
Is
loss of this vein a problem?
What
are the complications of this procedure?
Am I at risk from the laser?
What is the alternative
to this treatment?
Are there alternative minimally
invasive treatments available?
How successful is EVLT?
How does the procedure actually work?
The laser energy damages the vein walls, shrinking
them and thus closing the faulty vein so that the blood
can no longer flow through it.
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Is loss of this vein a problem?
No. There are many veins in the leg and after treatment
the blood in the faulty veins will be diverted to normal
veins in order to make its way back to the heart.
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What are the complications of this procedure?
There are potential complications with any medical procedure
however the only minimal complications experienced with
the EVLT Procedure have been a small number of
cases of transient paresthesia (numbness).
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Am I at risk from the laser?
No. You will be given a pair of special glasses to wear
to protect your eyes, however this is just a precaution
against accidental firing of laser energy outside the
body.
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What is the alternative to this treatment?
Traditionally faulty Saphenous veins have been treated
with surgical ligation and stripping. This involves
at least two surgical incisions in order to tie off
and pull out the faulty vein. It is usually performed
under general anesthesia. EVLT appears to have
lower risk; shorter recovery period, lower costs and
no scarring compared with surgery.
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Are there alternative minimally invasive treatments
available?
Yes. The two common ones are ultrasound-guided sclerotherapy
(injection therapy) and radio frequency electrosurgery.
Injection therapy for the Saphenous vein appears to
have a high recurrence rate frequently requiring retreatment.
However it is excellent for cosmetic treatment of any
visible veins remaining after EVLT.
Radiofrequency electrosurgery is more limited in the
range of patients it can treat and the treatment time
is longer than EVLT.
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How successful is EVLT?
Early results have been extremely favorable with success
rates as high as the conventional surgical approach,
which is accepted as the 'gold standard' treatment.
EVLT will normally treat the cause of most vein
reflux disease but additional/complimentary therapy
may be necessary in some cases.
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